icd 9 code for bilateral mastectomy

by Colt Haag 4 min read

Table 3ICD-9-CM and CPT procedure codes for defining mastectomy procedures
Type of mastectomyICD-9-CM procedure codes
Bilateral mastectomy85.35 85.36 85.42 85.44 85.46 85.48
Unilateral mastectomy85.33 85.34 85.41 85.43 85.45 85.47

Do I need a mammogram after a bilateral mastectomy?

Code Description; ICD-9-CM procedure codes; 8535: Bilateral subcutaneous mammectomy with synchronous implant: 8536: Other bilateral subcutaneous mammectomy: 8542: Bilateral simple mastectomy: 8544: Bilateral extended simple mastectomy: 8546: Bilateral radical mastectomy: 8548: Bilateral extended radical mastectomy: 8533

How do you spell bilateral mastectomy?

Apr 08, 2022 · ICD-9-CM Vol. 3 Procedure Codes. 85.46 - Bilateral radical mastectomy. The above description is abbreviated. This code description may also have Includes, Excludes, Notes, Guidelines, Examples and other information. Access to this feature is available in the following products: Find-A-Code Essentials. HCC Plus.

When is bilateral mastectomy necessary?

Apr 21, 2022 · ICD-9-CM Vol. 3 Procedure Codes. 85.44 - Bilateral extended simple mastectomy. The above description is abbreviated. This code description may also have Includes, Excludes, Notes, Guidelines, Examples and other information. Access to this feature is available in the following products: Find-A-Code Essentials. HCC Plus.

Is a hard lump normal after a bilateral mastectomy?

85.35 Bilateral subcutaneous mammectomy with synchronous implant convert 85.35 to ICD-10-PCS; 85.36 Other bilateral subcutaneous mammectomy convert 85.36 to ICD-10-PCS; 85.4 Mastectomy; 85.41 Unilateral simple mastectomy convert 85.41 to ICD-10-PCS; 85.42 Bilateral simple mastectomy convert 85.42 to ICD-10-PCS

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What is the ICD 9 code for mastectomy?

Table 2ICD-9-CM and CPT procedure codes defining mastectomiesCodeDescriptionICD-9-CM procedure codes19303Mastectomy, simple complete19304Mastectomy, subcutaneous19305Mastectomy, radical15 more rows

How do you code a bilateral mastectomy?

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.Apr 8, 2014

What is the ICD 10 code for mastectomy?

ICD-10-CM Code for Encounter for breast reconstruction following mastectomy Z42. 1.

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 bilateral procedure rule?

CMS defines a bilateral service as one in which the same procedure is performed on both sides of the body during the same operative session or on the same day.

What is the modifier for bilateral procedure?

modifier 50Use modifier 50 to report bilateral procedures performed during the same operative session by the same physician in either separate operative areas (e.g., hands, feet, legs, arms, ears) or in the same operative area (e.g., nose, eyes, breasts).Nov 7, 2014

What is the procedure code for mastectomy?

Report code 19303, Mastectomy, simple, complete, for the mastectomy.Sep 1, 2018

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

Acquired absence of right breast and nipple The 2022 edition of ICD-10-CM Z90. 11 became effective on October 1, 2021.

What is the ICD-10 code for breast reconstruction following 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.

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

Valid for SubmissionICD-10:Z90.13Short Description:Acquired absence of bilateral breasts and nipplesLong Description:Acquired absence of bilateral breasts and nipples

What is a breast mastectomy?

Mastectomy is breast cancer surgery that removes the entire breast. A mastectomy might be done: When a woman cannot be treated with breast-conserving surgery (lumpectomy), which saves most of the breast.

What is a partial mastectomy called?

Lumpectomy is a type of surgery that removes a lump and leaves as much normal breast tissue as possible. During the surgery, the breast cancer and some normal tissue around it is removed. This treatment is also known as a segmental or partial mastectomy.

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!

What is V07.8?

I use V07.8 - other specified prophylactic measure as well as their personal or family history that puts them at risk , ie V16.3 or history of self/family ovarian cancer

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