ICD-10 Diagnosis Code Z40.01

Encounter for prophylactic removal of breast

Diagnosis Code Z40.01

ICD-10: Z40.01
Short Description: Encounter for prophylactic removal of breast
Long Description: Encounter for prophylactic removal of breast
This is the 2017 version of the ICD-10-CM diagnosis code Z40.01

Valid for Submission
The code Z40.01 is valid for submission for HIPAA-covered transactions.

Code Classification
  • Factors influencing health status and contact with health services (Z00–Z99)
    • Encounters for other specific health care (Z40-Z53)
      • Encounter for prophylactic surgery (Z40)

Information for Medical Professionals

Diagnostic Related Groups
The diagnosis code Z40.01 is grouped in the following Diagnostic Related Group(s) (MS-DRG V34.0)

  • 597 - MALIGNANT BREAST DISORDERS WITH MCC
  • 598 - MALIGNANT BREAST DISORDERS WITH CC
  • 599 - MALIGNANT BREAST DISORDERS WITHOUT CC/MCC
  • 600 - NON-MALIGNANT BREAST DISORDERS WITH CC/MCC
  • 601 - NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC

Convert to ICD-9 Additional informationCallout TooltipGeneral Equivalence Map
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.
  • V50.41 - Prphylct orgn rmvl brst

Information for Patients


Mastectomy

A mastectomy is surgery to remove a breast or part of a breast. It is usually done to treat breast cancer. Types of breast surgery include

  • Total (simple) mastectomy - removal of breast tissue and nipple
  • Modified radical mastectomy - removal of the breast, most of the lymph nodes under the arm, and often the lining over the chest muscles
  • Lumpectomy - surgery to remove the tumor and a small amount of normal tissue around it

Which surgery you have depends on the stage of cancer, size of the tumor, size of the breast, and whether the lymph nodes are involved. Many women have breast reconstruction to rebuild the breast after a mastectomy.

Sometimes mastectomy is done to prevent breast cancer. Only high-risk patients have this type of surgery.

NIH: National Cancer Institute

  • Breast lump removal
  • Mastectomy
  • Mastectomy - discharge


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