N65.1 Disproportion of reconstructed breast

ICD10CM code

#### Name of the Condition
- Disproportion of reconstructed breast
- ICD-10 Code: N65.1

#### Summary
Disproportion of reconstructed breast refers to an asymmetry or imbalance that occurs after breast reconstruction surgery. This condition can manifest as a difference in size, shape, or position between the reconstructed breast and the natural or other reconstructed breast.

#### Causes
This condition is primarily caused by variations in surgical technique, tissue healing processes, or complications during the healing phase following breast reconstruction surgery. Factors such as tissue flap failure or implant positioning can contribute to disproportion.

#### Risk Factors
- Previous breast surgeries
- Radiation therapy
- Smoking
- Uneven removal of breast tissue
- Diabetes or other conditions affecting wound healing

#### Symptoms
- Visible asymmetry between breasts
- Discomfort or pain in the reconstructed breast
- Dissatisfaction with the cosmetic appearance

#### Diagnosis
Diagnosing disproportion of a reconstructed breast involves:
- Physical examination by a healthcare provider
- Comparing pre- and post-surgery photographs
- Sometimes imaging tests like MRI or ultrasound to assess tissue integrity

#### Treatment Options
- Surgical revision to correct asymmetry
- Non-surgical options such as padded inserts or custom prostheses for temporary or cosmetic correction

How each treatment helps:
- Surgical revision addresses physical discrepancies directly by reshaping or repositioning tissues.
- Non-surgical options provide an immediate aesthetic solution without additional surgery.

#### Prognosis and Follow-Up
The prognosis is generally good with appropriate treatment, but regular follow-up is necessary to monitor for further changes. Outcomes can vary based on individual healing and response to corrective procedures.

#### Complications
- Chronic pain
- Psychological impact, including reduced self-esteem
- Potential need for additional surgeries

#### Lifestyle & Prevention
Preventive measures include:
- Discussing realistic outcomes with a surgeon before reconstruction
- Maintaining a stable weight
- Following postoperative care instructions meticulously

#### When to Seek Professional Help
Seek immediate medical attention if you experience sudden swelling, persistent pain, or any signs of infection, such as redness or discharge in the area of the reconstructed breast.

#### Additional Resources
- American Society of Plastic Surgeons (ASPS): [plasticsurgery.org](https://www.plasticsurgery.org)
- Breastcancer.org: [breastcancer.org](https://www.breastcancer.org)

#### Tips for Medical Coders
- Confirm surgical history and details in medical charts to ensure accurate coding.
- Avoid errors by distinguishing between initial reconstruction codes and those specific to addressing disproportionality.

Medical Policies and Guidelines for Disproportion of reconstructed breast

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