Z42.11 for Encounter for breast reconstruction following mastectomy is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
ICD-10 Code for Encounter for cosmetic surgery- Z41. 1- Codify by AAPC.
Encounter for breast reconstruction following mastectomy Z42. 1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM Z42. 1 became effective on October 1, 2021.
The American Academy of Plastic Surgeons highlights the following important points about the 2021 CPT codes for breast reconstruction: Codes 19340 and 19342 – Implant placement in breast reconstruction: The codes are used for placement of a new implant or replacement in mastectomy or reconstructed breast.
ICD-10 code Z98. 82 for Breast implant status is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
89.
The breast surgery Current Procedural Terminology (CPT) codes were developed when axillary dissection was standard therapy for breast cancer. Modified radical mastectomy is coded 19307; lumpectomy with axillary dissection is coded 19302.
Breast Cancer ICD-10 Code Reference SheetPERSONAL OR FAMILY HISTORY*Z85.3Personal history of malignant neoplasm of breastZ80.3Family history of malignant neoplasm of breast
How do surgeons use implants to reconstruct a woman's breast? Implants are inserted underneath the skin or chest muscle following the mastectomy. (Most mastectomies are performed using a technique called skin-sparing mastectomy, in which much of the breast skin is saved for use in reconstructing the breast.)
The surgical procedure is coded 51 for the first primary. The surgical code for the contralateral breast is coded to the procedure performed on that site. For single primaries only, code removal of involved contralateral breast under the data item Surgical Procedure/Other Site (NAACCR Item # 1294).
Mastectomy ProceduresThe Current Procedural Terminology (CPT®) code 19307 as maintained by American Medical Association, is a medical procedural code under the range - Mastectomy Procedures.
Table 2.CPT CodeDescription15770Formation of direct or tubed pedicle, with or without transfer, trunk19316Mastopexy19318Reduction mammoplasty19366Breast reconstruction with other technique7 more rows•Dec 17, 2020
CPT® 19340, Under Repair and/or Reconstruction Procedures on the Breast. The Current Procedural Terminology (CPT®) code 19340 as maintained by American Medical Association, is a medical procedural code under the range - Repair and/or Reconstruction Procedures on the Breast.
CPT 19371 is for a complete capsulectomy and includes the removal of all intra-capsular contents. It cannot be reported with CPT 19328and 19370; however, 19342 can be separately reported for replacement of a new implant.
CPT® 19357, Under Repair and/or Reconstruction Procedures on the Breast. The Current Procedural Terminology (CPT®) code 19357 as maintained by American Medical Association, is a medical procedural code under the range - Repair and/or Reconstruction Procedures on the Breast.
The correct code to report skin-sparing mastectomy is 19303, Mastectomy, simple, complete (total mastectomy).
Z42.1 is a valid billable ICD-10 diagnosis code for Encounter for breast reconstruction following mastectomy . It is found in the 2021 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2020 - Sep 30, 2021 .
DO NOT include the decimal point when electronically filing claims as it may be rejected. Some clearinghouses may remove it for you but to avoid having a rejected claim due to an invalid ICD-10 code, do not include the decimal point when submitting claims electronically. See also:
Type-1 Excludes mean the conditions excluded are mutually exclusive and should never be coded together. Excludes 1 means "do not code here."
The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code Z42.1. Click on any term below to browse the alphabetical index.
This is the official exact match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that in all cases where the ICD9 code V51.0 was previously used, Z42.1 is the appropriate modern ICD10 code.