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Home/Diagnosis/ICD-10 Coding for History of Mastectomy

ICD-10 Coding for History of Mastectomy

Z85.3
Z90.1-

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

Also Known as:
Post-Mastectomy Status
Mastectomy History
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Key Information: ICD-10 Coding for History of Mastectomy

Essential facts and insights about ICD-10 Coding for History of Mastectomy

Use ICD-10 code Z85.3 for personal history of malignant neoplasm of breast, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Personal history of malignant neoplasm of breast

Billable Code
Z85.3
Billable

Diagnostic Criteria

  • • Patient has completed all cancer treatments and shows no evidence of disease.

Applicable To

  • • History of breast cancer

Important Notes

  • • Ensure documentation specifies no current evidence of disease.

Acquired absence of breast

Non-Billable
Z90.1-
Non-Billable

Diagnostic Criteria

  • • Surgical history indicating mastectomy
  • • Documentation of laterality

Applicable To

  • • Status post mastectomy

Important Notes

  • • Specify laterality using Z90.11, Z90.12, or Z90.13.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z08

Encounter for follow-up exam after completed treatment for malignant neoplasm

Use alongside Z85.3 for surveillance visits.

Frequently Asked Questions

When should Z85.3 be used for history of mastectomy?

Use Z85.3 when the patient has completed all cancer treatments and is under surveillance with no evidence of disease.

What is the ICD-10 code for acquired absence of breast?

The ICD-10 code for acquired absence of breast is Z90.1-, specifying laterality with Z90.11, Z90.12, or Z90.13.

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