icd 9 code for simple mastectomy

by Asha Schmitt 7 min read

19303

What is the ICD 9 code for bilateral simple mastectomy?

ICD-9-CM Vol. 3 Procedure Codes - 85.42 - Bilateral simple mastectomy. Code Information. 85.42 - Bilateral simple mastectomy. The above description is abbreviated. This code description may also have Includes, Excludes, Notes, Guidelines, Examples and other information.

What is the ICD 10 code for mastectomy?

85.4Mastectomy 85.41Unilateral simple mastectomyconvert 85.41 to ICD-10-PCS 85.42Bilateral simple mastectomyconvert 85.42 to ICD-10-PCS 85.43Unilateral extended simple mastectomyconvert 85.43 to ICD-10-PCS 85.44Bilateral extended simple mastectomyconvert 85.44 to ICD-10-PCS 85.45Unilateral radical mastectomyconvert 85.45 to ICD-10-PCS

What is the CPT code for mastectomy with lymph nodes removed?

The code for this type of more involved mastectomy is 19305. When both axillary lymph nodes and the internal mammary lymph nodes are taken during this operative session, the pectoralis major and minor can be spared. If the physician performs this procedure (also known as the Urban-type mastectomy), report 19306.

Why are mastectomy and reconstruction so complicated to code?

The complexities of coding mastectomy and reconstruction seem to parallel the complexities of the surgery itself. A simple mastectomy may be simple to code. More complicated cases may take some analysis and interpretation of coding rules. For example, in advanced tumors, the volume of tissue removed sometimes precludes simple closure.

image

What is the CPT code for simple mastectomy?

Report code 19303, Mastectomy, simple, complete, for the mastectomy.

Is a simple mastectomy A total mastectomy?

Newer mastectomy techniques remove less tissue and fewer lymph nodes. Other types of mastectomy include: Total mastectomy. A total mastectomy, also known as a simple mastectomy, involves removal of the entire breast, including the breast tissue, areola and nipple.

What is a simple complete mastectomy?

(SIM-pul ma-STEK-toh-mee) Surgery to remove the whole breast, which may include the nipple, areola (the dark-colored skin around the nipple), and skin over the breast. Some of the lymph nodes under the arm may also be removed to check for cancer. Also called total mastectomy.

What is the ICD 10 PCS code for mastectomy?

Excision of Bilateral Breast, Open Approach ICD-10-PCS 0HBV0ZZ is a specific/billable code that can be used to indicate a procedure.

What are the different types of mastectomy?

Types of mastectomy proceduresTotal (simple) mastectomy. This method removes the whole breast, including the nipple, the colored ring around the nipple (called the areola), and most of the overlying skin.Modified radical mastectomy. The entire breast is removed. ... Radical mastectomy.

What is the difference between a bilateral mastectomy and a double mastectomy?

A double mastectomy—also known as a bilateral mastectomy—is exactly what it sounds like: a surgery in which both breasts are removed at the same time. It's major surgery that removes both breasts to remove cancer, or to reduce the risk of breast cancer in a woman who may be at high risk for the disease.

What is the difference between a radical mastectomy and a modified radical mastectomy?

Both radical and modified radical mastectomy include removing the entire breast. During a modified radical mastectomy, the surgeon removes some underarm lymph nodes. The key difference is that in a radical mastectomy, the surgeon removes all the underarm lymph nodes plus the entire chest muscle.

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 considered a partial mastectomy?

Listen to pronunciation. (PAR-shul ma-STEK-toh-mee) Surgery to remove cancer or other abnormal tissue from the breast and some normal tissue around it, but not the breast itself. Some lymph nodes under the arm may be removed for biopsy.

How do you code a bilateral mastectomy?

Report a “1” in the number-of-services field. 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.

What's the CPT code for a patient receiving a modified radical mastectomy?

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.

Are there ICD-10 procedure codes?

ICD-10-PCS will be the official system of assigning codes to procedures associated with hospital utilization in the United States. ICD-10-PCS codes will support data collection, payment and electronic health records. ICD-10-PCS is a medical classification coding system for procedural codes.