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Home/Diagnosis/ICD-10 Coding for High Risk for Breast Cancer

ICD-10 Coding for High Risk for Breast Cancer

Z15.01
Z80.3
Z85.3

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

Also Known as:
Breast Cancer Risk
Increased Risk for Breast Cancer
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Key Information: ICD-10 Coding for High Risk for Breast Cancer

Essential facts and insights about ICD-10 Coding for High Risk for Breast Cancer

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

  • • Confirmed BRCA mutation via genetic testing

Applicable To

  • • BRCA1 mutation
  • • BRCA2 mutation

Important Notes

  • • Ensure genetic testing documentation is available.

Family history of malignant neoplasm of breast

Billable Code
Z80.3
Billable

Diagnostic Criteria

  • • Documented family history with degree of relation and age of diagnosis

Applicable To

  • • Family history of breast cancer

Important Notes

  • • Ensure family history details are documented.

Personal history of malignant neoplasm of breast

Billable Code
Z85.3
Billable

Diagnostic Criteria

  • • Documentation of past breast cancer treatment and current surveillance status

Applicable To

  • • History of breast cancer

Important Notes

  • • Ensure clear documentation of cancer history and current status.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z80.3

Family history of malignant neoplasm of breast

Use alongside Z15.01 if there is a family history.

Z12.31

Encounter for screening mammogram for malignant neoplasm of breast

Use for screening encounters due to family history.

Z08

Encounter for follow-up examination after treatment for malignant neoplasm

Use for follow-up visits post-treatment.

Frequently Asked Questions

What ICD-10 code is used for high risk of breast cancer?

The ICD-10 code Z15.01 is used for genetic susceptibility to malignant neoplasm of breast, indicating high risk due to genetic factors.

How is family history of breast cancer coded in ICD-10?

Family history of breast cancer is coded as Z80.3 in ICD-10, used when documenting a patient's family history as a risk factor.

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