Complete ICD-10-CM coding and documentation guide for icd-10 coding for bilateral mastectomy includes clinical validation requirements, medical necessity guidelines, and coding policies.
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Essential facts and insights about ICD-10 Coding for Bilateral Mastectomy
Use ICD-10 code Z90.13 for acquired absence of bilateral breasts and nipples, ensuring proper documentation in clinical notes.
Additional codes that may be used with this diagnosis
Malignant neoplasm of breast
Use when documenting active breast cancer requiring mastectomy.
The ICD-10 code for a history of bilateral mastectomy is Z90.13, indicating the acquired absence of both breasts and nipples.
For bilateral mastectomy with immediate reconstruction, use Z90.13 and CPT code 19307-50, ensuring documentation specifies the reconstruction details.