Commonly Used ICD-9 and ICD-10 Codes for BRCA1 and BRCA2 testing

[Pages:2]Commonly Used ICD-9 and ICD-10 Codes for BRCA1 and BRCA2 testing

A quick reference for Quest Diagnostics clients

ICD-9 Code 174.9

175.9

V10.3 V16.3 183.0 V10.43 V16.41 174.0

174.1

174.2

Long Description

ICD-10 Code

Breast Malignant neoplasm, breast (female), unspecified site

C50.911 C50.912

C50.919

Malignant neoplasm of other and unspecified sites of male breast

C50.921 C50.922

C50.929

Personal history of malignant neoplasm, breast Family history of malignant neoplasm, breast Ovarian Malignant neoplasm, ovary

Personal history of malignant neoplasm, ovary Family history of malignant neoplasm, ovary Breast - additional codes Malignant neoplasm, nipple and areola of female breast

Z85.3 Z80.3

C56.1 C56.2 C56.9 Z85.43 Z80.41

C50.011 C50.012

C50.019

Malignant neoplasm, central portion of female breast

C50.111 C50.112

C50.119

Malignant neoplasm, upper-inner quadrant of female breast

C50.211

C50.212

174.3

Malignant neoplasm, lower-inner quadrant of female breast

C50.219 C50.311 C50.312

174.4

Malignant neoplasm, upper-outer quadrant of female breast

C50.319 C50.411 C50.412

174.5

Malignant neoplasm, lower-outer quadrant of female breast

C50.419 C50.511 C50.512

174.6

Malignant neoplasm, axillary tail of female breast

No ICD-9 code

C50.519

C50.611 C50.612 C50.619 C50.811 C50.812

Description

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

Malignant neoplasm of unspecified site of right male breast

Malignant neoplasm of unspecified site of left male breast Malignant neoplasm of unspecified site of unspecified male breast Personal history of malignant neoplasm of breast Family history of malignant neoplasm of breast

Malignant neoplasm of right ovary Malignant neoplasm of left ovary Malignant neoplasm of unspecified ovary Personal history of malignant neoplasm of ovary Family history of malignant neoplasm of ovary

Malignant neoplasm of nipple and areola of right female breast Malignant neoplasm of nipple and areola of left female breast Malignant neoplasm of nipple and areola of 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 upper-outer quadrant of right female breast Malignant neoplasm of upper-outer quadrant of left female breast Malignant neoplasm of upper-outer quadrant of 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 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

Diagnostic Services

ICD-9 Code 175.0

198.81 233.0

198.6

233.39 V26.31 V26.34 V84.01

V84.02 157.9 V10.09 V16.0 V18.9 V16.8 611.72

Long Description Breast - additional codes (Cont.) Malignant neoplasm, nipple and areola of male breast

ICD-10 Code

C50.021 C50.022 C50.029

Ovarian - additional codes Secondary malignant neoplasm, breast Carcinoma in situ, breast

Secondary malignant neoplasm, ovary

Carcinoma in situ, ovary Additional Codes Testing of female for genetic disease carrier status

C79.81 D05.90 D05.91 D05.92 C79.60 C79.61 C79.62 D07.39

Z31.430

Testing of male for genetic disease carrier status

Z31.440

Genetic susceptibility to malignant neoplasm of breast [BRCA1 or BRCA2 mutations confirmed by molecular susceptibility testing for breast cancer] [genetic mutation in the TP53 or PTEN genes (Li-Fraumeni syndrome, Cowden syndrome, and Bannayan-RileyRuvalcaba syndrome)]

Genetic susceptibility to malignant neoplasm of ovary [BRCA1 or BRCA2 mutations confirmed by molecular susceptibility testing for ovarian cancer]

Malignant neoplasm of the pancreas, part unspecified

Personal history of malignant neoplasm, gastrointestinal tract, other [pancreas]

Family history of malignant neoplasm, gastrointestinal tract [pancreas]

Family history, genetic disease carrier

Family history of malignant neoplasm, other specified (breast, male)

Lump or mass in breast

Z15.01

Z15.02

C25.9 Z85.07 Z80.0 Z84.81 Z80.8 N63

Description

Malignant neoplasm of nipple and areola of right male breast Malignant neoplasm of nipple and areola of left male breast Malignant neoplasm of nipple and areola of unspecified male breast

Secondary malignant neoplasm of breast Unspecified type of carcinoma in situ of unspecified breast Unspecified type of carcinoma in situ of right breast Unspecified type of carcinoma in situ of left breast Secondary malignant neoplasm of unspecified ovary Secondary malignant neoplasm of right ovary Secondary malignant neoplasm of left ovary Carcinoma in situ of other female genital organs

Encounter of female for testing for genetic disease carrier status for procreative management Encounter of male for testing for genetic disease carrier status for procreative management Genetic susceptibility to malignant neoplasm of breast

Genetic susceptibility to malignant neoplasm of ovary

Malignant neoplasm of pancreas, unspecified Personal history of malignant neoplasm of pancreas

Family history of malignant neoplasm of digestive organs

Family history of carrier of genetic disease Family history of malignant neoplasm of other organs or systems Unspecified lump in breast

* The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

This list is intended to assist ordering physicians in providing ICD-10 Diagnosis Codes as required by Medicare and other Insurers. It includes the most commonly found out-patient diagnoses (generally without complications), but is not complete.

This list was compiled from the ICD-10-CM 2015, as well as the Medicare Regulations and Manuals issued or authorized by the Centers for Medicaid and Medicare Services. An ICD-10-CM book should be used as a complete reference. The ultimate responsibility for correct coding belongs to the ordering physician.



Quest, Quest Diagnostics, any associated logos, and all associated Quest Diagnostics registered or unregistered trademarks are the property of Quest Diagnostics. All third party marks - ? and TM - are the property of their respective owners. ? 2015 Quest Diagnostics Incorporated. All rights reserved. 09/2015

 ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download