Z42.1
BillableEncounter for breast reconstruction following mastectomy
Encounter for breast reconstruction following mastectomy
Coding Notes
Excludes 1
Codes that cannot be used together with this code (mutual exclusion)
- •encounter for cosmetic plastic surgeryZ41.1
- encounter for plastic surgery for treatment of current injury - code to relevent injury
- •deformity and disproportion of reconstructed breastN65.1
Excludes 2
Conditions not included here, but the patient may have both
ICD-11 Equivalents(1)
ICD-11 Equivalents
View full mappingCorresponding ICD-11 codes from the WHO crosswalk mapping
Also Known As / Clinical Terms(1)
Frequently Asked Questions
What is the ICD-10 code for encounter for breast reconstruction following mastectomy?
The ICD-10-CM code for encounter for breast reconstruction following mastectomy is Z42.1. The full clinical description is "Encounter for breast reconstruction following mastectomy". Z42.1 is a billable/specific code that can be used on insurance claims and medical billing.
What does ICD-10 code Z42.1 mean?
ICD-10-CM code Z42.1 represents “Encounter for breast reconstruction following mastectomy”. It is classified under Chapter 22: Factors Influencing Health Status and Contact With Health Services and 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.
How does Z42.1 relate to ICF functioning codes?
ICF (International Classification of Functioning, Disability and Health) codes describe how conditions like encounter for breast reconstruction following mastectomy affect a person's functioning — body functions, activities, participation, and environmental factors. AutoICD provides ICF Core Sets for 12+ conditions and can map clinical text to ICF categories automatically. Browse the ICF directory to explore functioning codes.
What is the ICD-11 equivalent of Z42.1?
Z42.1 maps to the ICD-11 code: QB83 (Follow-up care involving plastic surgery).
Automate ICD-10 Coding With AI
Send clinical text to the AutoICD API and get back structured ICD-10 codes with confidence scores. Integrates into any EHR or billing system in minutes.
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.