Organization

Field Name

ID

Required

KCR

Recon Breast (ReconBreast)

50137

Yes

NAACCR

RX Sum-Recon Breast

1335

Yes


Field Length:  4

Description:

Previously collected for 2022 cases (STORE)

Breast Reconstruction, effective 01/01/2024, describes the reconstruction procedure immediately following resection of the breast.

Breast reconstruction was previously collected within the breast surgery codes. CoC will collect this data item to support the Synoptic Operative Reports and allow for more descriptive reconstruction codes.


Code

Description

A000

No Reconstruction

No immediate reconstruction was performed at any facility

A100

Tissue expander placement

Tissue expanders were placed without implant or tissue placement

A200

Direct to implant placement

Permanent implant is placed immediately following resection

Example: A mastectomy is performed by the breast surgeon and

an implant is placed at the same time by a plastic surgeon

(some general /breast surgeons may place implants,

but most are placed by plastics)

A300

Oncoplastic tissue rearrangement (not a formal mastopexy/reduction)

Reconstruction performed with parenchymal flap or adjacent tissue transfer

A400

Oncoplastic reduction and/or mastopexy

Breast conserving resection and a breast reduction/lift is performed

A500

Oncoplastic reconstruction with regional tissue flaps

Breast conserving resection and reconstruction is performed with skin flaps

A600

Mastectomy reconstruction with autologous tissue, source not specified

Autologous tissue source is unknown or not specified

A610Mastectomy reconstruction WITH abdominal tissue
A620Mastectomy reconstruction WITH thigh tissue
A630Mastectomy reconstruction WITH gluteal tissue
A640Mastectomy reconstruction WITH back tissue
A900Reconstruction performed, method unknown
A970Implant based reconstruction, NOS
A980Autologous tissue-based reconstruction, NOS
A990Unknown if immediate reconstruction performed

Coding Instructions

1. Immediate reconstruction is defined as reconstruction performed during the same operative session as the operative procedure coded in Surgery of Primary Site 2023 (NAACCR Item #1291)

2. One surgeon can perform the surgical resection to primary site and another surgeon can perform the reconstruction during the same operative session. As long as reconstruction was done during the same operative session, an immediate reconstruction code should be assigned.

3. Assign the breast reconstruction code for breast primaries with a date of diagnosis 01/01/2024 and forward

4. Code only the ipsilateral breast reconstruction

5. Do not record reconstruction performed on a different day than the breast primary definitive resection

6. Assign code A000 if the reconstruction was started but not completed

7. Assign code A300 when patient has reconstruction performed with parenchymal flap or adjacent tissue transfer

8. Information for codes A600-A900 may be found in the Breast Plastic Reconstructive operative report

9. Oncoplastic surgery is typically performed by the surgeon but sometimes found in the Breast Plastic Reconstructive operative note