Print Breast Reconstruction Following Mastectomy

Breast Reconstruction Following Mastectomy

 

DESCRIPTION

To replace a breast that has been surgically removed, a breast mound must first be reconstructed using alloplastic (non-self) materials, such as implants; or autogenous (self) tissues, such as flaps and grafts. A new nipple/areola can be reconstructed when the breast mound has "settled" and its final position has been established. Breast reconstruction may be performed immediately (at the time of mastectomy), or delayed (several months or even years following mastectomy). The timing should be determined by the surgeon, in consultation with the patient and other involved physicians.

A variety of techniques for breast reconstruction are available to accommodate the wide range of deformities resulting from mastectomy. Choice of the appropriate surgical technique must be made by the surgeon and will depend on the individual circumstances and needs of the patient.

Currently accepted techniques for reconstruction of a breast include:

Insertion of a Breast Implant

In some patients with adequate soft tissues, insertion of an alloplastic breast prosthesis underneath the skin or muscle of the chest will create a satisfactory breast mound.

Tissue Expansion

In some patients the skin covering their chest does not have enough elasticity to accommodate insertion of a breast prosthesis. To increase the amount of soft tissue available, a silicone tissue expander is placed beneath the skin or chest muscle. Over a period of time, saline is injected into the expander, causing the tissue to stretch. A second surgical procedure is usually required to remove the tissue expander and replace it with a permanent breast prosthesis.

Regional Tissue Transfer

When muscle and skin are insufficient or missing, it may be necessary to use an adjacent skin flap from the chest, abdomen, or back. The transverse rectus abdominis musculocutaneous (TRAM) flap is frequently used. It has the advantage of providing relatively large amounts of tissue for reconstruction, usually avoiding implant use, and leaving an acceptable donor site defect. Microsurgical techniques may be useful to augment TRAM-flap circulation when necessary to ensure flap viability. The latisimus dorsi flap is another regional flap that is used frequently. This flap, while it provides additional tissue, often requires an implant as well to provide adequate contour.

Distant Tissue Transfer (Free-Flap)

Sometimes, when adequate local or regional tissues are unavailable for reconstruction, it is necessary to use a free-flap transfer. This technique involves transplanting distant skin and underlying tissue along with the veins and arteries and reconnecting this flap to a "new" local blood supply under microscopic magnification. Microsurgical free-tissue transfer, using one of several donor sites, may be used to avoid implants in certain individuals. However, placement of a breast implant may be necessary as an adjunct to any flap procedure when insufficient tissue is obtained.

Reconstruction of the Nipple/Areolar Complex

Secondary surgery to provide optimal results involves restoration of a simulated nipple and surrounding areolar complex on the reconstructed breast mound. Available techniques include skin grafts, flaps, tattooing, and --occasionally-- transplantation of tissues from the opposite breast.

Surgery on the Opposite Breast

Because of the limitations of the current available techniques, reconstruction of a new breast mound often results in a shape and contour that is significantly different from the remaining, opposite (contralateral) breast. Because the breasts are paired organs, reconstructive surgery on the contralateral breast is therefore often necessary to achieve the best possible match of size and configuration. These surgical procedures may include reduction mammoplasty (reduction of the size of the breast), mastopexy (correction of the drooping breast) or implant mammoplasty (augmentation).

Miscellaneous Procedures

Frequently, additional surgical procedures may be required to achieve an optimal final reconstructive result. These may include excision of redundant tissue, repositioning of an implant, release of internal scar tissue, creation of an inframammary fold, scar revision, and other tissue rearrangement.

 

POLICY

In accordance with the Women's Health and Cancer rights Act of 1998 (WHCRA), all group health insurance as well as individual contracts that provide coverage for a mastectomy must comply with the following requirements:
If the Member elects reconstructive breast surgery connected with any medically necessary mastectomy, benefits will be provided for the following covered services:
  • Reconstruction of the breast on which the mastectomy was performed;
  • Surgery on the unaffected breast that is required to "produce a symmetrical appearance", and
  • Prostheses and treatment of complications of any state of a mastectomy, including lymphedema

Documentation should be provided which supports that the mastectomy was performed due to a disease process, congenital absence of one breast (Poland's Syndrome) or to restore bodily function or correct deformity resulting from disease, trauma or complication of previous surgery.

Breast reconstruction following mastectomy is performed to create a simulated breast and restore a sense of "wholeness" to the individual. Since breasts are paired organs, the ultimate result is to achieve bilateral symmetry. This may require surgery on the contralateral breast in cases of unilateral mastectomy. Restoration of both breasts following mastectomy is considered reconstructive and should be eligible for coverage.

 

POLICY EXCEPTIONS

None

 

POLICY GUIDELINES

The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language.

 

POLICY HISTORY

2/1993: Approved by Medical Policy Advisory Committee (MPAC)

10/1998: Women's Health and Cancer Rights Act of 1998 (WHCRA)

4/5/2001: Policy reviewed; Managed Care Requirements deleted

7/16/2001: CPT codes 11960 and 11970 deleted; 19357 added

4/18/2002: Type of Service and Place of Service deleted

5/14/2002: Code Reference section updated; CPT codes 19180, 19182, 19328 and 19330 deleted

9/4/2002: Code Reference section updated; CPT code 11970 re-added

11/1/2002: ICD-9 diagnosis code V50.41 deleted

12/19/2003: Code Reference section updated, CPT code 15755, 19362 deleted, ICD-9 diagnosis code range 174.0-174.9, 175.0-175.9 listed separately

03/10/2006: Coding updated. HCPCS 2006 revisions added to policy

12/27/2006: Code Reference section updated per the 2007 CPT revisions

6/14/2007: Code Reference section updated per quarterly HCPCS and Category III revisions

9/22/2008: Annual ICD-9 updates effective 10-1-2008 applied

9/30/2009: Code reference section updated. Code description revised for ICD-9 diagnosis code 757.6. ICD-9 code 85.7 deleted from covered table due to code deleted as of 9-30-2008

12/16/2009: Coding Section revised for 2010 CPT4 and HCPCS revisions.

05/06/2013: Policy reviewed; no changes.

08/28/2015: Code Reference section updated for ICD-10. Removed ICD-9 procedure codes 85.36 and 85.41 - 85.48. Removed deleted CPT code 14300.


SOURCES

ASPRS Paper

Master Contract

Blue Cross Blue Shield Association policy # 7.01.22

 

CODE REFERENCE

This is may not be a comprehensive list of procedure codes applicable to this policy.

The code(s) listed below are ONLY medically necessary if the procedure is performed according to the "Policy" section of this document.

Covered Codes

Code Number

Description

CPT-4

00402

Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineum, reconstructive procedures on the breast (eg, reduction or augmentation mammoplasty, muscle flaps)

11920

Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including micropigmentation; 6.0 sq cm or less

11970

Replacement of tissue expander with permanent prosthesis

11971

Removal of tissue expander(s) without insertion of prosthesis

14000

Adjacent tissue transfer or rearrangement, truck; defect 10 sq cm or less

14001

Adjacent tissue transfer or rearrangement, trunk, defect 10.1 sq cm to 30.0 sq cm

14301

Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm

14302

Adjacent tissue transfer or rearrangement, any area; each additional 30.0 sq cm, or part thereof (List separately in addition to primary procedure)

15734

Muscle, myocutaneous, or fasciocutaneous flap; trunk

15740

Flap; island pedicle

19316

Mastopexy

19318

Reduction mammoplasty

19324

Mammaplasty, augmentation; without prosthetic implant

19325

Mammoplasty, augmentation, with prosthetic implant

19340

Immediate insertion of breast prosthesis following mastopexy, mastectomy or in reconstruction

19342

Delayed insertion of breast prosthesis following mastopexy, mastectomy or in reconstruction

19350

Nipple/areola reconstruction

19357

Breast reconstruction, immediate or delayed with tissue expander, including subsequent expansion

19361

Breast reconstruction with latissimus dorsi flap, without prosthetic implant

19364

Breast reconstruction with free flap

19366

Breast reconstruction with other techniques

19367

Breast reconstruction with transverse rectus abdominis myocutaneous flap (TRAM), single pedicle; with microvascular anastomosis

19368

Breast reconstruction with transverse rectus abdominis myocutaneous flap (TRAM), single pedicle, including closure of donor site; with microvascular anastomosis (supercharging)

19369

Breast reconstruction with transverse rectus abdominis myocutaneous flap (TRAM), double pedicle

19370

Open periprosthetic capsulotomy, breast

19371

Periprosthetic capsulectomy, breast

19380

Revision of reconstructed breast

19396

Preparation of moulage for custom breast

HCPCS

L8600

Implantable breast prosthesis, silicone or equal

S2066

Breast reconstruction with gluteal artery perforator (gap) flap, including harvesting of the flap, microvascular transfer, closure of donor site and shaping the flap into a breast, unilateral

S2067

Breast reconstruction of single breast with "stacked" deep inferior epigastric perforator (DIEP) flap(s) and/or gluteal artery perforator (gap) (flap(s), including harvesting of the flap(s), microvascular transfer, closure of donor site(s) and shaping the flap into a breast, unilateral

S2068

Breast reconstruction with deep inferior epigastric perforator (DIEP) flap or superficial inferior epigastric artery (SIEA) flap, including harvesting of the flap, microvascular transfer, closure of donor site and shaping the flap into a breast, unilateral

ICD-9 Procedure

ICD-10 Procedure

85.35

Bilateral subcutaneous mammectomy with synchronous implant

0H0V0JZ, 0H0V3JZ

Alteration of Bilateral Breast with Synthetic Substitute, By Approach (Open or Percutaneous)

85.50

Augmentation mammoplasty, not otherwise specified

0H0T07Z, 0H0T0JZ, 0H0T0KZ, 0H0T37Z, 0H0T3JZ, 0H0T3KZ, 0H0U07Z, 0H0U0JZ, 0H0U0KZ, 0H0U37Z, 0H0U3JZ, 0H0U3KZ, 0H0V07Z, 0H0V0JZ, 0H0V0KZ, 0H0V37Z, 0H0V3JZ, 0H0V3KZ

Alteration of Breast (Right, Left, or Bilateral) and device (Autologous Tissue Substitute, Synthetic Substitue, Nonautologous Tissue Substitute) By Approach (Open or Percutaneous)

85.51

Unilateral injection into breast for augmentation

0H0T3JZ, 0H0U3JZ

Alteration of Breast (Right or Left) with Synthetic Substitute, Percutaneous Approach

85.52

Bilateral injection into breast for augmentation

0H0V3JZ

Alteration of Bilateral Breast with Nonautologous Tissue Substitute, Percutaneous Approach

85.53

Unilateral breast implant

0HUU0JZ, 0HUU3JZ

Supplement Left Breast with Synthetic Substitute, By Open or Percutaneous Approach

0HUU0KZ, 0HUU3KZ

Supplement Left Breast with Nonautologous Tissue Substiture, By Open or Percutaneous Approach

0HRU0KZ, 0HRU3KZ

Replacement of Left Breast with Nonautologous Tissue Substitute, By Open or Percutaneous Approach

0HRU0JZ, 0HRU3JZ

Replacement of Left Breast with Synthetic Substitute, By Open and Percutaneous Approach

0HUT0JZ, 0HUT3JZ

Supplement Right Breast with Synthetic Substitute, By Open or Percutaneous Approach

0HUT0KZ, 0HUT3KZ

Supplement Right Breast with Nonautologous Tissue Substitute, By Open and Percutaneous Approach

0HRT0JZ, OHRT3JZ

Replacement of Right Breast with Synthetic Substitute, By Open and Percutaneous Approach

0HRT0KZ, 0HRT3KZ

Replacement of Right Breast with Nonautologous Tissue Substitute, By Open or Percutaneous Approach

85.54

Bilateral breast implant

0HUV0JZ, 0HUV3JZ

Supplement Bilateral Breast with Synthetic Substitute, By Approach (Open or Percutaneous)

85.6

Mastopexy

0HST0ZZ, 0HSU0ZZ, 0HSV0ZZ

Reposition Breast (Right, Left, or Bilateral), Open Approach

85.70, 85.71, 85.72, 85.73, 85.74, 85.75, 85.76, 85.79

Total reconstruction of breast code range

0HRT075, 0HRU075, 0HRV075

Replacement of Breast (Right, Left, or Bilateral) using Latissimus Dorsi Myocutaneous Flap, Open Approach

0HRT076, 0HRU076, 0HRV076

Replacement of Breast (Right, Left, or Bilateral) using Transverse Rectus Abdominis Myocutaneous Flap, Open Approach

0HRT077, 0HRU077, 0HRV077

Replacement of Breast (Right, Left, or Bilateral) using Deep Inferior Epigastric Artery Perforator Flap, Open Approach

0HRT078, 0HRU078, 0HRV078

Replacement of Breast (Right, Left, or Bilateral) using Superficial Inferior Epigastric Artery Flap, Open Approach

0HRT079, 0HRU079, 0HRV079

Replacement of Breast (Right, Left, or Bilateral) using Gluteal Artery Perforator Flap, Open Approach

0HRT07Z, 0HRT0JZ, 0HRT0KZ, 0HRU07Z, 0HRU0JZ, 0HRU0KZ

Replacement of Breast (Right or Left) with device (Autologous Tissue Substitute, Synthetic Substitute, or Nonautologous Tissue Substitute) Open Approach

0KXK0Z6, 0KXL0Z6

Transfer Abdomen Muscle (Right or Left), Transverse Rectus Abdominis Myocutaneous Flap, Open Approach

85.82

Split-thickness graft to breast

0HRTX7Z, 0HRTXKZ, 0HRUX7Z, 0HRUXKZ, 0HRVX7Z, 0HRVXKZ

Replacement of Breast (Right, Left, or Bilateral) with device (Autologous Tissue Substitute or NonAutologous Tissue Substitute), External Approach

85.83

Full-thickness graft to breast

85.84

Pedicle graft to breast

0HX5XZZ

Transfer Chest Skin, External Approach

85.85

Muscle flap graft to breast

0KXH0ZZ, 0KXJ0ZZ

Transfer Thorax Muscle (Right or Left), Open Approach

85.86

Transposition of nipple

0HSWXZZ, 0HSXXZZ

Reposition Nipple (Right or Left), External Approach

85.87

Other repair or reconstruction of nipple

0HMWXZZ, 0HMXXZZ,

Reattachment of Nipple (Right or Left), External Approach

0HQWXZZ, 0HQXXZZ,

Repair Nipple (Right or Left), External Approach

0HRWX7Z, 0HRWXJZ, 0HRWXKZ, 0HRXX7Z, 0HRXXJZ, 0HRXXKZ,

Replacement of Nipple (Right or Left) with device (Autologous Tissue Substitute, Synthetic Substitute, Nonautologous Tissue Substitute), External Approach

0HUWX7Z, 0HUWXJZ, 0HUWXKZ, 0HUXX7Z, 0HUXXJZ, 0HUXXKZ

Supplement Nipple (Right or Left) with device (Autologous Tissue Substitute, Synthetic Substitute, Nonautologous Substitute), External Approach

85.89

Other mammoplasty

0H0T0ZZ, 0H0T3ZZ, 0H0U0ZZ, 0H0U3ZZ, 0H0V0ZZ 0H0V3ZZ

Alteration of Breast (Right, Left, or Bilateral), Open or Percutaneous Approach

0HRT37Z, 0HRT3KZ, 0HRTXJZ, 0HRUXJZ, 0HRV07Z, 0HRV0KZ, 0HRV37Z, 0HRV3KZ, 0HRVXJZ

Replacement of Breast (Right, Left, or Bilateral) with Autologous, Nonautologous, Synthetic Tissue Substitute, Open, Percutaneous or External Approach

0HUT07Z, 0HUT37Z, 0HUTX7Z,

Supplement Right Breast with Autologous Tissue Substitute, Open, Percutaneous or External Approach

0HUTXKZ

Supplement Right Breast with Nonautologous Tissue Substitute, External Approach

0HUTXJZ

Supplement Right Breast with Synthetic Substitute, External Approach

0HUU07Z, 0HUU37Z, 0HUUX7Z

Supplement Left Breast with Autologous Tissue Substitute, Open, Percutaneous or External Approach

0HUUXKZ

Supplement Left Breast with Nonautologous Tissue Substitute, External Approach

OHUUXJZ

Supplement Left Breast with Synthetic Substitute, External Approach

0HUV07Z, 0HUV0KZ, 0HUV37Z, 0HUV3KZ, 0HUVX7Z, 0HUVXKZ

Supplement Bilateral Breast with Autologous or Nonautologous Tissue Substitute, Open, Percutaneous, or External Approach

0HUVXJZ

Supplement Bilateral Breast with Synthetic Substitute, External Approach

85.93

Revision of implant of breast

0HWT0JZ, 0HWT3JZ, 0HWU0JZ, 0HWU3JZ

Revision of Synthetic Substitute in Breast (Right or Left), By Approach (Open or Percutaneous)

85.94

Removal of implant of breast

0HPT0JZ, 0HPT3JZ, 0HPU0JZ, 0HPU3JZ

Removal of Synthetic Substitute from Breast (Right or Left), By Approach (Open or Percutaneous)

85.95

Insertion of breast tissue expander

0HHT0NZ, 0HHT3NZ, 0HHU0NZ, 0HHU3NZ, 0HHV0NZ, 0HHV3NZ

Insertion of Tissue Expander into Breast (Right, Left, or Bilateral), By Approach (Open or Percutaneous)

85.96

Removal of breast tissue expander (s)

0HPT0NZ, 0HPT3NZ, 0HPU0NZ, 0HPU3NZ

Removal of Tissue Expander from Breast (Right or Left), By Approach (Open or Percutaneous)

86.02

Injection or tattooing of skin lesion or defect

3E00XMZ

Introduction of Pigment into Skin and Mucous Membranes, External Approach

86.70

Pedicle or flap graft, not otherwise specified

0HX6XZZ

Transfer Back Skin, External Approach

0HX7XZZ

Transfer Abdomen Skin, External Approach

86.71

Cutting and preparation of pedicle grafts or flaps

0H85XZZ

Division of Chest Skin, External Approach

0H86XZZ

Division of Back Skin, External Approach

0H87XZZ

Division of Abdomen Skin, External Approach

86.72

Advancement of pedicle graft

0HX5XZZ

Transfer Chest Skin, External Approach

0HX6XZZ

Transfer Back Skin, External Approach

0HX7XZZ

Transfer Abdomen Skin, External Approach

86.74

Attachment of pedicle or flap graft to other sites

0HX5XZZ

Transfer Chest Skin, External Approach

0HX6XZZ

Transfer Back Skin, External Approach

0HX7XZZ

Transfer Abdomen Skin, External Approach

0JX60ZB

Transfer Chest Subcutaneous Tissue and Fascia with Skin and Subcutaneous Tissue, Open Approach

0JX60ZC

Transfer Chest Subcutaneous Tissue and Fascia with Skin, Subcutaneous Tissue and Fascia, Open Approach

0JX63ZB

Transfer Chest Subcutaneous Tissue and Fascia with Skin and Subcutaneous Tissue, Percutaneous Approach

0JX63ZC

Transfer Chest Subcutaneous Tissue and Fascia with Skin, Subcutaneous Tissue and Fascia, Percutaneous Approach

0JX70ZB

Transfer Back Subcutaneous Tissue and Fascia with Skin and Subcutaneous Tissue, Open Approach

0JX70ZC

Transfer Back Subcutaneous Tissue and Fascia with Skin, Subcutaneous Tissue and Fascia, Open Approach

0JX73ZB

Transfer Back Subcutaneous Tissue and Fascia with Skin and Subcutaneous Tissue, Percutaneous Approach

0JX73ZC

Transfer Back Subcutaneous Tissue and Fascia with Skin, Subcutaneous Tissue and Fascia, Percutaneous Approach

0JX80ZB

Transfer Abdomen Subcutaneous Tissue and Fascia with Skin and Subcutaneous Tissue, Open Approach

0JX80ZC

Transfer Abdomen Subcutaneous Tissue and Fascia with Skin, Subcutaneous Tissue and Fascia, Open Approach

0JX83ZB

Transfer Abdomen Subcutaneous Tissue and Fascia with Skin and Subcutaneous Tissue, Percutaneous Approach

0JX83ZC

Transfer Abdomen Subcutaneous Tissue and Fascia with Skin, Subcutaneous Tissue and Fascia, Percutaneous Approach

ICD-9 Diagnosis

ICD-10 Diagnosis

172.5

Malignant melanoma of skin of trunk, except scrotum

C43.52

Malignant melanoma of skin of breast

174.0

Malignant neoplasm of nipple and areola of female breast

C50.011 - C50.019

Malignant neoplasm of nipple and areola, female (code range)

174.1

Malignant neoplasm of central portion of female breast

C50.111 - C50.119

Malignant neoplasm of central portion of breast, female (code range)

174.2

Malignant neoplasm of upper-inner quadrant of female breast

C50.211 - C50.219

Malignant neoplasm of upper-inner quadrant of breast, female (code range)

174.3

Malignant neoplasm of lower-inner quadrant of female breast

C50.311 - C50.319

Malignant neoplasm of lower-inner quadrant of breast, female (code range)

174.4

Malignant neoplasm of upper-outer quadrant of female breast

C50.411 - C50.419

Malignant neoplasm of upper-outer quadrant breast, female (code range)

174.5

Malignant neoplasm of lower-outer quadrant of female breast

C50.511 - C50.519

Malignant neoplasm of lower-outer quadrant breast, female (code range)

174.6

Malignant neoplasm of axillary tail of female breast

C50.611 - C50.619

Malignant neoplasm of axillary tail of breast, female (code range)

174.8

Malignant neoplasm of other specified sites of female breast

C50.811 - C50.819

Malignant neoplasm of overlapping sites of breast, female (code range)

174.9

Malignant neoplasm of breast (female), unspecified site

C50.911 - C50.919

Malignant neoplasm of breast of unspecified site, female (code range)

175.0

Malignant neoplasm of nipple and areola of male breast

C50.021 - C50.029

Malignant neoplasm of nipple and areola, male (code range)

175.9

Malignant neoplasm of other and unspecified sites of male breast

C50.121 - C50.129

Malignant neoplasm of central portion of breast, male (code range)

C50.221 - C50.229

Malignant neoplasm of upper-inner quadrant of breast, male (code range)

C50.321 - C50.329

Malignant neoplasm of lower-inner quadrant of breast, male (code range)

C50.421 - C50.429

Malignant neoplasm of upper-outer quadrant breast, male (code range)

C50.521 - C50.529

Malignant neoplasm of lower-outer quadrant breast, male (code range)

C50.621 - C50.629

Malignant neoplasm of axillary tail of breast, male (code range)

C50.821 - C50.829

Malignant neoplasm of overlapping sites of breast, male (code range)

C50.921 - C50.929

Malignant neoplasm of breast of unspecified site, male (code range)

198.2

Secondary malignant neoplasm of skin

C79.2

Secondary malignant neoplasm of skin

198.81

Secondary malignant neoplasm of breast

C79.81

Secondary malignant neoplasm of breast

232.5

Carcinoma in situ of skin of trunk, except scrotum

D04.5

Carcinoma in situ of skin of trunk

233.0

Carcinoma in situ of breast

D05.00 - D05.92

Carcinoma in situ of breast (code range)

610.2

Fibroadenosis of breast

N60.21- N60.29

Fibroadenosis of breast (code range)

610.3

Fibrosclerosis of breast

N60.31 - N60.39

Fibrosclerosis of breast (code range)

611.0

Inflammatory disease of breast

N61

Inflammatory disorders of breast

757.6

Specified congenital anomalies of breast

Q83.0 - Q83.9

Congenital malformations of breast (code range)

942.01

Burn of trunk, unspecified degree of breast

T21.01XA

Burn of unspecified degree of chest wall, initial encounter

T21.41XA

Corrosion of unspecified degree of chest wall, initial encounter

942.11

Erythema due to burn (first degree) of breast

T21.11XA

Burn of first degree of chest wall, initial encounter

T21.51XA

Corrosion of first degree of chest wall, initial encounter

942.21

Blisters with epidermal loss due to burn (second degree) of breast

T21.21XA

Burn of second degree of chest wall, initial encounter

T21.61XA

Corrosion of second degree of chest wall, initial encounter

942.31

Full-thickness skin loss due to burn (third degree nos) of breast

T21.31XA

Burn of third degree of chest wall, initial encounter

T21.71XA

Corrosion of third degree of chest wall, initial encounter

942.41

Deep necrosis of underlying tissues due to burn (deep third degree) of breast, without mention of loss of a body part

T21.31XA

Burn of third degree of chest wall, initial encounter

T21.71XA

Corrosion of third degree of chest wall, initial encounter

942.51

Deep necrosis of underlying tissues due to burn (deep third degree) of breast, with loss of a body part

T21.31XA

Burn of third degree of chest wall, initial encounter

T21.71XA

Corrosion of third degree of chest wall, initial encounter

959.19

Other injury of other sites of trunk

S39.002A, S39.003A, S39.092A, S39.093A, S39.82XA, S39.83XA, S39.92XA, S39.93XA

Other and unspecified injuries of abdomen, lower back, and pelvis and external genitals

V51.0

Encounter for breast reconstruction following masectomy

Z42.1

Encounter for breast reconstruction following masectomy

 

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