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Home/Diagnosis/ICD-10 Coding for Breast Implant Complications

ICD-10 Coding for Breast Implant Complications

T85.44XA
T85.73XA

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

Also Known as:
Breast Implant Issues
Breast Prosthesis Complications
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Key Information: ICD-10 Coding for Breast Implant Complications

Essential facts and insights about ICD-10 Coding for Breast Implant Complications

Use ICD-10 code T85.44XA for capsular contracture of breast implant, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Capsular contracture of breast implant, initial encounter

Billable Code
T85.44XA
Billable

Diagnostic Criteria

  • • Presence of capsular contracture confirmed by clinical examination or imaging.

Applicable To

  • • Capsular contracture of breast prosthesis

Important Notes

  • • Ensure documentation specifies the type of mechanical complication.

Infection and inflammatory reaction due to breast prosthesis, initial encounter

Non-Billable
T85.73XA
Non-Billable

Diagnostic Criteria

  • • Positive culture from implant pocket
  • • Elevated inflammatory markers (CRP, WBC)

Applicable To

  • • Infection of breast implant

Important Notes

  • • Ensure infection is clearly documented with culture results.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z45.811

Encounter for adjustment or removal of right breast implant

Use when documenting an encounter for adjustment or removal of a breast implant.

B95.61

Staphylococcus aureus as the cause of diseases classified elsewhere

Use to specify the infectious agent in cases of implant infection.

Frequently Asked Questions

What is the ICD-10 code for breast implant complications?

The ICD-10 code for breast implant complications includes T85.44XA for capsular contracture and T85.73XA for infections related to breast implants.

How do you code a breast implant infection?

For a breast implant infection, use T85.73XA and an additional code to specify the infectious agent, such as B95.61 for Staphylococcus aureus.

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