Disproportion of reconstructed breast

This code signifies an aesthetic or structural imbalance of a breast that has undergone reconstructive surgery. This disproportion can manifest as differences in size, shape, or position between the reconstructed breast and the contralateral breast, or an unsatisfactory outcome of the reconstructed breast itself. It indicates a complication or unsatisfactory result following breast reconstruction.

Use this code when documentation clearly states a patient presents with an asymmetry or unsatisfactory appearance of a reconstructed breast. This often occurs post-mastectomy reconstruction (e.g., implant-based, DIEP flap) when the patient or surgeon identifies a lack of symmetry or an undesirable aesthetic outcome requiring further intervention or evaluation.

• Do not use for complications related to the implant itself (e.g., rupture, displacement); those have specific codes.
• This code is typically a secondary diagnosis, with the primary diagnosis often related to the reason for the original reconstruction or the need for revision.
• Ensure documentation specifies "reconstructed breast" to differentiate from congenital or naturally occurring breast asymmetry.