Disproportion of reconstructed breast
ICD-10 N65.1 is a billable code used to indicate a diagnosis of disproportion of reconstructed breast.
Disproportion of reconstructed breast refers to an imbalance in size, shape, or symmetry of a breast that has undergone surgical reconstruction, often following mastectomy or lumpectomy due to breast cancer or other conditions. This condition can arise from various factors, including the surgical technique used, the type of implant or tissue used for reconstruction, and the healing process. Patients may experience dissatisfaction with the aesthetic outcome, which can lead to psychological distress. The condition may also be associated with complications such as capsular contracture, asymmetry, or changes in breast tissue over time. Accurate diagnosis and coding are essential for appropriate management and potential corrective procedures. It is important for healthcare providers to document the specifics of the reconstruction, any complications, and the patient's concerns to ensure proper coding and reimbursement.
Detailed operative reports, patient history, and follow-up assessments.
Post-mastectomy reconstruction, corrective surgeries for asymmetry.
Documentation must include specifics about the type of reconstruction and any complications.
Comprehensive cancer treatment history, including mastectomy details.
Patients undergoing reconstruction after breast cancer treatment.
Ensure that the cancer treatment history is well-documented to support the reconstruction coding.
Used when performing reconstructive surgery after mastectomy.
Operative report detailing the procedure and any complications.
Plastic surgeons must document the type of reconstruction performed.
Documentation must include details of the surgical procedure, any complications, patient-reported outcomes, and clinical assessments that support the diagnosis of disproportion.
