Deformity of reconstructed breast

This code represents any abnormal shape, contour, or structural irregularity of a breast that has undergone reconstructive surgery. This can include issues such as asymmetry, rippling, capsular contracture, or malposition of the reconstructed tissue or implant. It indicates a complication or unsatisfactory outcome related to the breast reconstruction itself, rather than a primary breast disease.

Use this code when documentation clearly indicates a patient presents with or is being treated for a physical deformity of a previously reconstructed breast. This applies whether the reconstruction involved implants, autologous tissue, or a combination. Supporting documentation should describe the specific nature of the deformity and its relation to the prior reconstructive procedure.

• Always sequence this code after the primary reason for the encounter, if applicable (e.g., for evaluation of the deformity).
• Do not confuse with codes for complications of breast implants (T85.4-) or other complications of surgical procedures (T81.-) unless the deformity is explicitly linked to such a complication.
• Ensure documentation specifies "reconstructed breast" to differentiate from deformities of native breasts.