Deformity of reconstructed breast
ICD-10 N65.0 is a billable code used to indicate a diagnosis of deformity of reconstructed breast.
Deformity of reconstructed breast refers to the abnormal shape or contour of a breast that has undergone surgical reconstruction, often following mastectomy due to breast cancer or other conditions. This deformity can arise from various factors, including inadequate tissue expansion, complications during the surgical procedure, or post-operative complications such as infection or scarring. Patients may experience psychological distress due to the aesthetic impact of the deformity, which can affect their quality of life. The condition may also be associated with other benign breast diseases, such as mastitis, which can complicate the healing process and further alter the breast's appearance. Accurate diagnosis and coding are essential for appropriate management and potential corrective procedures, which may include further surgical interventions to restore the breast's shape and symmetry. Understanding the underlying causes and associated conditions is crucial for effective treatment planning and patient counseling.
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.
Documentation must clearly outline the surgical techniques used and any complications encountered.
Comprehensive cancer treatment history, including mastectomy details and any adjuvant therapies.
Patients undergoing breast reconstruction post-cancer treatment and managing related complications.
Ensure that the cancer diagnosis is clearly linked to the reconstruction procedure.
Used when a patient undergoes reconstruction after mastectomy.
Operative report detailing the reconstruction technique and any complications.
Plastic surgeons must document the rationale for reconstruction and any associated deformities.
Documentation must include a detailed surgical history, operative reports, and any complications or associated conditions that may affect the breast reconstruction outcome.
