ICD-9-CM and ICD-10-CM Common Codes for BRCA1 and BRCA2 - Sonora Quest

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ICD-9-CM and ICD-10-CM

Common Codes for BRCA1 and BRCA2

ICD-9 Code 174.9

Long Description Breast Malignant neoplasm, breast (female), unspecified site

175.9

Malignant neoplasm of other and unspecified sites of male breast

V10.3 V16.3

183.0

V10.43 V16.41

174.0

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

174.1

Malignant neoplasm, central portion of female breast

174.2

Malignant neoplasm, upper-inner quadrant of female breast

174.3

Malignant neoplasm, lower-inner quadrant of female breast

174.4

Malignant neoplasm, upper-outer quadrant of female breast

174.5

Malignant neoplasm, lower-outer quadrant of female breast

174.6

Malignant neoplasm, axillary tail of female breast

No ICD-9 code

ICD-10 Code Description

C50.911 C50.912 C50.919

C50.921 C50.922 C50.929 Z85.3 Z80.3

Malignant neoplasm of unspeci ed 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

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

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

C50.011 C50.012 C50.019 C50.111 C50.112 C50.119

C50.211

C50.212

C50.219

C50.311

C50.312

C50.319

C50.411

C50.412

C50.419

C50.511

C50.512

C50.519 C50.611 C50.612 C50.619 C50.811 C50.812

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 unspeci ed female breast

Malignant neoplasm of overlapping sites of right female breast

Malignant neoplasm of overlapping sites of left female breast

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ICD-9-CM and ICD-10-CM Common Codes for BRCA1 and BRCA2

ICD-9 Code 175.0

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

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

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

Testing of male for genetic disease carrier status

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

ICD-10 Code Description

C50.021 C50.022 C50.029

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

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

Z31.430 Z31.440 Z15.01

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

Z15.02

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

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 Unspeci ed lump in breast

This list is intended to assist ordering physicians in providing ICD-10 Diagnostics codes as required by Medicare and other Insurers. It includes some commonly found ICD-10 codes.

This list was compiled from the ICD-10-CM 2015 AMA manual. A current ICD-10-CM book should be used as a complete reference. The ultimate responsibility for correct coding belongs to the ordering physician.

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