The influence of race/ethnicity and place of service on breast reconstruction for Medicare beneficiaries with mastectomy

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Table 1 Procedure codes used in this analysis

Procedure	ICD-9 Procedure Codes	CPT Codes	DRG Codes	Time Interval
Mastectomy	85.3, 85.33-85.36, 85.4, 85.41-85.48, V51.0	19180, 19182, 19200, 19240, 19303-19307	257, 258, 582, 583	Breast cancer diagnosis date + 6 months/Any mastectomy occurring during diagnosis years 2005-2009^α
Breast conserving surgery	85.22, 85.23	19160, 19162, 19301, 19302	259, 260	Any BCS occurring during diagnosis years 2005-2009^α
Reconstruction
Implant	85.33, 85.35, 85.53, 85.54, 85.6, 85.89, 85.93-85.95	19340, 19342		Mastectomy + 6 months
Flap	85.7, 85.70-85.76, 85.79, 85.82-85.85, 85.87, 86.60, 86.70, 86.72, 86.74, 86.75			Mastectomy + 6 months
Tissue Expander	85.96	19357		Mastectomy + 6 months
Autologous		19350, 19361, 19364, 19366-19369		Mastectomy + 6 months

Abbreviations: CPT, current procedural terminology; ICD, International Classification of Diseases; DRG, Diagnosis Related Groups.
^αTime frame for calculation of breast surgery volume.