what is the icd 10 code for status post bilateral mastectomy

by Adaline Rohan 4 min read

Postmastectomy lymphedema syndrome. I97.2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM I97.2 became effective on October 1, 2018.

2022 ICD-10-CM Diagnosis Code Z90. 13: Acquired absence of bilateral breasts and nipples.

Full Answer

What is the ICD 10 code for mastectomy?

ICD-10-CM Code Z90. 11 - Acquired absence of right breast and nipple. What are the types of mastectomy? There are five different types of mastectomy: "simple" or "total" mastectomy, modified radical mastectomy, radical mastectomy, partial mastectomy, and subcutaneous (nipple-sparing) mastectomy.

What is the ICD 10 code for absence of bilateral breasts?

2018/2019 ICD-10-CM Diagnosis Code Z90.13. Acquired absence of bilateral breasts and nipples. Z90.13 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 mastectomy with axillary dissection?

Modified radical mastectomy is coded 19307; lumpectomy with axillary dissection is coded 19302. What is the ICD 10 code for osteopenia? Under ICD-10-CM, the term “Osteopenia” is indexed to ICD-10-CM subcategory M85. 8- Other specified disorders of bone density and structure, within the ICD-10-CM Alphabetic Index.

What is the ICD 10 code for breast reconstruction surgery?

What is the ICD 10 code for mastectomy? Z42. 1 - Encounter for breast reconstruction following mastectomy. ICD-10-CM. Centers for Medicare and Medicaid Services and the National Center for Health Statistics; 2018. Click to see full answer.

What is the ICD-10 code for status post 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. The 2022 edition of ICD-10-CM Z42. 1 became effective on October 1, 2021.

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

Submit the appropriate ICD-10 diagnosis code that reflects a member's history of bilateral mastectomy, Z90. 13.

What is the ICD-10 code for left mastectomy?

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 .

What is the ICD-10 code for bilateral breast?

The 2022 edition of ICD-10-CM N63. 0 became effective on October 1, 2021. This is the American ICD-10-CM version of N63.

What is the diagnosis code for bilateral mastectomy?

Acquired absence of bilateral breasts and nipples The 2022 edition of ICD-10-CM Z90. 13 became effective on October 1, 2021.

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 is the ICD 10 PCS code for mastectomy of the left breast?

2022 ICD-10-PCS Procedure Code 0HBV0ZZ.

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

What is the CPT code for mastectomy?

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

What does code Z12 31 mean?

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.

What is ICD-10 code N63?

2022 ICD-10-CM Diagnosis Code N63: Unspecified lump in breast.

What N63 10?

ICD-10 Code for Unspecified lump in the right breast, unspecified quadrant- N63. 10- Codify by AAPC.

When will the ICD-10 Z42.1 be released?

The 2022 edition of ICD-10-CM Z42.1 became effective on October 1, 2021.

What is a Z40-Z53?

Categories Z40-Z53 are intended for use to indicate a reason for care. They may be used for patients who have already been treated for a disease or injury, but who are receiving aftercare or prophylactic care, or care to consolidate the treatment, or to deal with a residual state. Type 2 Excludes.

What is the ICd 10 code for mastoidectomy?

Other disorders following mastoidectomy 1 H95.19 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. 2 The 2021 edition of ICD-10-CM H95.19 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of H95.19 - other international versions of ICD-10 H95.19 may differ.

When will the ICd 10-CM H95.19 be released?

The 2022 edition of ICD-10-CM H95.19 became effective on October 1, 2021.

What is the procedure after a mastectomy?

Immediately after a patient’s mastectomy, a reconstructive surgeon will evaluate the skin flaps and prepare to insert a tissue expander. Following placement of the expander, the patient will present for subsequent fills of saline until the breast has expanded to the patient’s liking.

What is the correct CPT code for breast implant?

In this case, the physician removed the tissue expander and exchanged it for an implant in a straightforward fashion, without any extra work done to the breast or the capsule. CPT® 11970 is the correct code for this procedure.

What is CPT code 11970?

CPT code 11970 alone does not account for this additional work, which is over and above removal of an expander and replacement with a permanent implant. The provider should document if the capsule was particularly thick or tight to support the extra effort involved for billing the higher service.

What is the code for a nipple tattoo?

Because nipple tattooing is calculated based on the total size of the areas, this is coded as 11921 and 11922. Because many payers reimburse breast reconstruction services only in relation to breast cancer, it’s prudent for providers to document current or past history of breast cancer in the operative report.

Why is code 19342 appropriate?

Code 19342 would be appropriate due to the extra amount of work involved with the surgery.

What is the code for a bilateral tissue expander?

For example, the patient has bilateral tissue expanders with dermal matrix placed on May 1. This surgery is coded 19357-50 and 15777-50. The patient presents for her first fill on June 1, and has subsequent fills on June 17, June 30, and July 19. On Aug. 5 the patient returns again. This service is outside of the 90 day global period for the tissue expander insertion. During her visit for the fill, the physician completes a problem focused history and exam with straightforward medical decision-making. This visit is billed as 99212 Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making.

Is a 19350 nipple graft included in the 19350?

The nipple is reconstructed in the final stage. Any nipple-areolar reconstruction, such as skate flap, C-V flap, or cartilage graft, may be reported with 19350 Nipple/areola reconstruction. The graft or flap is included in 19350 and may not be billed separately.