ICD-10-CM Code I97.2

Postmastectomy lymphedema syndrome

Version 2020 Billable Code Adult Diagnoses

Valid for Submission

I97.2 is a billable code used to specify a medical diagnosis of postmastectomy lymphedema syndrome. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code I97.2 might also be used to specify conditions or terms like lymphedema of bilateral upper limbs, lymphedema of left upper limb, lymphedema of right upper limb, lymphedema of upper limb, lymphedema of upper limb, postmastectomy lymphedema syndrome, etc

The code I97.2 is applicable to adult patients aged 15 through 124 years inclusive. It is clinically and virtually impossible to use this code on a patient outside the stated age range.

ICD-10:I97.2
Short Description:Postmastectomy lymphedema syndrome
Long Description:Postmastectomy lymphedema syndrome

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code I97.2:

Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Elephantiasis due to mastectomy
  • Obliteration of lymphatic vessels

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code I97.2 are found in the index:


Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:

  • Adult diagnoses - Adult. Age range is 15–124 years inclusive (e.g., senile delirium, mature cataract).

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Lymphedema of bilateral upper limbs
  • Lymphedema of left upper limb
  • Lymphedema of right upper limb
  • Lymphedema of upper limb
  • Lymphedema of upper limb
  • Postmastectomy lymphedema syndrome
  • Postmastectomy lymphedema syndrome of bilateral upper limbs
  • Postmastectomy lymphedema syndrome of left upper limb
  • Postmastectomy lymphedema syndrome of right upper limb
  • Postsurgical lymphedema

Diagnostic Related Groups

The ICD-10 code I97.2 is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2020 through 09/30/2020.

  • 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 I97.2 to ICD-9

  • 457.0 - Postmastect lymphedema

Code Classification

  • Diseases of the circulatory system (I00–I99)
    • Other and unspecified disorders of the circulatory system (I95-I99)
      • Intraop and postproc comp and disorders of circ sys, NEC (I97)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

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


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