I use V07.8 - other specified prophylactic measure as well as their personal or family history that puts them at risk , ie V16.3 or history of self/family ovarian cancer V07.8 would be the code you would use if the patient was (in need of) having prophylactic breast removal, as stated in your Tabular List under this code.
Encounter for breast reconstruction following mastectomy. This is the American ICD-10-CM version of Z42.1 - other international versions of ICD-10 Z42.1 may differ.
Encounter for prophylactic measures, unspecified 2017 - New Code 2018 2019 2020 2021 Billable/Specific Code POA Exempt Z29.9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2021 edition of ICD-10-CM Z29.9 became effective on October 1, 2020.
deformity and disproportion of reconstructed breast ( ICD-10-CM Diagnosis Code N65.1. Disproportion of reconstructed breast 2016 2017 2018 2019 2020 Billable/Specific Code Adult Dx (15-124 years) Applicable To Breast asymmetry between native breast and reconstructed breast. Disproportion between native breast and reconstructed breast.
Z40. 01 - Encounter for prophylactic removal of breast | ICD-10-CM.
ICD-10 code Z40. 01 for Encounter for prophylactic removal of breast is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Acquired absence of bilateral breasts and nipples The 2022 edition of ICD-10-CM Z90. 13 became effective on October 1, 2021.
Report a “1” in the number-of-services field. For example, if you are billing for a bilateral mastectomy, you would report CPT code 19303 (Mastectomy, simple, complete) with the modifier. You would report the service as a single line item: 19303 50.
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.
To summarize, report code 19303 for a skin-sparing or nipple-sparing mastectomy for diagnosed carcinoma or for patients who are at high risk for carcinoma, regardless of the amount of skin removed or whether the nipple is preserved.
Z90. 12 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 Z90. 12 became effective on October 1, 2021.
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
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 .
Modifier LT or RT should be used to identify which of the paired organs was operated on. Billing procedures as two lines of service using the LT and RT modifiers is not the same as identifying the procedure with modifier 50. Modifier 50 is the coding practice of choice when reporting bilateral procedures.
When the potentially malignant tissue is not connected and tissue is removed from different, separate incisions, then code 19301 should be reported twice, with modifier 59 appended to one instance (19301, 19301-59). Documentation of each distinct procedure is important.
CPT 19125 the lesion is identified by preoperative placement of radiological marker. 19301 is a partial mastectomy or lumpectomy. There is also NO radiological marker placement.
According to the coding guidelines, in the front of the icd-9-cm book, V45.7X (acquired absence of organ) can be used as 1st and/or an additional dx code. I don't disagree that you should use an aftercare code first, if it is in fact aftercare for the mastectomy, or a follow-up code, if the doctor indicates that it's just routine follow-up of patient with no other DXs to address. I just wanted to point this out in case anyone runs into this in the future.
Pre-op code:#N#V07.8 would be the code you would use if the patient was (in need of) having prophylactic breast removal, as stated in your Tabular List under this code.#N#Post-op code:#N#However, if the patient has already received the mastectomy, the proper code would be V45.71.#N#Hope this helps!
I use V07.8 - other specified prophylactic measure as well as their personal or family history that puts them at risk , ie V16.3 or history of self/family ovarian cancer