T85.4 ICD 10 Code is a non-billable and non-specific code and should not be used to indicate a diagnosis for reimbursement purposes. There are other codes below it with greater level of diagnosis detail. The 2023 edition of the American ICD-10-CM code became effective on October 1, 2022.
Codes
- T85.41 Breakdown (mechanical) of breast prosthesis and implant
- T85.41XA Breakdown (mechanical) of breast prosthesis and implant, initial encounter
- T85.41XD Breakdown (mechanical) of breast prosthesis and implant, subsequent encounter
- T85.41XS Breakdown (mechanical) of breast prosthesis and implant, sequela
- T85.42 Displacement of breast prosthesis and implant
- T85.42XA Displacement of breast prosthesis and implant, initial encounter
- T85.42XD Displacement of breast prosthesis and implant, subsequent encounter
- T85.42XS Displacement of breast prosthesis and implant, sequela
- T85.43 Leakage of breast prosthesis and implant
- T85.43XA Leakage of breast prosthesis and implant, initial encounter
- T85.43XD Leakage of breast prosthesis and implant, subsequent encounter
- T85.43XS Leakage of breast prosthesis and implant, sequela
- T85.44 Capsular contracture of breast implant
- T85.44XA Capsular contracture of breast implant, initial encounter
- T85.44XD Capsular contracture of breast implant, subsequent encounter
- T85.44XS Capsular contracture of breast implant, sequela
- T85.49 Other mechanical complication of breast prosthesis and implant
- T85.49XA Other mechanical complication of breast prosthesis and implant, initial encounter
- T85.49XD Other mechanical complication of breast prosthesis and implant, subsequent encounter
- T85.49XS Other mechanical complication of breast prosthesis and implant, sequela
Possible back-references that may be applicable or related to T85.4 ICD10 Code:
- S00-T88 Injury, poisoning and certain other consequences of external causes
- T80-T88 Complications of surgical and medical care, not elsewhere classified
- T85 Complications of other internal prosthetic devices, implants and grafts
Present On Admission (POA Exempt)
T85.4 ICD 10 code is considered exempt from POA reporting
Clinical information about T85.4 ICD 10 code
If you need a mastectomy, you have a choice about whether or not to have surgery to rebuild the shape of the breast. Instead of breast reconstruction, you could choose to wear a breast form that replaces the breast, wear padding inside your bra, or do nothing. All of these options have pros and cons. What is right for one woman may not be right for another.
Breast reconstruction may be done at the same time as the mastectomy, or it may be done later on. If radiation therapy is part of the treatment plan, your doctor may suggest waiting until after radiation therapy.
If you're thinking about breast reconstruction, talk to a plastic surgeon before the mastectomy, even if you plan to have your reconstruction later on.
A surgeon can reconstruct the breast in many ways. Some women choose to have breast implants, which are filled with saline or silicone gel. Another method uses tissue taken from another part of your body. The plastic surgeon can take skin, muscle, and fat from your lower abdomen, back, or buttocks.
The type of reconstruction that is best for you depends on your age, body type, and the type of cancer surgery that you had. A plastic surgeon can help you decide.
NIH: National Cancer Institute
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