icd 10 code meaning for capsular contracture of breast implant, initial encounter

by Cathrine Boyle 7 min read

T85.44XA

What is the ICD 10 code for capsular contracture?

2018/2019 ICD-10-CM Diagnosis Code T85.44XD. Capsular contracture of breast implant, subsequent encounter. T85.44XD is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What is the ICD 10 code for contracture of breast implants?

ICD Code T85.44 is a non-billable code. To code a diagnosis of this type, you must use specify a 7th character that describes the diagnosis 'capsular contracture of breast implant' in more detail. The 7th characters that can be added, and the resulting billable codes, are as follows:

Which ICD 10 code should not be used for reimbursement purposes?

T85.44 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. The 2022 edition of ICD-10-CM T85.44 became effective on October 1, 2021.

What is the new ICD 10 code for internal causes of injury?

The 2022 edition of ICD-10-CM T85.44 became effective on October 1, 2021. This is the American ICD-10-CM version of T85.44 - other international versions of ICD-10 T85.44 may differ. Use secondary code (s) from Chapter 20, External causes of morbidity, to indicate cause of injury.

What is capsular contracture of the breast?

Capsular contracture is a local complication thought to occur due to an excessive fibrotic foreign body reaction to the implant. It is thought to be an inflammatory reaction which causes fibrosis through the production of collagen [3], leading to excessively firm and painful breasts [6].

What does capsular contracture mean in medical terms?

Definition of capsular contracture : contracture involving a capsule or capsule-shaped structure specifically : shrinking and tightening of the mass of scar tissue around a breast implant that occurs especially with some silicone implants and may result in pain and in unnatural firmness and distortion of the breast.

What is the code for initial encounter for infected breast implants?

Infection and inflammatory reaction due to other internal prosthetic devices, implants and grafts, initial encounter. T85. 79XA is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What is the ICD-10 code for breast implants?

ICD-10 code Z98. 82 for Breast implant status is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .

How is capsular contracture diagnosis?

The diagnosis of capsular contracture is most commonly based on clinical examination alone. Imaging studies can offer further insight, with MRI being the most accurate test in making the diagnosis. Often, capsular contracture is associated with implant rupture.

What does encapsulated breast implants mean?

Capsular contracture, also known as encapsulation, is a complication of breast augmentation during which the scar tissue forms a tight, constricting capsule around a breast implant.

What is Periprosthetic Capsulectomy?

Definition and Overview. Open breast periprosthetic breast capsulotomy is a surgical procedure that removes scar tissue that has formed around breast implants. Called capsular contracture, this is the most common complication of breast augmentation with implants.

When an encounter is for a therapeutic service?

When an encounter is for a therapeutic service, the first-listed code is the diagnosis, condition, or problem shown to be chiefly responsible for the therapeutic service. Section IV of the Official Guidelines for Coding and Reporting applies to both the inpatient and outpatient settings.

When an accident occurs an external cause code should be the first-listed diagnosis True or false?

Generally you do not assign a code from Chapter 18 if a definitive diagnosis is documented. When an accident occurs, and External Cause code should be the first-listed diagnosis. If a fracture and dislocation are present at the same site, assign only the fracture code.

What does code Z12 31 mean?

For example, Z12. 31 (Encounter for screening mammogram for malignant neoplasm of breast) is the correct code to use when you are ordering a routine mammogram for a patient. However, coders are coming across many routine mammogram orders that use Z12. 39 (Encounter for other screening for malignant neoplasm of breast).

What is the ICD-10 code for Encounter for cosmetic surgery?

ICD-10 Code for Encounter for cosmetic surgery- Z41. 1- Codify by AAPC.

What is diagnosis code N64 4?

ICD-10 code N64. 4 for Mastodynia is a medical classification as listed by WHO under the range - Diseases of the genitourinary system .

What is the ICd 10 code for a breast implant?

Capsular contracture of breast implant 1 T85.44 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. 2 The 2021 edition of ICD-10-CM T85.44 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of T85.44 - other international versions of ICD-10 T85.44 may differ.

What is the secondary code for Chapter 20?

Use secondary code (s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code. code to identify any retained foreign body, if applicable ( Z18.-)

What is 7th Character Extension?

For codes less than 6 characters that require a 7th character a placeholder 'X' should be assigned for all characters less than 6. The 7th character must always be the 7th position of a code. E.g. The ICD-10-CM code T67.4 (Heat exhaustion due to salt depletion) requires an Episode of Care identifier.

ICD-10-CM Alphabetical Index References for 'T85.44 - Capsular contracture of breast implant'

The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code T85.44. Click on any term below to browse the alphabetical index.