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ICD-10/Z90.12

Z90.12 ICD-10-CM Code: Acquired absence of left breast and nipple

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 951 — OTHER FACTORS INFLUENCING HEALTH STATUS (MDC 23)

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

Acquired absence of left breast and nipple is a billable ICD-10-CM diagnosis code (Z90.12).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for Z90.12 in the official ICD-10-CM tabular list.

Includes

Conditions the official ICD-10-CM tabular list includes under this code.

  • postprocedural or post-traumatic loss of body part NEC

Excludes1 — Not Coded Here

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

  • congenital absence - see Alphabetical Index

Excludes2 — Not Included Here

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

  • postprocedural absence of endocrine glands (E89.-)

Code Also

Additional codes that may be required to fully describe the encounter.

  • any follow-up examination (Z08-Z09)

Nearest Codes in This Family

Official ICD-10-CM classifications closest to Z90.12 in its code family, with their registry titles.

  • Z90.02 — Acquired absence of larynx
  • Z90.09 — Acquired absence of other part of head and neck
  • Z90.1 — Acquired absence of breast and nipple
  • Z90.10 — Acquired absence of unspecified breast and nipple
  • Z90.11 — Acquired absence of right breast and nipple
  • Z90.13 — Acquired absence of bilateral breasts and nipples
  • Z90.2 — Acquired absence of lung [part of]
  • Z90.3 — Acquired absence of stomach [part of]
  • Z90.4 — Acquired absence of other specified parts of digestive tract
  • Z90.41 — Acquired absence of pancreas

View all codes in the Z90 family