Appendix- ICD 9 and 10 Identification codes - LWW

[Pages:8]Appendix 1: ICD-9 and 10 Diagnosis and Procedure Codes

Inclusion Codes

Breast Cancer Diagnoses codes (ICD-9)

ICD-9-Dx

174

Malignant neoplasm of nipple and areola of female breast

ICD-9-Dx ICD-9-Dx ICD-9-Dx ICD-9-Dx ICD-9-Dx ICD-9-Dx

174.1 174.2 174.3 174.4 174.5 174.6

Malignant neoplasm of central portion of female breast

Malignant neoplasm of upper inner quadrant of female breast Malignant neoplasm of lower inner quadrant of female breast Malignant neoplasm of upper outer quadrant of female breast Malignant neoplasm of lower outer quadrant of female breast

Malignant neoplasm of axillary tail of female breast

ICD-9-Dx

174.8

Malignant neoplasm of other specified sites, breast

ICD-9-Dx ICD-9-Dx ICD-9-Dx

174.9 198.81 V10.3

Malignant neoplasm of the breast (female), unspecified

Secondary malignant neoplasm of the breast (cancer metastatic to the breast)

Personal history of malignant neoplasm of the breast

ICD-9-DX

233.0

Carcinoma in situ of breast

ICD-9-DX

238.3

Neoplasm of uncertain behavior of breast

ICD-9-DX

239.3

Neoplasm of unspecified nature of breast

ICD-9-DX

V50.41

Prophylactic removal of breast

ICD-9-DX

V84.01

Genetic susceptibility to malignant neoplasm of breast

ICD-9-DX

239.3

Neoplasm of unspecified nature: Breast

Breast cancer diagnoses codes (ICD-10)

ICD-10-Dx

C50.011

ICD-10-Dx

C50.012

ICD-10-Dx

C50.019

ICD-10-Dx

C50.111

ICD-10-Dx

C50.112

ICD-10-Dx

C50.119

ICD-10-Dx

C50.211

ICD-10-Dx

C50.212

ICD-10-Dx

C50.219

ICD-10-Dx

C50.311

ICD-10-Dx

C50.312

ICD-10-Dx

C50.319

ICD-10-Dx

C50.411

ICD-10-Dx

C50.412

ICD-10-Dx

C50.419

ICD-10-Dx

C50.511

ICD-10-Dx

C50.512

ICD-10-Dx

C50.519

ICD-10-Dx

C50.611

Malignant neoplasm of nipple and areola, right female breast

Malignant neoplasm of nipple and areola, left female breast

Malignant neoplasm of nipple and areola, unspecified female breast

Malignant neoplasm of central portion of right female breast

Malignant neoplasm of central portion of left female breast

Malignant neoplasm of central portion of unspecified female breast

Malignant Neoplasm of upper-inner quadrant of right female breast

Malignant Neoplasm of upper-inner quadrant of left female breast

Malignant Neoplasm of upper-inner quadrant of unspecified female breast

Malignant Neoplasm of lower-inner quadrant of right female breast

Malignant Neoplasm of lower-inner quadrant of left female breast

Malignant Neoplasm of lower-inner quadrant of unspecified female breast

Malignant neoplasm of the upper-outer quadrant of the right female breast

Malignant neoplasm of the upper-outer quadrant of the left female breast

Malignant neoplasm of the upper-outer quadrant of the unspecified female breast

Malignant neoplasm of lower-outer quadrant of right female breast

Malignant neoplasm of lower-outer quadrant of left female breast

Malignant neoplasm of lower-outer quadrant of unspecified female breast

Malignant neoplasm of axillary tail of right female breast

ICD-10-Dx ICD-10-Dx ICD-10-Dx ICD-10-Dx ICD-10-Dx ICD-10-Dx ICD-10-Dx ICD-10-Dx ICD-10-Dx ICD-10-Dx ICD-10-Dx

C50.612 C50.619 C50.811 C50.812 C50.819 C50.911 C50.912 C50.919 Z40.01 Z15.01 D05.90

Malignant neoplasm of axillary tail of left female breast

Malignant neoplasm of axillary tail of unspecified female breast

Malignant neoplasm of overlapping sites of right female breast

Malignant neoplasm of overlapping sites of left female breast

Malignant neoplasm of overlapping sites of unspecified female breast

Malignant neoplasm of unspecified site of right female breast

Malignant neoplasm of unspecified site of left female breast

Malignant neoplasm of unspecified site of unspecified female breast

Encounter for prophylactic removal of breast

Genetic susceptibility to malignant neoplasm of breast

Unspecified type of carcinoma in situ of unspecified breast

Breast Cancer Procedure Codes (ICD-9)

ICD-9-CM

85.4

ICD-9-CM

85.41

ICD-9-CM

86.42

ICD-9-CM

87.43

ICD-9-CM

85.44

ICD-9-CM

85.45

ICD-9-CM

85.46

ICD-9-CM

85.47

ICD-9-CM

85.48

ICD-9-CM

85.33

ICD-9-CM

85.34

ICD-9-CM

85.35

ICD-9-CM

85.36

Mastectomy

Unilateral simple mastectomy

Bilateral simple mastectomy

Unilateral extended simple mastectomy

Bilateral extended simple mastectomy

Unilateral radical mastectomy

Bilateral Radical Mastectomy

Unilateral Extended Radical Mastectomy

Bilateral Extended Radical Mastectomy Unilateral Subcutaneous Mammectomy with Synchronous Implant Other Unilateral Subcutaneous Mammectomy Bilateral Subcutaneous Mammectomy with Synchronous Implant Other Bilateral Subcutaneous Mammectomy

Breast Cancer Procedure Codes (ICD-10)

ICD-10-CM

0HTT0ZZ

ICD-10-CM

0HTU0ZZ

ICD-10-CM

0HTV0ZZ

ICD-10-CM

0HBV0ZZ

ICD-10-CM

0HBT0ZZ

ICD-10-CM

0HBU0ZZ

ICD-10-CM

0HRT0JZ

ICD-10-CM

0HRU0JZ

ICD-10-CM

0HRV0JZ

Resection of Right Breast,

Resection of Left Breast

Resection of Bilateral Breast

Excision of Bilateral Breast, Open Approach

Excision of Right Breast, Open Approach

Excision of Left Breast, Open Approach Replacement of Right Breast with synthetic substitute, open approach Replacement of Left Breast with synthetic substitute, open approach Replacement of Bilateral Breast with Synthetic Substitute, Open Approach

Autologous Breast Reconstruction Codes (ICD-9)

ICD-9-CM

85.74

Deep Inferior Epigastric Artery Perforator (DIEP) Flap, Free

ICD-9-CM

85.71

Latissimus Dorsi Myocutaneous Flap

ICD-9-CM ICD-9-CM ICD-9-CM

85.72 85.73 85.75

Transverse Rectus Abdominis Myocutaneous (TRAM) Flap, Pedicled

Transverse Rectus Abdominis Myocutaneous (TRAM) Flap, Free

Superficial Inferior Epigastric Artery (SIEA) Flap, Free

ICD-9-CM

85.76

Gluteal Artery Perforator (Gap) Lap, Free

ICD-9-CM

85.7

Total Reconstruction of Breast

Autologous Breast Reconstruction Codes (ICD-10)

ICD-10-CM

0HRT077

Replacement of Right Breast using DIEP Flap

ICD-10-CM

0HRU077

Replacement of Left Breast using DIEP Flap

ICD-10-CM ICD-10-CM ICD-10-CM ICD-10-CM ICD-10-CM ICD-10-CM ICD-10-CM ICD-10-CM ICD-10-CM ICD-10-CM ICD-10-CM ICD-10-CM ICD-10-CM ICD-10-CM ICD-10-CM

0HRV077 0HRT075 0HRU075 0HRV075 0KXK0Z6 0KXL0Z6 0HRT076 0HRU076 0HRV076 0HRU07Z 0HRT078 0HRU078 0HRV078 0HRT079 0HRU079

Replacement of Bilateral Breast using DIEP flap

Replacement of Right Breast using Latissimus Dorsi Myocutaneous Flap, Open Approach

Replacement of Left Breast using Latissimus Dorsi Myocutaneous Flap, Open Approach

Replacement of Bilateral Breast using Latissimus Dorsi Myocutaneous Flap, Open Approach Transfer Right Abdomen Muscle, Transverse Rectus Adbominis Myocutaneous Flap, open approach

Transfer Left Abdomen Muscle, Transverse Rectus Abdominis Myocutaneous Flap, Open Approach

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

Replacement of Left Breast with Autologous Tissue Substitute (open approach)

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

Replacement of Right Breast using Gluteal Artery Perforator Flap, Open Approach

Replacement of Left Breast using Gluteal Artery Perforator Flap, Open Approach

ICD-10-CM

0HRV079

Replacement of Bilateral Breast using Gluteal Artery Perforator Flap, Open Approach

Outcomes

Systemic Complications (ICD-9) Stroke Urinary DVT/PE Digestive

Cardiovascular

Respiratory

997.02 997.5 415.1, 415.11, 415.19, 451.1, 451.2, 451.81, 451.19, 453.4, 453.41, 453.42, 453.8, 453.9, v12.51, 997.2, 999.2, 997.79 997.4, 536.1, 536.2, 558.9, 560, 560.1, 560.2, 560.9 997.1, 428.0, 428.1, 428.2, 428.3, 428.9, 410, 411, 411.1, 411.81, 411.89, 427.9, 427.31, 427.32, 427.3, 427.0, 427.8, 427.81, 427.89 997.3, 997.39, 518.5, 518.4, 480, 481, 482, 483, 484, 485, 486, 480.8, 482.8, 514

Systemic Complications (ICD-10) Stroke Urinary DVT/PE

Digestive

Cardiovascular

Respiratory

I97.811, I97.821 N99.89 I26.99, I26.92, I80.10, I80.209, I80.3, I80.219, I82.409, I82.419, I82.429, I82.439, I82.4Y9, I82.449, I82.499, I82.4Z9, I82.619, I82.629, I82.609, I82.A19, I82.B19, I82.C19, I82.290, I82.890, I82.91, Z86.718, T81.719A, T81.72XA K91.30, K91.31, K91.32, K91.81, K91.82, K91.83, K91.89, K31.0, R11.10, K52.3, K52.89, K52.9, K56.1, K56.0, K56.7, K56.2, K56.600, K56.601, K56.609, I97.710, I97.790, I97.88, I97.89, I50.814, I50.9, I50.1, I50.20, I50.21, I50.22, I50.23, I50.3, I50.31, I50.33, I50.810, I50.811, I50.813, I50.82, I50.83, I50.89, I50.9, I20.0, I24.0, I24.8, I49.9, I48.91, I48.92, I48.91, I48.92, I47.1, I49.5, R00.1, I49.8 J95.851, J95.89, J95.859, J95.88, J95.89, J95.821, J96.00, J95.2, J95.3, J95.822, J96.20, J81.0, J12.0, J12.1, J12.2, J12.81, J12.89, J12.9, J13, J18.1, J15.0, J15.1, J14, J15.9, J15.7, J16, J16.8, B25.0, J17, J18.0, J18.9, J12.89, J15.5, J15.6, J15.8, J18.2

Surgery Specific Complications (ICD-9)

Wound dehiscence

998.32, 998.89

Wound infection

998.5, 998.51, 998.59, 998.6

Flap revision

86.75

Hemorrhage/ Hematoma

998.11, 998.12

Microvascular complications

Transfusion Seroma

39.4, 39.41, 39.49, 86.75, 38.0, 38.3, 39.3, 39.30, 39.31, 39.32, 39.56, 39.57, 39.58, 39.59 99.0, 99.00, 99.03, 99.04, v58.2

998.13

Surgery Specific Complications (ICD-10)

Wound dehiscence

T81.31XA, T81.89XA

Wound infection

T81.40XA

Flap revision Hemorrhage/ Hematoma

Microvascular complications

Transfusion Seroma

0HWT07Z, 0HWT77Z, 0HWT87Z, 0HWU07Z, 0HWU37Z, 0HWU77Z, 0HWU87Z, 0HWUX7Z L76.02, L76.22, M96.810, M96.811, M96.830, M96.831, E36.01, E36.02, E89.810, E89.811, 0W3C0ZZ 03CY0ZZ, 03QY0ZZ, 04CY0ZZ, 04QY0ZZ, 05CY0ZZ, 05QY0ZZ, 06CY0ZZ, 06QY0ZZ, 0W3C0ZZ, 039Y0ZZ, 049Y0ZZ, 059Y00Z, 059Y0ZZ, 069Y00Z, 069Y0ZZ, 03C00Z6, 03C00ZZ, 03C10Z6, 03C10ZZ, 03BY0ZZ, 04BY0ZZ, 05BY0ZZ, 06BY0ZZ, 03B00ZZ, 03B10ZZ, 03QY0ZZ, 04QY0ZZ, 05QY0ZZ, 06QY0ZZ, 03Q00ZZ, 03Q10ZZ, 03U007Z, 03U107Z, 03U00JZ, 03U10JZ, 03U00KZ, 03U10KZ, 03S00ZZ, 03S10ZZ 30233H0, 30233N0, 30243H0, 30243N0, 30253H0, 30253N0, 30263H0, 30263N0, 30233H1, 30243H1, 30253H1, 30263H1, 30233N1, 30233P1, 30243N1, 30243P1, 30253N1, 30253P1, 30263N1, 30263P1

E89.823, L76.34, M96.843,

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