icd-10 code for bilat mastectomy

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 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 absence of bilateral breasts and nipples?

Acquired absence of bilateral breasts and nipples. Z90.13 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 Z90.13 became effective on October 1, 2020.

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 the diagnosis code for bilateral mastectomy?

Acquired absence of bilateral breasts and nipples The 2022 edition of ICD-10-CM Z90. 13 became effective on October 1, 2021.

What is the ICD-10 code for mastectomy?

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.

What is a Bilat mastectomy?

When both breasts are removed, it is called a double (or bilateral) mastectomy. Double mastectomy is sometimes done as a risk-reducing (or preventive) surgery for women at very high risk for getting breast cancer, such as those with a BRCA gene mutation.

How do you code a mastectomy?

Report code 19303, Mastectomy, simple, complete, for the mastectomy.

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 a complete mastectomy?

Total mastectomy. A total mastectomy, also known as a simple mastectomy, involves removal of the entire breast, including the breast tissue, areola and nipple. A sentinel lymph node biopsy may be done at the time of a total mastectomy.

What is the difference between a bilateral mastectomy and a double mastectomy?

A double mastectomy—also known as a bilateral mastectomy—is exactly what it sounds like: a surgery in which both breasts are removed at the same time. It's major surgery that removes both breasts to remove cancer, or to reduce the risk of breast cancer in a woman who may be at high risk for the disease.

What is bilateral mastectomy with reconstruction?

Mastectomy is the surgical removal of the breast, either a part or the whole breast. A double mastectomy, or bilateral mastectomy, removes both breasts. Following breast removal, a surgeon may perform breast reconstruction surgery. Learn more about mastectomy, including what to expect during recovery.

What is the difference between simple mastectomy and total 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 skin sparing mastectomy?

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.

What is the modifier for bilateral procedure?

Modifier 50Modifier 50 applies to bilateral procedures performed on both sides of the body during the same operative session. When a procedure is identified by the terminology as bilateral or unilateral, the 50 modifier is not reported.

What is a bilateral surgery?

(a) Bilateral surgeries are procedures performed on both sides of the body during the same operative session or on the same day.

What are the different types of mastectomy?

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code: 1 Acquired absence of breast 2 Bilateral acquired absence of breast 3 History of bilateral mastectomy 4 History of bilateral prophylactic mastectomy 5 History of left mastectomy 6 History of mastectomy 7 History of right mastectomy

What is the procedure to remove breast tissue?

A mastectomy is surgery to remove a breast or part of a breast. It is usually done to treat breast cancer. Types of breast surgery include. Total (simple) mastectomy - removal of breast tissue and nipple.

What is the Z90.13 code?

Z90.13 is a billable diagnosis code used to specify a medical diagnosis of acquired absence of bilateral breasts and nipples. The code Z90.13 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.

Is Z90.13 a POA?

Z90.13 is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here.

What is the code for radical mastectomy?

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

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 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 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.