Reconstruction

See the current version of the SEER Program Coding Manual under Reporting Guidelines, Section VII: First course of therapy for complete coding instructions for this data item.

Breast reconstruction is often done at the same time as surgery, especially when a mastectomy is performed. Reconstruction for the bilateral breast is recorded in a different data item.

• Breast Reconstruction [NAACCR Item # 1335]
  • This data item is coded for a reconstruction procedure immediately following the resection of the breast (same operative session).
    • This data item is not coded if the patient has reconstruction in a different operative session.
  • This data item is restricted to only the ipsilateral breast.

There are several different types of reconstruction

• Tissue expander (Note: These are temporary and will be removed and replaced with a permanent implant)
• Implant placement (permanent implant)
• Oncoplastic tissue rearrangement, reduction, mastopexy, and/or flaps
• Breast conserving resection and reconstruction performed with skin flaps, parenchymal flap or adjacent tissue transfer
• Mastectomy reconstruction with skin flap
• Deep inferior epigastric perforator (DEIP) flap

Document Reconstruction details in NAACCR Item # 2610: Text-Dx Proc-Surg

Updated: January 10, 2025