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. Author manuscript; available in PMC: 2017 May 1.
Published in final edited form as: J Am Coll Surg. 2016 Feb 5;222(5):844–852.e1. doi: 10.1016/j.jamcollsurg.2016.01.050
Operative Category ICD-9-CM Procedure Code CPT-4 or HCPCS Procedure
Code
Mastectomy* 85.41–85.48 19180, 19200–19240, 19303,
19305–19307
Breast implant 85.33, 85.35, 85.53, 85.54, 85.95 19325, 19340, 19342, 19357
Flap reconstruction 85.7–85.79, 85.85 19361, 19364, 19367–19369,
S2066–S2068

CPT-4 indicates Current Procedural Terminology, 4th edition; HCPCS, Healthcare Common Procedure Coding System; ICD-9-CM, International Classification of Diseases, 9th Revision, Clinical Modification.

*

For mastectomy coded by facility- or provider-only, a code for anesthesia (CPT-4 00400– 00406), pathology (CPT-4 88307, 88309), or a surgery revenue code (Uniform Billing 0201, 0360, 0361, 0369, 0370, 0379, 0490, 0499, 0963, 0964, 0975) was required as evidence for surgery.