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Table 1 Procedure codes used in this analysis

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

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 2005-2009α
Breast conserving surgery 85.22, 85.23 19160, 19162, 19301, 19302 259, 260 Any BCS occurring during diagnosis years 2005-2009α
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
  1. Abbreviations: CPT, current procedural terminology; ICD, International Classification of Diseases; DRG, Diagnosis Related Groups.
  2. αTime frame for calculation of breast surgery volume.