2026 ICD-10-CM Diagnosis Code Z42.1Encounter for breast reconstruction following mastectomy

ICD-10-CM CodesZ00–Z99Z40-Z53Z42

ICD-10-CM Z42.1
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

Z42.1 is a billable ICD-10-CM diagnosis code for encounter for breast reconstruction following mastectomy. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 606 through 607. The code is restricted by the Medicare Code Editor to adult patients (age 15 through 124) and exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Encounter for prophylactic or other procedures.

Code Identity

ICD-10-CM Code
Z42.1
Billable Status
Yes — Valid for Submission
Code Describes
Encounter for breast reconstruction following mastectomy
Short Description
Encounter for breast reconstruction following mastectomy
Same as the full description in the CMS dataset.
Parent Code
Encounter for plastic and reconstructive surgery following medical procedure or healed injury

Code Classification

ChapterZ00–Z99Factors influencing health status and contact with health services
SectionZ40-Z53Encounters for other specific health care
CategoryZ42Encounter for plastic and reconstructive surgery following medical procedure or healed injury
This CodeZ42.1Encounter for breast reconstruction following mastectomy

Code EditsBilling

Medicare Code Editor checks that affect claim validity for Z42.1.

The Medicare Code Editor detects inconsistencies in adult cases by checking a patient's age and any diagnosis on the patient's record. The adult code edits apply to patients age range is 15–124 years inclusive (e.g., senile delirium, mature cataract).

Present on Admission (POA)Billing

Z42.1 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Type 1 Excludes

  • deformity and disproportion of reconstructed breast N65.1

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Admission(for)
      • breast reconstruction following mastectomy
    • Encounter(with health service) (for)
      • breast reconstruction following mastectomy

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR FAC004
Encounter for prophylactic or other procedures
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Breast Reconstruction

If you need a mastectomy, you have a choice about whether or not to have surgery to rebuild the shape of the breast. Instead of breast reconstruction, you could choose to wear a breast form that replaces the breast, wear padding inside your bra, or do nothing. All of these options have pros and cons.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert Z42.1 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
V51.0 Brst reconst fol mastect
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About Z42.1Overview

Is Z42.1 a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report encounter for breast reconstruction following mastectomy on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does Z42.1 group to?

When encounter for breast reconstruction following mastectomy is the principal diagnosis on an inpatient stay, it groups to MS-DRG 606, 607, with relative weights from 0.9064 to 1.5132 depending on complications. Higher weights mean higher Medicare reimbursement.

Who can Z42.1 be reported for?

The Medicare Code Editor checks encounter for breast reconstruction following mastectomy against patient demographics: this code is intended for adult patients (age 15 through 124). Claims outside these limits are flagged as inconsistent.

Is Z42.1 exempt from POA reporting?

Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for encounter for breast reconstruction following mastectomy on inpatient claims.

What is the ICD-9 equivalent of Z42.1?

Under the General Equivalence Mappings, encounter for breast reconstruction following mastectomy converts to ICD-9-CM V51.0 (brst reconst fol mastect). The mapping is a direct match.