Code | Description |
---|---|
ICD-9-CM procedure codes | |
11970a | Replacement of tissue expander with permanent prosthesis |
19340a | Immediate insertion of breast prosthesis following mastopexy, mastectomy or in reconstruction |
996.54 is a legacy non-billable code used to specify a medical diagnosis of mechanical complication due to breast prosthesis. This code was replaced on September 30, 2015 by its ICD-10 equivalent.
Acquired absence of right breast and nipple 1 Z90.11 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 Z90.11 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of Z90.11 - other international versions of ICD-10 Z90.11 may differ.
Breast replacement ICD-9-CM V43.82 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, V43.82 should only be used for claims with a date of service on or before September 30, 2015. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM code (or codes).
Rupture of right breast implant ICD-10-CM T85.49XA is grouped within Diagnostic Related Group (s) (MS-DRG v38.0): 600 Non-malignant breast disorders with cc/mcc 601 Non-malignant breast disorders without cc/mcc
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 .
19303Table 2ICD-9-CM and CPT procedure codes defining mastectomiesCodeDescriptionICD-9-CM procedure codes19303Mastectomy, simple complete19304Mastectomy, subcutaneous19305Mastectomy, radical15 more rows
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. The 2022 edition of ICD-10-CM Z42. 1 became effective on October 1, 2021.
Z98. 82 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 Z98.
ICD-9-CM is the official system of assigning codes to diagnoses and procedures associated with hospital utilization in the United States. The ICD-9 was used to code and classify mortality data from death certificates until 1999, when use of ICD-10 for mortality coding started.
Report code 19303, Mastectomy, simple, complete, for the mastectomy.
1 for Encounter for breast reconstruction following mastectomy is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
A mastectomy is used to remove all breast tissue if you have breast cancer or are at very high risk of developing it. You may have a mastectomy to remove one breast (unilateral mastectomy) or both breasts (bilateral mastectomy).
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.
ICD-10-CM Code for Mastodynia N64. 4.
ICD-10 code: N64. 4 Mastodynia | gesund.bund.de.
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.
CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.
NON-MEDICAL NECESSITY COVERAGE AND PAYMENT RULES For any item to be covered by Medicare, it must 1) be eligible for a defined Medicare benefit category, 2) be reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member, and 3) meet all other applicable Medicare statutory and regulatory requirements.
The presence of an ICD-10 code listed in this section is not sufficient by itself to assure coverage. Refer to the section on " Coverage Indications, Limitations and/or Medical Necessity " for other coverage criteria and payment information.
All ICD-10 codes and diagnoses that are not specified in the preceding section.
Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.
Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.