ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 N62

Billable / Specific

Hypertrophy of breast

N62
Block
3
Synonyms
408
LCDs
11
Payer Policies
0
Linked CPTs

About ICD-10-CM N62

ICD-10-CM code N62 represents Hypertrophy of breast. This is a billable/specific code in the Genitourinary System chapter (block N62). The 2026 edition of ICD-10-CM N62 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under N62. Per CMS ICD-10-CM Tabular 2026.

  • Gynecomastia
  • Hypertrophy of breast NOS
  • Massive pubertal hypertrophy of breast

Type 1 Excludes

Pure excludes, these codes can never be coded together with N62. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • breast engorgement of newborn (P83.4)
  • disproportion of reconstructed breast (N65.1)

Medicare LCD Coverage for N62

Local Coverage Determinations (LCDs) from CMS MACs that list N62 as a covered diagnosis.

408 LCDs

Showing top 10 of 408 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Cosmetic and Reconstructive Surgery
Article ID: 58573, Effective: 2025-11-17 00:00:00, 137 covered, 1 non-covered
CPT 19300 →
CMS LCD: Billing and Coding: Cosmetic and Reconstructive Surgery
Article ID: 58573, Effective: 2025-11-17 00:00:00, 137 covered, 1 non-covered
CPT 15877 →
CMS LCD: Billing and Coding: Cosmetic and Reconstructive Surgery
Article ID: 58573, Effective: 2025-11-17 00:00:00, 137 covered, 1 non-covered
CPT 19371 →
CMS LCD: Billing and Coding: Cosmetic and Reconstructive Surgery
Article ID: 58573, Effective: 2025-11-17 00:00:00, 137 covered, 1 non-covered
CPT 19380 →
CMS LCD: Billing and Coding: Cosmetic and Reconstructive Surgery
Article ID: 58573, Effective: 2025-11-17 00:00:00, 137 covered, 1 non-covered
CPT 30468 →
CMS LCD: Billing and Coding: Cosmetic and Reconstructive Surgery
Article ID: 58573, Effective: 2025-11-17 00:00:00, 137 covered, 1 non-covered
CPT 30400 →
CMS LCD: Billing and Coding: Cosmetic and Reconstructive Surgery
Article ID: 58573, Effective: 2025-11-17 00:00:00, 137 covered, 1 non-covered
CPT 19396 →
CMS LCD: Billing and Coding: Cosmetic and Reconstructive Surgery
Article ID: 58573, Effective: 2025-11-17 00:00:00, 137 covered, 1 non-covered
CPT 30435 →
CMS LCD: Billing and Coding: Cosmetic and Reconstructive Surgery
Article ID: 58573, Effective: 2025-11-17 00:00:00, 137 covered, 1 non-covered
CPT 30465 →
CMS LCD: Billing and Coding: Cosmetic and Reconstructive Surgery
Article ID: 58573, Effective: 2025-11-17 00:00:00, 137 covered, 1 non-covered
CPT 30462 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing N62.

11 policies

1 Aetna

Breast Reduction Surgery and Gynecomastia Surgery - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0017

1 Cigna

Transvaginal Ultrasound, Non-Obstetrical - (0398)
Policy ID: MM_0398

5 Medicare

Billing and Coding: Breast Imaging: Breast Echography (Sonography)/Breast MRI/Ductography
Policy ID: ART-52849
Billing and Coding: Breast Imaging Mammography/Breast Echography (Sonography)/Breast MRI/Ductography
Policy ID: ART-56448
Billing and Coding: Cosmetic and Reconstructive Surgery
Policy ID: ART-56587
Billing and Coding: Cosmetic and Reconstructive Surgery
Policy ID: ART-56658
Billing and Coding: Reduction Mammaplasty
Policy ID: ART-56837

CPT Codes Commonly Billed with N62

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for N62

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert N62 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
N62 6111 00000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 N62, Billing FAQ

Is ICD-10 code N62 billable? +

Yes, N62 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to N62? +

ICD-10 N62 includes: Gynecomastia; Hypertrophy of breast NOS; Massive pubertal hypertrophy of breast.

What codes are Type 1 Excludes for N62? +

Type 1 Excludes (never code together with N62): breast engorgement of newborn (P83.4); disproportion of reconstructed breast (N65.1)

What ICD-9 codes does N62 map to? +

Per CMS GEMs, N62 maps to ICD-9 codes: 6111. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on June 2, 2026.

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