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Home/Diagnosis/ICD-10 Coding for BRCA Mutation

ICD-10 Coding for BRCA Mutation

Z15.01
Z15.02

Complete ICD-10-CM coding and documentation guide for icd-10 coding for brca mutation includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
BRCA1 Mutation
BRCA2 Mutation
Breast Cancer Susceptibility Gene
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Key Information: ICD-10 Coding for BRCA Mutation

Essential facts and insights about ICD-10 Coding for BRCA Mutation

Use ICD-10 code Z15.01 for genetic susceptibility to malignant neoplasm of breast, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Genetic susceptibility to malignant neoplasm of breast

Billable Code
Z15.01
Billable

Diagnostic Criteria

clinical:
  • • Confirmed BRCA1/2 mutation via genetic testing
documentation:
  • • Provider must document genetic susceptibility

Applicable To

  • • BRCA1 mutation
  • • BRCA2 mutation

Important Notes

  • • Ensure genetic test results are documented and linked to the code.

Genetic susceptibility to malignant neoplasm of ovary

Billable Code
Z15.02
Billable

Diagnostic Criteria

clinical:
  • • Confirmed BRCA1/2 mutation via genetic testing
documentation:
  • • Provider must document genetic susceptibility

Applicable To

  • • BRCA1 mutation
  • • BRCA2 mutation

Important Notes

  • • Ensure genetic test results are documented and linked to the code.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z13.89

Encounter for screening for other disorder

Use for screening encounters when no symptoms are present.

Frequently Asked Questions

What is the ICD-10 code for BRCA mutation?

The ICD-10 code for a confirmed BRCA mutation indicating genetic susceptibility to breast cancer is Z15.01, and for ovarian cancer, it is Z15.02.

How do you document a BRCA mutation?

Document a BRCA mutation by including the genetic test report and provider confirmation of genetic susceptibility in the patient's medical record.

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