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ICD-10-CM Code for Encounter for breast reconstruction following mastectomy Z42.1

ICD-10 code Z42.1 for Encounter for breast reconstruction following mastectomy is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .

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Official Long Descriptor

Encounter for breast reconstruction following mastectomy
Excludes1: deformity and disproportion of reconstructed breast (N65.1-)

Z42

Excludes1: encounter for cosmetic plastic surgery (Z41.1)
encounter for plastic surgery for treatment of current injury - code to relevent injury

Additional/Related Information

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Get crucial instructions for accurate ICD-10-CM Z42.1 coding with all applicable Excludes 1 and Excludes 2 notes from the section level conveniently shown with each code.
This section shows you chapter-specific coding guidelines to increase your understanding and correct usage of the target ICD-10-CM Volume 1 code.

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Breast Reconstruction
Would you add CPT code 19380 to codes 15771 & 15772 for patients left breast? 1. Encounter for breast reconstruction following mastectomy Z42.1 2. Acquired partial absence of left breast Z90.12 3. P... [ Read More ]
Mastectomy vs. Acquired absence of Breast
I work in plastics where we perform the DIEP flap. We see the patient for consult and often are in the OR , consult/during the mastectomy where we make the "pocket" or put in a tissue expander if DIEP... [ Read More ]
Coding for BRCA+
I think ICD-10 code Z42.1 - [I]Encounter for breast reconstruction following mastectomy[/I] - would be a more appropriate code for this. The reconstruction is not done due to the genetic susceptibil... [ Read More ]
S2068 Dx Coding
Hello :) I've just started a position with a plastic surgeon's office specializing in DIEP after mastectomy, and am trying to figure out an issue they are having with BCBS recoupments. I'm thinking i... [ Read More ]
Breast Revision after Gynecomastia Surgery
Please see below CPT codes for mastectomy and ICD10 codes. Based on your question the recommended code is 19305 or 19301-19302 but the document you have provided isnt complete. ask your physician i... [ Read More ]
CA Dx - WTC Twin Towers Medical Plan cancer icd 10 oral cancer reconstruction
Hello, I have a patient who was involved in rescue efforts at the Twin Towers on 9/11. He subsequently developed cancer on his palate. The patient had surgery to remove the cancer, but this left a de... [ Read More ]
Z42.8 Encounter for other plastic and reconstructive surgery following medical
[QUOTE="natashalage, post: 438464, member: 433929"]Hello, I am a new pro fee coder and will greatly appreciate your expertise with using Z42.8. Recently, I coded a few cases with Z42.8 and I was wrong... [ Read More ]
Z42.8 Encounter for other plastic and reconstructive surgery following medical
Hello, I am a new pro fee coder and will greatly appreciate your expertise with using Z42.8. Recently, I coded a few cases with Z42.8 and I was wrong, I am not convinced with the answer given and ther... [ Read More ]
Carpal Trapeziectomy
I need a little help with determining a dx to use with this surgery. My surgeon performs this same surgery at least 3 times a week. Preop DX: Trapeziometacarpal arthritis, left Procedure: Carpal T... [ Read More ]
Z code sequence question
Hello, looking for help from Medicaid payer - per ICD-10 NCCI Manual, a certain list of Z codes (below) must appear in the primary dx position. Most if not all are encounters - question: if a STI (Sex... [ Read More ]
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