| Item # | Length | Source of Standard | Year Implemented | Version Implemented | Year Retired | Version Retired |
|---|---|---|---|---|---|---|
| 751 | 4 | CoC | 2024 | 24 |
Used to collect information on immediate breast reconstruction.
Breast reconstruction was previously collected within the breast surgery codes. CoC will collect this data item to support the Synoptic Operative Reports and allow for more descriptive reconstruction codes.
| A000 | No reconstruction No immediate reconstruction was performed at this facility |
| A100 | Tissue expanded placement Tissue expanders were placed without implant or tissue placement |
| A200 | Direct to implant placement Permanent implant is placed immediately following resection Example: A mastectomy is performed by the breast surgeon and an implant is placed at the same time by a plastic surgeon (some general /breast surgeons may place implants, but most are placed by plastics) |
| A300 | Oncoplastic tissue rearrangement (not a formal mastopexy/reduction) Reconstruction performed with parenchymal flap or adjacent tissue transfer |
| A400 | Oncoplastic reduction and/or mastopexy Breast conserving resection and a breast reduction/lift is performed |
| A500 | Oncoplastic reconstruction with regional tissue flaps Breast conserving resection and reconstruction is performed with skin flaps |
| A600 | Mastectomy reconstruction with autologous tissue, source not specified Autologous tissue source is unknown or not specified |
| A610 | Mastectomy reconstruction WITH abdominal tissue |
| A620 | Mastectomy reconstruction WITH thigh tissue |
| A630 | Mastectomy reconstruction WITH gluteal tissue |
| A640 | Mastectomy reconstruction WITH back tissue |
| A900 | Reconstruction performed, method unknown |
| A970 | Implant based reconstruction, NOS |
| A980 | Autologous tissue-based reconstruction, NOS |
| A990 | Unknown if immediate reconstruction was performed |