ICD-10-CM Z42.1: Encounter for breast reconstruction following mastectomy

ICD-10-CM Diagnosis Code (2025)

Official Description for Z42.1

Encounter for breast reconstruction following mastectomy

Coding Notes & Guidelines for Z42.1

Excludes1: Not Coded Here

deformity and disproportion of reconstructed breast (N65.1-)

Parent Code (Less Specific):

About ICD-10-CM Code Z42.1 (Encounter for breast reconstruction following mastectomy)

ICD-10-CM code Z42.1 is a billable or specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2025 edition of ICD-10-CM Z42.1 became effective on October 1, 2024.

This page provides detailed information about Z42.1 - Encounter for breast reconstruction following mastectomy. It includes common terminology, coding guidelines such as "Includes," "Excludes1," and "Excludes2" notes, and information on required 7th characters. Utilizing this information correctly is essential for accurate medical coding and claims submission for conditions like Encounter for breast reconstruction following mastectomy.