Z90. 1 - Acquired absence of breast and nipple | ICD-10-CM.
Table 2ICD-9-CM and CPT procedure codes defining mastectomiesCodeDescriptionICD-9-CM procedure codes19304Mastectomy, subcutaneous19305Mastectomy, radical19306Mastectomy, radical, urban type15 more rows
Acquired absence of left breast and nipple 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.
It recommends CPT code 19318 for reduction mammaplasty when breast tissue is removed for breast-size reduction and not for treatment or prevention of breast cancer.
CPT code +38900 is used for the intraoperative identification (e.g., mapping) of sentinel lymph node(s) and includes injection of non-radioactive dye, when performed.
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.
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 .
2022 ICD-10-PCS Procedure Code 0HBV0ZZ.
For example, if you are billing for a bilateral mastectomy, you would report CPT code 19303 (Mastectomy, simple, complete) with the modifier.
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.
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.
CPT 19357 is used for tissue expander placement in breast reconstruction; includes subsequent expansion(s); and is separately re- portable if used in flap reconstruction.
Editor's Note The poet, while working as a coder for a plastic surgeon, was “struck by the terminology of an acquired absence.” She had several close friends recovering from breast cancer at the time. She currently works for a prosthetics/orthotics company. Her literary work has been nominated for a Pulitzer Prize.
Editor's Note The poet, while working as a coder for a plastic surgeon, was “struck by the terminology of an acquired absence.” She had several close friends recovering from breast cancer at the time. She currently works for a prosthetics/orthotics company. Her literary work has been nominated for a Pulitzer Prize.