icd 10 cm code for s/p mastectomy

Full Answer

What is the ICD 10 code for mastectomy?

ICD-10-CM Code Z90. 11 - Acquired absence of right breast and nipple. What are the types of mastectomy? There are five different types of mastectomy: "simple" or "total" mastectomy, modified radical mastectomy, radical mastectomy, partial mastectomy, and subcutaneous (nipple-sparing) mastectomy.

What is the CPT code for mastectomy with lymph nodes removed?

The code for this type of more involved mastectomy is 19305. When both axillary lymph nodes and the internal mammary lymph nodes are taken during this operative session, the pectoralis major and minor can be spared. If the physician performs this procedure (also known as the Urban-type mastectomy), report 19306.

What is an excision/biopsy code instead of a mastectomy?

If surgical margins are not addressed specifically, then an excision/biopsy code would be reported instead of a mastectomy code. For female patients, partial mastectomy involves excising the mass from the breast, taking along with it a margin of healthy tissue.

What is the ICD 10 code for mastectomy with axillary dissection?

Modified radical mastectomy is coded 19307; lumpectomy with axillary dissection is coded 19302. What is the ICD 10 code for osteopenia? Under ICD-10-CM, the term “Osteopenia” is indexed to ICD-10-CM subcategory M85. 8- Other specified disorders of bone density and structure, within the ICD-10-CM Alphabetic Index.

What is the ICD-10 code for left mastectomy?

ICD-10 Code for Acquired absence of left breast and nipple- Z90. 12- Codify by AAPC.

What is the diagnosis code for mastectomy?

Z90.1 – Acquired absence of breast and nipple Typically, a mastectomy is performed under general anesthesia and hence patients are not completely conscious during the surgery. The procedure begins with your surgeon making an elliptical incision around your breast.

What is the ICD-10 code for breast reconstruction following mastectomy?

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 .

What is the ICD-10 code for right prophylactic mastectomy?

Z40. 01 - Encounter for prophylactic removal of breast | ICD-10-CM.

What is the ICD 10 PCS code for mastectomy of the left breast?

2022 ICD-10-PCS Procedure Code 0HBV0ZZ.

What is a breast mastectomy?

A mastectomy is surgery to remove all breast tissue from a breast as a way to treat or prevent breast cancer. For those with early-stage breast cancer, a mastectomy may be one treatment option. Breast-conserving surgery (lumpectomy), in which only the tumor is removed from the breast, may be another option.

How do you code breast reconstruction?

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.

What is the difference between a simple and radical mastectomy?

A simple mastectomy (left) removes the breast tissue, nipple, areola and skin but not all the lymph nodes. A modified radical mastectomy (right) removes the entire breast — including the breast tissue, skin, areola and nipple — and most of the underarm (axillary) lymph nodes.

What is the CPT code for bilateral mastectomy?

For example, if you are billing for a bilateral mastectomy, you would report CPT code 19303 (Mastectomy, simple, complete) with the modifier.

How do you code a prophylactic mastectomy?

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 .

Does Medicare pay for prophylactic mastectomy?

Prophylactic mastectomy and genetic testing Surgery for cosmetic reasons is not covered by Medicare. You might want a mastectomy if you're at high risk of developing breast cancer due to a genetic mutation or family history.

What is the CPT code 19307?

Mastectomy ProceduresThe Current Procedural Terminology (CPT®) code 19307 as maintained by American Medical Association, is a medical procedural code under the range - Mastectomy Procedures.

What is the code for radical mastectomy?

The code for this type of more involved mastectomy is 19305 .

What is subcutaneous mastectomy?

During a subcutaneous mastectomy (19304), the surgeon dissects the breast away from the pectoral fascia and skin. As with the simple complete mastectomy, the surgeon removes all of the breast tissue, but spares the skin and pectoral fascia. The documentation should clearly illustrate the more complex nature of this procedure.

What is a complete mastectomy?

Radical mastectomy. For female patients, partial mastectomy involves excising the mass from the breast, taking along with it a margin of healthy tissue. The title of the procedure will be important when determining the physician’s intention for the procedure.

What is the Women's Health and Cancer Act?

The government passed the Women’s Health and Cancer Act (WHCRA) of 1998, enforcing coverage of reconstruction following mastectomies (if the plan allows for mastectomies). Check with your state’s Department of Insurance for your state’s coverage requirements.

What is the procedure to transfer skin from another part of the body to the breast area?

Three additional reconstruction procedures include transferring skin from another part of the patient’s body to the breast area. The latissimus dorsi flap (19361) describes a procedure during which muscle and skin are taken from the patient’s back and used to reconstruct a breast.

Can breast implants be done at the same time as mastectomy?

Breast implants are, perhaps, the most well-known reconstruction methods. These can be done during the same surgical session as the mastectomy (19340) or at a later time (19342). If reconstruction is delayed, the surgeon may perform a tissue expansion (19357).

Is breast reconstruction surgery risky?

As with any surgery, there are risks to the reconstruction procedures, including the potential removal of the implanted prosthetic if a complication occurs. The size of the breast and the defect may also be factors in deciding which reconstruction method is best for the patient.