Z90.12
Z90.12: Acquired absence of left breast and nipple
Billable / specific codeICD-10-CMPOA exemptleft
Z90.12 is a billable, specific ICD-10-CM code for acquired absence of left breast and nipple. It is valid for submission on a claim.
Check Z90.12 with the rest of the claim: free scrubberExcludes1 inherited from the categories above Z90.12
A category’s note binds every code beneath it.
Written on Z90: Acquired absence of organs, not elsewhere classified
- congenital absence - see Alphabetical Index
Excludes2 inherited from the categories above Z90.12
Not part of this code, but both may be coded when both are present.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
Z90.12 is named in 4 Medicare coverage policies: 4 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52478External Breast Prostheses - Policy Article
- A56658Billing and Coding: Cosmetic and Reconstructive Surgery
- A58774Billing and Coding: Cosmetic and Reconstructive Surgery
- A59299Billing and Coding: Cosmetic and Reconstructive Surgery
Code history
Unchanged in every release from FY2024 to FY2027.