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ICD-10 Coding for Mastectomy(C50.911, C50.9, D24.1)

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Comprehensive guide on ICD-10 coding for mastectomy, including documentation requirements, common pitfalls, and billing considerations.

Also known as:
Breast removal surgeryBreast excision
Related ICD-10 Code Ranges

Complete code families applicable to Mastectomy

C00-D49Primary Range

Neoplasms

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Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescription
C50.911Malignant neoplasm of unspecified site of right female breast
Z90.13Acquired absence of bilateral breasts and nipples
Primary ICD-10-CM Codes
Malignant neoplasm of unspecified site of right female breast
C50.911Billable
Differential Codes

Alternative codes to consider when ruling out similar conditions

Benign neoplasm of right breastD24.1
Acquired absence of right breast and nippleZ90.11

Documentation & Coding Risks

Avoid these common issues when documenting Mastectomy.

Omitting reconstruction details

Impact

Clinical: Incomplete surgical record., Regulatory: Potential audit risk., Financial: Loss of reimbursement for reconstruction.

Mitigation

Include reconstruction details in operative notes.

Incorrect laterality coding

Impact

Reimbursement: Claims may be denied or delayed., Compliance: Non-compliance with coding standards., Data Quality: Inaccurate patient records.

Mitigation

Verify laterality in the medical record before coding.

Laterality errors

Impact

Incorrect documentation of breast side.

Mitigation

Double-check laterality in patient records.

Frequently Asked Questions

Related condition guides

Documentation requirements, coding pitfalls and FAQs for conditions coded with C50.911.