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Home/Diagnosis/ICD-10 Coding for Breast Reconstruction

ICD-10 Coding for Breast Reconstruction

N65.0
T85.41XA

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

Also Known as:
Breast Reconstructive Surgery
Post-Mastectomy Reconstruction
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Key Information: ICD-10 Coding for Breast Reconstruction

Essential facts and insights about ICD-10 Coding for Breast Reconstruction

Use ICD-10 code N65.0 for deformity of reconstructed breast, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Deformity of reconstructed breast

Billable Code
N65.0
Billable

Diagnostic Criteria

  • • Deformity observed post-reconstruction

Applicable To

  • • Deformity post-reconstruction

Important Notes

  • • Ensure documentation specifies the deformity is related to reconstruction.

Breakdown (mechanical) of breast prosthesis and implant, initial encounter

Billable Code
T85.41XA
Billable

Diagnostic Criteria

  • • MRI or imaging confirming rupture
  • • Clinical symptoms of implant failure

Applicable To

  • • Rupture of breast implant

Important Notes

  • • Ensure imaging confirms mechanical breakdown.
Frequently Asked Questions

What is the ICD-10 code for breast reconstruction?

The ICD-10 code for breast reconstruction varies based on the procedure, such as N65.0 for deformity of reconstructed breast.

How do you code a ruptured breast implant?

Use T85.41XA for mechanical breakdown of a breast implant, confirmed by imaging.

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