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2025 ICD-10-CM code I97.2

Postmastectomy lymphedema syndrome.This condition involves swelling due to lymphatic system blockage after mastectomy.

Medical necessity for treatment of postmastectomy lymphedema syndrome is established when the condition significantly impacts the patient's quality of life or function.This may involve impaired mobility, pain, recurrent infections, or skin breakdown.The medical record should clearly demonstrate the severity of symptoms and their impact on daily activities to justify treatment interventions, including compression therapy, manual lymphatic drainage, or other appropriate modalities.

In simple words: Swelling in the arm or chest after breast removal surgery, caused by a blockage in the body's fluid drainage system.

Postmastectomy lymphedema syndrome is a condition characterized by swelling in the arm or chest area following a mastectomy. This swelling is caused by a blockage in the lymphatic system, which is responsible for draining fluid from tissues throughout the body.The mastectomy procedure can disrupt lymphatic vessels and nodes, leading to an accumulation of lymph fluid and resultant swelling.

Example 1: A 55-year-old female patient presents with persistent swelling in her right arm two months following a radical mastectomy for breast cancer. She is diagnosed with postmastectomy lymphedema syndrome (I97.2). , A 60-year-old woman who underwent a bilateral mastectomy five years prior experiences recurrent swelling and tightness in her chest and both arms, consistent with postmastectomy lymphedema syndrome (I97.2). , A 48-year-old female patient with a history of modified radical mastectomy develops unilateral arm swelling along with skin changes and discomfort. Diagnosis of postmastectomy lymphedema syndrome (I97.2) is confirmed, and treatment options are explored.

Diagnosis of postmastectomy lymphedema syndrome requires documentation of swelling in the affected area following a mastectomy. Physical examination findings, patient-reported symptoms (such as pain, tightness, or heaviness), and imaging studies (like lymphoscintigraphy) may be used to confirm the diagnosis.It's crucial to differentiate it from other causes of swelling.

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