Table 1 ICD-9CM codes for conservative, reconstructive and mastectomy interventions
Type of intervention | Old algorithm’s HDR codes | New algorithm’s HDR codes |
|---|---|---|
Conservative | 85.2* Excision or destruction of breast tissue or 85.3* Reduction mammoplasty and subcutaneous mammectomy | 85.2* Excision or destruction of breast tissue or 85.31 Unilateral reduction mammoplasty or 85.32 Bilateral reduction mammoplasty or |
Reconstructive | 85.4* + 85.53 Unilateral breast implant or 85.4* + 85.54 Bilateral breast implant or 85.4* + 85.95 Insertion of breast tissue expander or 85.33 Unilateral subcutaneous mammectomy with synchronous implant or 85.35 Bilateral subcutaneous mammectomy with synchronous implant 85.34 Other unilateral subcutaneous mammectomy or + 85.53/85.54/85.95 85.36 Other bilateral subcutaneous mammectomy + 85.53/85.54/85.95 | |
Mastectomy | 85.4* Mastectomy | 85.4* Mastectomy |