2021 ICD-10-CM Code Z40.01
Encounter for prophylactic removal of breast
Valid for Submission
Z40.01 is a billable diagnosis code used to specify a medical diagnosis of encounter for prophylactic removal of breast. The code Z40.01 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
| ICD-10: | Z40.01 |
| Short Description: | Encounter for prophylactic removal of breast |
| Long Description: | Encounter for prophylactic removal of breast |
Code Classification
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 Z40.01 are found in the index:
- - Admission (for) - See Also: Encounter (for);
- - prophylactic (measure) - See Also: Encounter, prophylactic measures;
- - organ removal - Z40.00
- - breast - Z40.01
- - organ removal - Z40.00
- - prophylactic (measure) - See Also: Encounter, prophylactic measures;
- - Prophylactic
- - organ removal (for neoplasia management) - Z40.00
- - breast - Z40.01
- - organ removal (for neoplasia management) - Z40.00
Diagnostic Related Groups - MS-DRG Mapping
The ICD-10 code Z40.01 is grouped in the following groups for version MS-DRG V38.0 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 09/30/2021.
Convert Z40.01 to ICD-9 Code
- 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 (Medical Encyclopedia)
- Mastectomy (Medical Encyclopedia)
- Mastectomy - discharge (Medical Encyclopedia)
[Learn More]
Code History
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)