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

ICD10CM code

Medical Policies and Guidelines for Breakdown (mechanical) of breast prosthesis and implant, initial encounter

Related policies from health plans

Breast Procedures (CG036)
SURG.00023 Breast Procedures; including Reconstructive Surgery, Implants and Other Breast Procedures
SURG.00023 Breast Procedures; including Reconstructive Surgery, Implants and Other Breast Procedures

Similar Codes


ICD10CM codes

T85.41XA - Breakdown (mechanical) of breast prosthesis and implant, initial encounter
T85.41XD - Breakdown (mechanical) of breast prosthesis and implant, subsequent encounter
T85.41 - Breakdown (mechanical) of breast prosthesis and implant
T85.41XS - Breakdown (mechanical) of breast prosthesis and implant, sequela
T85.49XA - Other mechanical complication of breast prosthesis and implant, initial encounter
T85.42XA - Displacement of breast prosthesis and implant, initial encounter
T85.43XA - Leakage of breast prosthesis and implant, initial encounter
T85.49XD - Other mechanical complication of breast prosthesis and implant, subsequent encounter
T85.618A - Breakdown (mechanical) of other specified internal prosthetic devices, implants and grafts, initial
T85.43XD - Leakage of breast prosthesis and implant, subsequent encounter

HCPCS codes

C1789 - Prosthesis, breast (implantable)
L8600 - Implantable breast prosthesis, silicone or equal
L8010 - Breast prosthesis, mastectomy sleeve
L8020 - Breast prosthesis, mastectomy form
L8699 - Prosthetic implant, not otherwise specified
L8035 - Custom breast prosthesis, post mastectomy, molded to patient model
L7510 - Repair of prosthetic device, repair or replace minor parts
L8015 - External breast prosthesis garment, with mastectomy form, post mastectomy
L8030 - Breast prosthesis, silicone or equal, without integral adhesive
L8001 - Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any

CPT4 codes

19342 - Insertion or replacement of breast implant on separate day from mastectomy
19370 - Revision of peri-implant capsule, breast, including capsulotomy, capsulorrhaphy, and/or partial caps
19328 - Removal of intact breast implant
19340 - Insertion of breast implant on same day of mastectomy (ie, immediate)
19325 - Breast augmentation with implant
19330 - Removal of ruptured breast implant, including implant contents (eg, saline, silicone gel)
19101 - Biopsy of breast; open, incisional
15777 - Implantation of biologic implant (eg, acellular dermal matrix) for soft tissue reinforcement (ie, br
19371 - Peri-implant capsulectomy, breast, complete, including removal of all intracapsular contents
19357 - Tissue expander placement in breast reconstruction, including subsequent expansion(s)