icd 10 code for prophylactic double mastectomy.

Full Answer

What is the ICD 10 code for prophylactic removal of breast?

Encounter for prophylactic removal of breast 1 Z40.01 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 The 2021 edition of ICD-10-CM Z40.01 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of Z40.01 - other international versions of ICD-10 Z40.01 may differ.

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

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.

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 ICD 10 code for prophylactic measures?

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.

How do you code a prophylactic mastectomy?

ICD-10 Code for Encounter for prophylactic removal of breast- Z40. 01- Codify by AAPC.

What is the ICD-10 code for double mastectomy?

ICD-10 Code for Acquired absence of bilateral breasts and nipples- Z90. 13- Codify by AAPC.

What is the ICD-10 code for prophylactic?

Z29.9ICD-10 code Z29. 9 for Encounter for prophylactic measures, unspecified 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 mastectomy?

ICD-10 Code for Encounter for breast reconstruction following mastectomy- Z42. 1- Codify by AAPC.

How do you code a bilateral mastectomy?

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.

What is the ICD-10 code for history of bilateral mastectomy?

Submit the appropriate ICD-10 diagnosis code that reflects a member's history of bilateral mastectomy, Z90. 13.

What is Encounter for prophylactic measures?

ICD-10 code Z29 for Encounter for other prophylactic measures is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .

What are prophylactic measures?

Prophylactic measures are measures designed to prevent the occurrence of an adverse event, a disease or its dissemination. Examples of prophylactic measures for patient safety include: standard protocols, procedures or actions such as compression stockings during surgery to prevent post-operative blood clots.

What are prophylactics used for?

A prophylactic is a medication or a treatment designed and used to prevent a disease from occurring. For example, prophylactic antibiotics may be used after a bout of rheumatic fever to prevent the subsequent development of Sydenham's chorea.

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

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

What ICD-10 code is reported for post mastectomy of the left breast?

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.

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 .

What is the CPT code for mastectomy?

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

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 does CPT code 19380 include?

CPT 19380 is used when a revision is made to an already reconstructed breast that includes significant removal of tissue; re-ad- vancement and/or re-inset of flaps in autol- ogous reconstruction; or significant capsular revisions combined with soft-tissue excision in implant-based reconstruction.

What is procedure code 19303?

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 ICd-9 code for a mastectomy?

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.

What is the pre-op code for breast removal?

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!