N64
Non-Billable

Other disorders of breast

Non-Billable / Non-Specific Code

What is Other disorders of breast?

ICD-10-CM N64 is the diagnosis code for Other disorders of breast. This code falls under the section "Disorders of breast" within Chapter 14 — Diseases of the genitourinary system (N00-N99). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

â„šī¸ Excludes2

Coding Guidelines for N64

â„šī¸ Type 2 Excludes (Code separately if applicable)

The following conditions are not included in N64. If the patient has both, code each condition separately:

  • mechanical complication of breast prosthesis and implant (T85.4-)

ICD-10-CM Code Hierarchy

Understanding where N64 sits in the ICD-10-CM classification helps ensure proper coding:

Sub-Codes 8 entries
N64.0Fissure and fistula of nippleBillableN64.1Fat necrosis of breastBillableN64.2Atrophy of breastBillableN64.3Galactorrhea not associated with childbirthBillableN64.4MastodyniaBillableN64.5Other signs and symptoms in breastNon-BillableN64.51Induration of breastBillableN64.52Nipple dischargeBillableN64.53Retraction of nippleBillableN64.59Other signs and symptoms in breastBillableN64.8Other specified disorders of breastNon-BillableN64.81Ptosis of breastBillableN64.82Hypoplasia of breastBillableN64.89Other specified disorders of breastBillableN64.9Disorder of breast, unspecifiedBillable
Related Codes

Frequently Asked Questions

Is N64 a billable ICD-10-CM code?

No, N64 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does N64 mean?

N64 is the ICD-10-CM diagnosis code for "Other disorders of breast". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What section is N64 in?

N64 is located in Section N60-N65 — "Disorders of breast" within Chapter 14 of the ICD-10-CM Tabular List.

What are the sub-codes of N64?

N64 has 8 sub-code(s) that provide more specific detail: N64.0, N64.1, N64.2, N64.3, N64.4 and more.

When should I use N64?

Use N64 when the patients documented diagnosis matches "Other disorders of breast" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Other disorders of breast?

The ICD-10-CM code for Other disorders of breast is N64.

Can N64 be used for primary diagnosis?

No, N64 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is N64 in?

N64 is in Chapter 14 of the ICD-10-CM Tabular List.

Is N64 valid for 2026?

Yes, N64 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousN63.42Unspecified lump in left breast, subareolarNext →N64.0Fissure and fistula of nipple
Code Details
N64
Other disorders of breast
Non-Billable / Non-Specific Code
14 — Diseases of the genitourinary system (N00-N99)
N60-N65 — Disorders of breast
2026 ICD-10-CM