Mrs. Mustin undergoes insertion of a left custom breast prosthesis 3 months after a mastectomy for breast cancer. The patient needed to undergo radiation to that area prior to the insertion of the prosthesis. Select the appropriate ICD-10-CM and CPT code(s):

Question

Quizplus · Accepted Answer

The ICD-10-CM code Z85.3 is used for a personal history of malignant neoplasm of the breast, indicating the patient had breast cancer. The CPT code 19342 is for the insertion of a breast prosthesis following mastectomy. The CPT code 19396 is for the custom breast prosthesis, which is appropriate given the scenario.

Mrs Mustin Undergoes Insertion of a Left Custom Breast Prosthesis