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Home/Diagnosis/ICD-10 Coding for Breast Cancer Family History

ICD-10 Coding for Breast Cancer Family History

Z80.3
Z15.01

Complete ICD-10-CM coding and documentation guide for icd-10 coding for breast cancer family history includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Family History of Breast Cancer
Genetic Predisposition to Breast Cancer
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Key Information: ICD-10 Coding for Breast Cancer Family History

Essential facts and insights about ICD-10 Coding for Breast Cancer Family History

Use ICD-10 code Z80.3 for family history of malignant neoplasm of breast, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Family history of malignant neoplasm of breast

Billable Code
Z80.3
Billable

Diagnostic Criteria

  • • Document the specific family member and age of diagnosis.

Applicable To

  • • Family history of breast cancer

Important Notes

  • • Do not use Z80.3 as a primary code if the patient has a personal history of breast cancer.

Genetic susceptibility to malignant neoplasm of breast

Billable Code
Z15.01
Billable

Diagnostic Criteria

  • • Positive genetic test for BRCA1 or BRCA2 mutation

Applicable To

  • • BRCA1/BRCA2 mutation

Important Notes

  • • Requires documentation of genetic test results.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z12.31

Encounter for screening mammogram for malignant neoplasm of breast

Use as primary code for screening encounters, with Z80.3 as secondary.

Frequently Asked Questions

How do you code family history of breast cancer?

Use ICD-10 code Z80.3 for family history of breast cancer. If there's a confirmed BRCA mutation, use Z15.01.

What is the ICD-10 code for genetic susceptibility to breast cancer?

The ICD-10 code for genetic susceptibility to breast cancer is Z15.01, used when a BRCA mutation is confirmed.

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