Breast implant status. Z98.82 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2018/2019 edition of ICD-10-CM Z98.82 became effective on October 1, 2018. This is the American ICD-10-CM version of Z98.82 - other international versions of ICD-10 Z98.82 may differ.
encounter for breast reconstruction following mastectomy ( ICD-10-CM Diagnosis Code Z42.1. Encounter for breast reconstruction following mastectomy 2016 2017 2018 2019 Billable/Specific Code Adult Dx (15-124 years) POA Exempt. Type 1 Excludes deformity and disproportion of reconstructed breast (N65.1-) Z42.1)
A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition. complications of breast implant ( ICD-10-CM Diagnosis Code T85.4 encounter for initial breast implant insertion for cosmetic breast augmentation ( ICD-10-CM Diagnosis Code Z41.1
T85.4- range is for Mechanical complication of breast prosthesis and implant. Rupture would be the one I bolded below In my Index it's under Complication -> breast implant (prosthetic) Code(s) Description T85.41XA ‑ T85.41XS Breakdown (mechanical) of breast prosthesis and implant
1.
N62: Hypertrophy of breast.
CPT 19325 – Breast Augmentation The code descriptor for CPT 19325 has been updated to simplify and streamline language. A parenthetical has also been added to direct users to use codes 15771 and 15772 when fat grafting is performed in conjunction with a breast augmentation with implant.
A CPT Assistant newsletter states “A capsulectomy (CPT code 19371) involves removal of the capsule. The implant is also removed and may or may not be replaced.” Therefore, CPT 19370 (capsulotomy) is included in 19328 when performed to remove the implant.
ICD-10 code N64. 4 for Mastodynia is a medical classification as listed by WHO under the range - Diseases of the genitourinary system .
The medical term for large breasts is macromastia, and when large breasts cause pain and other physical problems the condition is called symptomatic macromastia. Heavy breasts can cause disturbances in multiple body systems.
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).
1 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 .
Code 19380 [Revision of reconstructed breast] is a non-specific code intended to capture revisional procedures other than capsulotomies and capsulectomies. As the code descriptor states, in order to report 19380, the procedures must be performed on a breast that has already been reconstructed.
1 instructed coders to report code 19342, Insertion or replacement of breast implant on separate day from mastectomy, when the tissue expander is replaced with permanent implants and significant (more than minor) adjustments are made to the capsule (AHIMA, 2021).
Code 19364 includes harvesting of the flap, microvascular transfer (one artery and two veins), closure of the donor site, and transfer to the chest and inset, including the creation of the breast mound. Examples are a free transverse rectus abdominis myocutaneous (TRAM) flap, a free DIEP, or free gluteal flap.
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.
Gynecomastia is a benign enlargement of the male breast (usually bilateral but sometimes unilateral) resulting from a proliferation of the glandular component of the breast (see the image below). It is defined clinically by the presence of a rubbery or firm mass extending concentrically from the nipples.
Juvenile (or virginal) breast hypertrophy is a rare and incapacitating condition where an atypical, alarmingly rapid and continued breast growth occurs during puberty (Fig. 2A). It is often defined as a 6-month period of extreme breast enlargement, superseded by a longer period of slower, but sustained breast growth.
The surgeon usually: Makes an incision around the areola and down each breast. Removes excess breast tissue, fat and skin to reduce the size of each breast. Reshapes the breast and repositions the nipple and areola.
Group 1CodeDescription19316MASTOPEXY19318BREAST REDUCTION
Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00 -Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
Z96 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
The 2022 edition of ICD-10-CM Z45.81 became effective on October 1, 2021.
Categories Z40-Z53 are intended for use to indicate a reason for care. They may be used for patients who have already been treated for a disease or injury, but who are receiving aftercare or prophylactic care, or care to consolidate the treatment, or to deal with a residual state. Type 2 Excludes.
Leakage of breast prosthesis and implant 1 T85.43 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. 2 The 2021 edition of ICD-10-CM T85.43 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of T85.43 - other international versions of ICD-10 T85.43 may differ.
The 2022 edition of ICD-10-CM T85.43 became effective on October 1, 2021.
fitting and adjustment of external prosthetic device (Z44.-)
Codes within the T section that include the external cause do not require an additional external cause code. The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.