N62 — Hypertrophy of breast
N62 is a billable, specific ICD-10-CM code for hypertrophy of breast. It is valid for submission on a claim.
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Gynecomastia
- Hypertrophy of breast NOS
- Massive pubertal hypertrophy of breast
Risk adjustment
N62 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
N62 is named in 12 Medicare coverage policies — 12 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52849Billing and Coding: Breast Imaging: Breast Echography (Sonography)/Breast MRI/Ductography
- A56448Billing and Coding: Breast Imaging Mammography/Breast Echography (Sonography)/Breast MRI/Ductography
- A56448Billing and Coding: Breast Imaging Mammography/Breast Echography (Sonography)/Breast MRI/Ductography
- A56587Billing and Coding: Cosmetic and Reconstructive Surgery
How N62 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to N62.
- Gynecomastia
- Mammoplasia
- Mastoplasia, mastoplastia
- Excess, excessive, excessively›development, breast
- Hypertrophy, hypertrophic›breast
- Hypertrophy, hypertrophic›nipple
- Hyperplasia, hyperplastic›epithelial›nipple
- Hypertrophy, hypertrophic›breast›pubertal, massive
- Hypertrophy, hypertrophic›breast›senile(parenchymatous)
Questions about N62
- Is N62 a billable ICD-10-CM code?
- Yes. N62 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does N62 sit in the tabular list?
- Diseases of the genitourinary system (N00-N99), in the block Disorders of breast (N60-N65).
- What cannot be coded together with N62?
- N62 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.