Ptosis of breast
ICD-10 N64.81 is a billable code used to indicate a diagnosis of ptosis of breast.
Ptosis of the breast, commonly referred to as breast sagging, is a condition characterized by the downward displacement of breast tissue. This condition can occur due to various factors including aging, hormonal changes, weight fluctuations, and genetic predisposition. In benign breast disease, ptosis may be associated with conditions such as breast hypertrophy, where excess breast tissue can lead to sagging. Mastitis, an inflammation of breast tissue, can also contribute to changes in breast shape and position. Additionally, breast lumps and nipple discharge may complicate the clinical picture, necessitating thorough evaluation and imaging studies. Imaging considerations, such as mammography or ultrasound, are crucial in assessing underlying pathologies that may accompany ptosis, ensuring that any potential malignancies are ruled out. Accurate diagnosis and coding of ptosis require a comprehensive understanding of the patient's clinical history and associated breast conditions.
Detailed clinical notes on breast examination, imaging results, and treatment plans.
Evaluation of patients with breast ptosis considering surgical intervention.
Ensure documentation reflects the severity of ptosis and any associated conditions.
Complete imaging reports including findings related to ptosis and any other breast abnormalities.
Mammography or ultrasound for patients presenting with breast ptosis and lumps.
Document any findings that may indicate malignancy or other significant pathology.
Used when surgical intervention is planned for ptosis.
Pre-operative assessment notes and imaging results.
Breast surgeons should document the rationale for surgery.
Breast ptosis is primarily caused by aging, hormonal changes, weight fluctuations, and genetic factors that affect skin elasticity and breast tissue support.
