ICD-10 Coding for Mastectomy(C50.911, C50.911B, C50.911M)
Comprehensive guide on ICD-10 coding for mastectomy, including documentation requirements, common pitfalls, and billing considerations.
Complete code families applicable to Mastectomy
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| C50.911 | Malignant neoplasm of unspecified site of right female breast | Use when documenting active breast cancer in the right breast. |
|
| Z90.13 | Acquired absence of bilateral breasts and nipples | Use for patients with a history of bilateral mastectomy. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information
Essential facts and insights aboutMastectomy
Alternative codes to consider when ruling out similar conditions
Documentation & Coding Risks
Avoid these common issues when documenting Mastectomy.
Omitting reconstruction details
Impact
Clinical: Incomplete surgical record., Regulatory: Potential audit risk., Financial: Loss of reimbursement for reconstruction.
Mitigation
Include reconstruction details in operative notes.
Incorrect laterality coding
Impact
Reimbursement: Claims may be denied or delayed., Compliance: Non-compliance with coding standards., Data Quality: Inaccurate patient records.
Mitigation
Verify laterality in the medical record before coding.
Laterality errors
Impact
Incorrect documentation of breast side.
Mitigation
Double-check laterality in patient records.