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Home/Diagnosis/ICD-10 Coding for BRCA Positive

ICD-10 Coding for BRCA Positive

Z15.01
Z15.02

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

Also Known as:
BRCA Mutation Carrier
BRCA1/2 Positive
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Key Information: ICD-10 Coding for BRCA Positive

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

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 pathogenic variant via germline testing
documentation:
  • • Detailed genetic test report with specific mutation

Applicable To

  • • BRCA1 pathogenic variant
  • • BRCA2 pathogenic variant

Important Notes

  • • Ensure genetic testing confirms pathogenic variant before using this code.

Genetic susceptibility to malignant neoplasm of ovary

Billable Code
Z15.02
Billable

Diagnostic Criteria

clinical:
  • • Confirmed BRCA1/2 pathogenic variant with ovarian cancer risk

Applicable To

  • • BRCA1 pathogenic variant
  • • BRCA2 pathogenic variant

Important Notes

  • • Ensure genetic testing confirms pathogenic variant before using this code.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z80.3

Family history of malignant neoplasm of breast

Use to document family history of breast cancer.

Z85.3

Personal history of malignant neoplasm of breast

Use when there is a personal history of breast cancer.

Z80.4

Family history of malignant neoplasm of ovary

Use to document family history of ovarian cancer.

Z85.4

Personal history of malignant neoplasm of ovary

Use when there is a personal history of ovarian cancer.

Frequently Asked Questions

What is the ICD-10 code for BRCA positive?

The ICD-10 code for BRCA positive is Z15.01 for breast cancer susceptibility and Z15.02 for ovarian cancer susceptibility.

How do you code a BRCA mutation?

Code Z15.01 for genetic susceptibility to breast cancer and Z15.02 for ovarian cancer, confirmed by genetic testing.

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