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ICD-10/Z42.1

Z42.1 ICD-10-CM Code: Encounter for breast reconstruction following mastectomy

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Inpatient Payment Groups (MS-DRG)

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0 (FY2026), Appendix B.

  • MS-DRG 606 — MINOR SKIN DISORDERS WITH MCC (MDC 09)
  • MS-DRG 607 — MINOR SKIN DISORDERS WITHOUT MCC (MDC 09)

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Code Set: Valid FY2026 and FY2027. FY2026 took effect October 1, 2025.

Official Registry Overview & Definition

Encounter for breast reconstruction following mastectomy is a billable ICD-10-CM diagnosis code (Z42.1).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for Z42.1 in the official ICD-10-CM tabular list.

Excludes1 — Not Coded Here

Conditions that can never be reported with this code; the two are mutually exclusive.

  • deformity and disproportion of reconstructed breast (N65.1-)
  • encounter for cosmetic plastic surgery (Z41.1)
  • encounter for plastic surgery for treatment of current injury - code to relevent injury

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

  • follow-up examination for medical surveillance after treatment (Z08-Z09)

Nearest Codes in This Family

Official ICD-10-CM classifications closest to Z42.1 in its code family, with their registry titles.

  • Z42 — Encounter for plastic and reconstructive surgery following medical procedure or healed injury
  • Z42.8 — Encounter for other plastic and reconstructive surgery following medical procedure or healed injury

View all codes in the Z42 family

Indexed Clinical Terms (2)

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.

  • Admission (for), breast reconstruction following mastectomy
  • Encounter (with health service) (for), breast reconstruction following mastectomy