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Search all medical codes
Z42.1
Encounter for breast reconstruction following mastectomy
ICD10CM code
Medical Policies and Guidelines for Encounter for breast reconstruction following mastectomy
Related policies from health plans
ANTHEM-BLUECROSS-CT
ANC.00009 Cosmetic and Reconstructive Services of the Trunk, Groin, and Extremities
ANTHEM-BLUECROSS-CT
SURG.00023 Breast Procedures; including Reconstructive Surgery, Implants and Other Breast Procedures
ANTHEM-BLUECROSS-CT
SURG.00023 Breast Procedures; including Reconstructive Surgery, Implants and Other Breast Procedures
Similar Codes
ICD10CM codes
Z42.1
- Encounter for breast reconstruction following mastectomy
Z42
- Encounter for plastic and reconstructive surgery following medical procedure or healed injury
Z44.3
- Encounter for fitting and adjustment of external breast prosthesis
Z42.8
- Encounter for other plastic and reconstructive surgery following medical procedure or healed injury
Z45.81
- Encounter for adjustment or removal of breast implant
Z44.31
- Encounter for fitting and adjustment of external right breast prosthesis
Z40.01
- Encounter for prophylactic removal of breast
Z12.3
- Encounter for screening for malignant neoplasm of breast
Z44.32
- Encounter for fitting and adjustment of external left breast prosthesis
Z45.812
- Encounter for adjustment or removal of left breast implant
HCPCS codes
L8010
- Breast prosthesis, mastectomy sleeve
L8020
- Breast prosthesis, mastectomy form
L8015
- External breast prosthesis garment, with mastectomy form, post mastectomy
L8002
- Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral, any size, any
L8035
- Custom breast prosthesis, post mastectomy, molded to patient model
L8001
- Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any
C1789
- Prosthesis, breast (implantable)
L8000
- Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type
G9774
- Patients who have had a hysterectomy
G8875
- Clinician diagnosed breast cancer preoperatively by a minimally invasive biopsy method
CPT4 codes
19342
- Insertion or replacement of breast implant on separate day from mastectomy
19366
- Breast reconstruction with other technique
19303
- Mastectomy, simple, complete
19340
- Insertion of breast implant on same day of mastectomy (ie, immediate)
19300
- Mastectomy for gynecomastia
19364
- Breast reconstruction; with free flap (eg, fTRAM, DIEP, SIEA, GAP flap)
19380
- Revision of reconstructed breast (eg, significant removal of tissue, re-advancement and/or re-inset
19370
- Revision of peri-implant capsule, breast, including capsulotomy, capsulorrhaphy, and/or partial caps
19361
- Breast reconstruction; with latissimus dorsi flap
19350
- Nipple/areola reconstruction