Other Disorders of Breast

Effective October 1, 2008, new codes have been created to describe ptosis of the breast, hypoplasia of the breast, capsular contracture of a breast implant, and other specified disorders of the breast. Breast ptosis or sagging breasts (611.81) can result from loosening of the skin and suspensory ligaments. Ptosis can also develop because of a reduction in the volume of breast tissue following weight loss or pregnancy. There are varying degrees of breast ptosis and different surgical techniques to lift the breasts. Some women may undergo a limited breast lift for correction, while others may require a full...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article covers an ICD-9-CM update effective October 1, 2008 involving newly created breast disorder codes and related code reorganizations. It is aimed at coders, compliance staff, and clinical documentation teams who need to track diagnosis-code changes for breast ptosis, hypoplasia, implant-related complications, and other specified breast disorders. The discussion focuses on the scope of the updated categories, the clinical contexts they represent, and the code set changes that accompany the revision.

Why This Topic Matters

Understanding this update helps coding and documentation teams recognize how breast-related diagnoses were reorganized in ICD-9-CM effective October 1, 2008 and how those changes affect selection among the revised breast disorder categories.

Article Sections

  1. Overview of the October 1, 2008 update

    Introduces the diagnosis-code revision and the broad breast-related condition categories included in the update.

  2. Breast ptosis

    Describes the general clinical context for breast sagging and the related code category added in the update.

  3. Breast hypoplasia

    Summarizes the underdevelopment category and the associated code addition discussed in the article.

  4. Capsular contracture of a breast implant

    Covers the implant-related complication category introduced in the revision and its clinical context.

  5. Revised code listing for other specified disorders of the breast

    Presents the updated breast disorder code group and the related categories that were retained, deleted, or newly identified.

What You Will Learn

  • Which breast disorder categories were newly added or reorganized in the 2008 diagnosis-code update.
  • How the article frames the clinical scope of breast ptosis, breast hypoplasia, and implant-related complications.
  • What broad types of breast conditions remain grouped under the revised other specified disorders category.
  • How the update is tied to the ICD-9-CM diagnosis code set and its effective date.

Who Should Read This

  • Medical coders
  • Coding auditors
  • Compliance professionals
  • Clinical documentation staff
  • Revenue cycle teams

Codes Discussed

  • ICD-9-CM: 611.81
  • ICD-9-CM: 611.82
  • ICD-9-CM: 611.83
  • ICD-9-CM: 611.8
  • ICD-9-CM: 611.89
  • ICD-9-CM: 612.1

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