AutoICD API

Z42.1

Billable

Encounter for breast reconstruction following mastectomy

Encounter for breast reconstruction following mastectomy

Status

Billable / Specific

Block

Z40-Z53

Parent Code

Z42

Coding Notes

Excludes 1

Codes that cannot be used together with this code (mutual exclusion)

  • encounter for cosmetic plastic surgery (Z41.1)
  • encounter for plastic surgery for treatment of current injury - code to relevent injury
  • deformity and disproportion of reconstructed breast (N65.1-)

Excludes 2

Conditions not included here, but the patient may have both

  • follow-up examination for medical surveillance after treatment (Z08-Z09)

Also Known As / Clinical Terms

UMLS

Frequently Asked Questions

What is ICD-10 code Z42.1?

ICD-10-CM code Z42.1 represents "Encounter for breast reconstruction following mastectomy". It is a billable/specific code that can be used on a claim.

Is Z42.1 a billable code?

Yes, Z42.1 is a billable/specific ICD-10-CM code and can be used to indicate a diagnosis on a medical claim.

What chapter is Z42.1 in?

Z42.1 is in Chapter 22: Factors Influencing Health Status and Contact With Health Services (codes Z00-Z99).

What codes cannot be used with Z42.1?

Z42.1 has Excludes1 notes indicating codes that cannot be used together with it, including: encounter for cosmetic plastic surgery (Z41.1); encounter for plastic surgery for treatment of current injury - code to relevent injury; deformity and disproportion of reconstructed breast (N65.1-).

What are the UMLS CUIs for Z42.1?

Z42.1 is linked to 1 UMLS Concept Unique Identifier: C2349879. The UMLS (Unified Medical Language System) integrates multiple biomedical vocabularies maintained by the U.S. National Library of Medicine.

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Includes SNOMED Clinical Terms® (SNOMED CT®) used by permission of SNOMED International. Includes content from the UMLS Metathesaurus, courtesy of the U.S. National Library of Medicine.