Deformity and disproportion of reconstructed breast
Chapter 14:Diseases of the genitourinary system
ICD-10 N65 is a billable code used to indicate a diagnosis of deformity and disproportion of reconstructed breast.
Deformity and disproportion of the reconstructed breast refers to the abnormal shape or size of a breast that has undergone surgical reconstruction, often following mastectomy due to cancer or other conditions. This deformity can arise from various factors, including inadequate tissue expansion, complications during the healing process, or the use of implants that do not match the natural breast's contour. Patients may experience psychological distress due to the aesthetic outcomes of their reconstruction, which can impact their quality of life. The condition may also be associated with benign breast diseases such as mastitis, which can complicate the healing process, or breast hypertrophy, which may necessitate further surgical intervention. Accurate coding requires a thorough understanding of the patient's surgical history, the nature of the deformity, and any associated conditions that may influence treatment options. Documentation should detail the specifics of the reconstruction, any complications encountered, and the patient's overall health status to ensure appropriate coding and billing.
Detailed operative reports, pre-operative assessments, and post-operative follow-ups are essential for accurate coding.
Reconstruction after mastectomy, correction of asymmetry, and management of complications.
Documenting the specific type of reconstruction (e.g., flap vs. implant) and any complications encountered is crucial.
Comprehensive cancer treatment history, including mastectomy details and any adjuvant therapies.
Patients undergoing reconstruction post-mastectomy due to breast cancer.
Understanding the oncological context is vital for accurate coding and treatment planning.
Used during the initial reconstruction phase.
Operative report detailing the procedure and any complications.
Plastic surgeons must document the specifics of the reconstruction technique used.
Documentation must include details of the surgical history, the nature of the deformity, and any associated conditions. Operative reports and follow-up notes are essential.
