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Z90.11

Billable

Acquired absence of right breast and nipple

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A person who has had their right breast surgically removed, usually due to cancer, injury, or risk reduction.

Coding Tips

  • Always specify laterality (right) in documentation; this code is more specific than Z90.10
  • Document whether this is unilateral or if the patient has had bilateral procedures (use Z90.13 if both)

Code Hierarchy

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