LDEPASS
New
Does anyone know what dx code to use for a prophylactic mastectomy for increased breast cancer risk?
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Wiki Prophylactic mastectomy dx code
- Thread starter LDEPASS
- Start date
lindacoder
Guest
I use V07.8 - other specified prophylactic measure as well as their personal or family history that puts them at risk , ie V16.3 or history of self/family ovarian cancer
ohn0disaster
Guest
Pre-op code:
V07.8 would be the code you would use if the patient was (in need of) having prophylactic breast removal, as stated in your Tabular List under this code.
Post-op code:
However, if the patient has already received the mastectomy, the proper code would be V45.71.
Hope this helps!
V07.8 would be the code you would use if the patient was (in need of) having prophylactic breast removal, as stated in your Tabular List under this code.
Post-op code:
However, if the patient has already received the mastectomy, the proper code would be V45.71.
Hope this helps!
mitchellde
True Blue
V45.71 is secondary only so you would need a post op follow up V67.xx code or an aftercare V58.xx code first.
ohn0disaster
Guest
According to the coding guidelines, in the front of the icd-9-cm book, V45.7X (acquired absence of organ) can be used as 1st and/or an additional dx code. I don't disagree that you should use an aftercare code first, if it is in fact aftercare for the mastectomy, or a follow-up code, if the doctor indicates that it's just routine follow-up of patient with no other DXs to address. I just wanted to point this out in case anyone runs into this in the future.
mitchellde
True Blue
Sorry! you are correct I looked in the wrong column. My apologies and thanks for the correction!