icd-10-pcs code for bilateral breast augmentation with silicone implants, open, cosmetic

by Karelle Kuhic 8 min read

The complete code for this scenario is 0H0V0JZ. The body part value is bilateral breast (V), approach value open (0), and the device value is synthetic substitute (J) for the silicone implants.

Full Answer

What is ICD 10 code for breast augmentation?

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 .

What is bilateral silicone implants?

Bilateral Breast Augmentation is one of the most sought after and performed plastic surgeries. Whether it be to enhance or to restore fullness to the breasts, BBA, commonly known as “breast aug” or “boob job”, can help improve the overall appearance of the breasts. It can also help correct asymmetry, shape and size.

What is a bilateral augmentation?

Breast Augmentation (bilateral breast augmentation or BBA) is an operation to enlarge the breasts. It can be a life-enhancing procedure. However having a breast enlargement is a big decision. It is major surgery with potential risks, and the result you may hope for cannot be guaranteed.

What is the Root operation for Alteration?

Alteration-Root Operation 0 Alteration is defined as modifying the natural anatomic structure of a body part without affecting the function of the body part. The principal purpose is to improve appearance. Alteration is coded for all procedures performed solely to improve appearance.

What is bilateral breast surgery?

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.

What is bilateral breast implant removal?

Breast implant removal is surgery to take out silicone or saline implants. You may have the operation because you no longer want implants. Or you may choose surgery because you have complications with your implants.

Is breast implant surgery considered major surgery?

While breast augmentation is considered to be a major surgery, under-the-muscle breast augmentation is minimally invasive and therefore does not require an extensive healing period.

Is breast augmentation a major surgery?

Having a breast enlargement is a big decision. It's major surgery, the results are not guaranteed and there are some risks to think about. During the operation, implants are inserted into your breasts to increase their size, change their shape, or make them more even.

What is breast implant illness?

Breast implant illness (BII) is a term that some women and doctors use to refer to a wide range of symptoms that can develop after undergoing reconstruction or cosmetic augmentation with breast implants. It is also sometimes referred to as autoimmune/inflammatory syndrome induced by adjuvants (ASIA).

What is the code for open bilateral breast augmentation with silicone implants?

The complete code for this scenario is 0H0V0JZ. The body part value is bilateral breast (V), approach value open (0), and the device value is synthetic substitute (J) for the silicone implants.

What are the 31 root operations in ICD-10-PCS?

The 31 root operations are arranged into the following groupings:Root operations that take out some/all of a body part.Root operations that take out solids/fluids/gasses from a body part.Root operations involving cutting or separation only.Root operations that put in/put back or move some/all of a body part.More items...

What is the purpose of the root operation in an ICD-10-PCS code?

The root operation is the third character in the PCS code and describes the intent or the objective of the procedure. The majority of PCS codes reported for the inpatient setting are found in the Medical and Surgical section of ICD-10-PCS. There are 31 root operations in this section.

What is bilateral breast augmentation?

An open bilateral breast augmentation was performed for cosmetic reasons. An umbilical incision was made and a tunneling device was employed to tunnel up to the left breast. Sizers were placed and filled to approximately 400 ml to create a subpectoral pocket. An identical procedure was performed on the right breast. 350 ml silicone implants were then placed into each pocket and inflated. Symmetry was achieved and the wound was closed.

What is the ICd 10 code for fusion?

In ICD-10-PCS, this procedure is coded using 0SG00Z0. To assign the fusion code, the Index main term entry is Fusion, subterm Lumbar Vertebral, which directs the user to table 0SG. The fourth character (0) identified the body part as a single lumbar vertebral joint and the fifth character (0) identifies the open approach. The device value used is (A) for interbody fusion device, which includes the placement of the cage, the bone morphogenetic protein and allograft. The seventh character qualifier (0) specifies the anterior approach, anterior column.

What is interbody fusion coded for?

If an interbody fusion device is used to render the joint immobile (alone or containing other material like bone graft), the procedure is coded with the device value Interbody Fusion Device

What is the body part coded for a spinal joint?

The body part coded for a spinal vertebral joint (s) rendered immobile by a spinal fusion procedure is classified by the level of the spine (i.e., thoracic). There are distinct body part values for a single vertebral joint and for multiple vertebral joints at each spinal level.

How many root operations are there in ICD-10 PCS?

With this article the Journal of AHIMA concludes its 10-part Coding Notes series focusing on the 31 root operations of ICD-10-PCS. This installment focuses on three root operations in the Medical and Surgical Section that define other objectives:

Is there an index entry for Augmentation?

There is not an index entry for Augmentation in ICD-10-PCS. The coding professional must understand that the root operation for this procedure is Alteration because it was done for cosmetic reasons. The Index entry is Alteration, subterms, Breast, bilateral which direct to table 0H0. The complete code for this scenario is 0H0V0JZ. The body part value is bilateral breast (V), approach value open (0), and the device value is synthetic substitute (J) for the silicone implants.

image