ICD-10-CM code "Z42.1": Encounter for breast reconstruction following mastectomy (2024)

Overview

ICD-10 CodeZ42.1
DescriptionEncounter for breast reconstruction following mastectomy
Hierarchy
  1. Factors influencing health status and contact with health services (Z00-Z99)
  2. Encounters for other specific health care (Z40-Z53)
  3. Encounter for plastic and reconstructive surgery following medical procedure or healed injury (Z42)
  4. Encounter for breast reconstruction following mastectomy (Z42.1)
Billable statusICD-10-CM Billable code

Excludes

  1. Factors influencing health status and contact with health services (Z00-Z99)
  2. Encounters for other specific health care (Z40-Z53)

    Type 2follow-up examination for medical surveillance after treatment (Z08-Z09)

  3. Encounter for plastic and reconstructive surgery following medical procedure or healed injury (Z42)

    Type 1encounter for cosmetic plastic surgery (Z41.1)

    Type 1encounter for plastic surgery for treatment of current injury - code to relevent injury

  4. Encounter for breast reconstruction following mastectomy (Z42.1)

    Type 1deformity and disproportion of reconstructed breast (N65.1-)

Includes

  1. Factors influencing health status and contact with health services (Z00-Z99)
  2. Encounters for other specific health care (Z40-Z53)
  3. Encounter for plastic and reconstructive surgery following medical procedure or healed injury (Z42)
  4. Encounter for breast reconstruction following mastectomy (Z42.1)