ICD-10 code for Postmastectomy lymphedema

The ICD-10-CM code for Postmastectomy lymphedema is I97.2 (Postmastectomy lymphedema syndrome).

Within I97 (intraoperative and postprocedural complications and disorders of circulatory system, not elsewhere classified), I97.2 is specifically for Postmastectomy lymphedema syndrome. Related codes cover Postcardiotomy syndrome (I97.0), other postprocedural cardiac functional disturbances (I97.1), postprocedural hypertension (I97.3), intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating a procedure (I97.4), accidental puncture and laceration of a circulatory system organ or structure during a procedure (I97.5), postprocedural hemorrhage, hematoma and seroma of a circulatory system organ or structure following a procedure (I97.6), intraoperative cardiac functional disturbances (I97.7) and other intraoperative and postprocedural complications and disorders of the circulatory system, not elsewhere classified (I97.8).

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 600 (Non-Malignant Breast Disorders with CC/MCC, relative weight 0.9975) and DRG 601 (Non-Malignant Breast Disorders without CC/MCC, relative weight 0.6017), in MDC 09 (Diseases and Disorders of the Skin, Subcutaneous Tissue and Breast), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.