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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 |
| A610 | Mastectomy reconstruction WITH abdominal tissue |
| A620 | Mastectomy reconstruction WITH thigh tissue |
| A630 | Mastectomy reconstruction WITH gluteal tissue |
| A640 | Mastectomy reconstruction WITH back tissue |
| A900 | Reconstruction performed, method unknown |
| A970 | Implant based reconstruction, NOS |
| A980 | Autologous tissue-based reconstruction, NOS |
| A990 | Unknown if immediate reconstruction performed |
Coding Instructions
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