ICD-10-CM Code Z40.01

Valid for Submission

Z40.01 is a billable code used to specify a medical diagnosis of encounter for prophylactic removal of breast. The code is valid for the year 2020 for the submission of HIPAA-covered transactions.

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

• - Prophylactic
  • - organ removal (for neoplasia management) - Z40.00
    • - breast - Z40.01

Diagnostic Related Groups

The ICD-10 code Z40.01 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 Z40.01 to ICD-9

• V50.41 - Prphylct orgn rmvl brst

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)

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

Tools

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• Convert Z40.01 to ICD-9