icd 10 code for mastectomy procedure

by Monte Krajcik 8 min read

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.
  • This is the American ICD-10-CM version of Z42.1 - other international versions of ICD-10 Z42.1 may differ.

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.
Aug 31, 2018

Full Answer

What diagnosis codes should be reported?

  • sedation;
  • local anesthesia;
  • positioning, repositioning, and removal of catheter (s);
  • recording of intravascular and intracardiac pressures;
  • obtaining blood samples for blood gas determinations;
  • cardiac output measurements at rest, or at rest and during exercise, with or without electrode catheter placement;

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What diagnosis code is used for routine breast mammography?

Z12.31, Encounter for screening mammogram for malignant neoplasm of breast, is the primary diagnosis code assigned for a screening mammogram. If the mammogram is diagnostic, the ICD-10-CM code assigned is the reason the diagnostic mammogram was performed.

How to code medical diagnosis?

  • Point out the tests that were already performed to show the reason for the problem.
  • Explain how these evaluations confirmed your diagnosis and show conclusive evidence.
  • Use factual information, such as test result quotes, to back up your identification of the patient's issue.

More items...

What is the diagnosis code for metastatic breast cancer?

Breast Cancer ICD-10 Code Reference Sheet. FEMALE. Right. C50.011. Malignant neoplasm of nipple and areola, right female breast. C50.111. Malignant neoplasm of central portion, right female breast. C50.211. Malignant neoplasm of upper-inner quadrant, right female breast.

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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 the ICD 10 code for left mastectomy?

ICD-10 code Z90. 12 for Acquired absence of left breast and nipple is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .

How do you code a mastectomy?

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

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

2022 ICD-10-PCS Procedure Code 0HBV0ZZ.

What is a radical mastectomy procedure?

Listen to pronunciation. (RA-dih-kul ma-STEK-toh-mee) Surgery to remove the whole breast, all of the lymph nodes under the arm, and the chest wall muscles under the breast. For many years, radical mastectomy was the type of breast cancer surgery used most often, but it is rarely used now.

What is the code for subcutaneous mastectomy?

In December 2007, an American Medical Association (AMA) CPT [Current Procedure Terminology] Assistant Newsletter article was published indicating that a skin-sparing mastectomy should be reported with CPT* code 19304, Mastectomy, subcutaneous.

What is the difference between CPT code 19301 and 19125?

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.

What's the CPT code for a patient receiving a modified radical mastectomy?

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.

What is diagnosis code Z80 3?

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

What is the ICD-10 code for invasive ductal carcinoma of the right breast?

ICD-10-CM Code for Intraductal carcinoma in situ of right breast D05. 11.