Klinik für Frauenheilkunde und Geburtshilfe

Illnesses according to ICD

Service ICD number Number of cases Info
Liveborn infants according to place of birth Z38.0 1.243
Premature rupture of membranes O42.0 375
Maternal care for known or suspected abnormality of pelvic organs O34.2 192
Prolonged pregnancy O48 171
Malignant neoplasm of breast C50.4 158
Disorders related to long gestation and high birth weight - Other heavy for gestational age newborn P08.1 156
Perineal laceration during delivery - First degree perineal laceration during delivery O70.0 128
Perineal laceration during delivery - Second degree perineal laceration during delivery O70.1 116
Single spontaneous delivery O80 110
Disorders related to long gestation and high birth weight P08.2 108
Birth asphyxia P21.1 100
Slow fetal growth and fetal malnutrition P05.0 95
Maternal care for other conditions predominantly related to pregnancy O26.88 91
Labour and delivery complicated by fetal stress distress O68.0 83
Disorders related to short gestation and low birth weight not elsewhere classified P07.12 77
Other obstructed labour - Other specified obstructed labor O66.8 71
Diabetes mellitus in pregnancy O24.4 66
Other obstetric trauma - Obstetric trauma unspecified O71.9 65
Premature rupture of membranes O42.11 63
Other obstetric trauma O71.8 62
Preterm labour O60.0 61
Malignant neoplasm of corpus uteri - Malignant neoplasm of endometrium C54.1 59
Malignant neoplasm of breast C50.9 56
Excessive vomiting in pregnancy - Mild hyperemesis gravidarum O21.0 54
Care of the mother because of other identified or suspected complications in the unborn child in the womb O36.6 53
Benign neoplasm of ovary D27 52
Malignant neoplasm of breast C50.8 51
Care of the mother because of other identified or suspected complications in the unborn child in the womb O36.5 51
Disorders related to short gestation and low birth weight not elsewhere classified P07.3 51
Maternal care for known or suspected abnormality of pelvic organs O34.38 48
Antepartum haemorrhage not elsewhere classified O46.8 47
Preterm labour O60.1 46
Gestational pregnancy-induced hypertension with significant proteinuria O14.0 41
Malignant neoplasm of breast C50.1 39
Noninflammatory disorders of ovary fallopian tube and broad ligament N83.2 39
Malignant neoplasm of breast C50.5 38
Carcinoma in situ of breast D05.1 38
Obstacle to birth due to irregularity of position posture or attitude of the unborn child O64.1 38
Malignant neoplasm of breast C50.2 34
Labour and delivery complicated by fetal stress distress O68.1 33
Care of the mother because of other identified or suspected complications in the unborn child in the womb O36.8 32
Other disorders of amniotic fluid and membranes O41.0 29
Maternal care for other conditions predominantly related to pregnancy O26.81 28
Leiomyoma of uterus - Intramural leiomyoma of uterus D25.1 27
Other complications of labour and delivery not elsewhere classified O75.7 27
Disorders related to long gestation and high birth weight - Exceptionally large newborn baby P08.0 27
Labour and delivery complicated by fetal stress distress O68.2 26
Abnormal findings on antenatal screening of mother - Other abnormal findings on antenatal screening of mother O28.8 24
Labour and delivery complicated by umbilical cord complications O69.1 24
Intrauterine hypoxia P20.1 24
Maternal care for known or suspected abnormality of pelvic organs - Maternal care for cervical incompetence unspecified trimester O34.30 23
Other maternal diseases classifiable elsewhere but complicating pregnancy childbirth and the puerperium O99.0 23
Excessive frequent and irregular menstruation - Excessive and frequent menstruation with regular cycle N92.0 22
Postpartum care and examination - Encounter for care and examination of mother immediately after delivery Z39.0 22
Malignant neoplasm of ovary C56 20
Spontaneous abortion - Delayed or excessive hemorrhage following incomplete spontaneous abortion O03.1 18
Maternal infectious and parasitic diseases classifiable elsewhere but complicating pregnancy childbirth and the puerperium O98.8 18
Menopausal and other perimenopausal disorders - Postmenopausal bleeding N95.0 17
Medical abortion O04.9 17
Multiple gestation O30.0 17
Salpingitis and oophoritis N70.0 16
Gestational pregnancy-induced hypertension without significant proteinuria O13 16
Perineal laceration during delivery O70.2 16
Female genital prolapse - Incomplete uterovaginal prolapse N81.2 15
Other maternal diseases classifiable elsewhere but complicating pregnancy childbirth and the puerperium O99.6 15
Respiratory distress of newborn - Other respiratory distress of newborn P22.8 15
Congenital deformities of hip Q65.8 15
Leiomyoma of uterus - Leiomyoma of uterus unspecified D25.9 14
Female genital prolapse - Uterovaginal prolapse unspecified N81.4 14
Ectopic pregnancy O00.1 14
Infections of genitourinary tract in pregnancy O23.0 14
Care of the mother if the fetus is found or suspected to have an abnormal position or setting O32.8 14
Malignant neoplasm of breast C50.3 13
Inflammatory disorders of breast N61 13
Haemorrhage in early pregnancy - Threatened abortion O20.0 13
Intrauterine hypoxia P20.9 13
Other neonatal hypoglycemia P70.4 13
Abdominal and pelvic pain R10.3 13
Hypertrophy of breast N62 12
Gestational pregnancy-induced hypertension with significant proteinuria O14.1 12
Other puerperal infections O86.0 12
Complications of other internal prosthetic devices implants and grafts T85.82 12
Endometriosis - Endometriosis of ovary N80.1 11
Female genital prolapse N81.1 11
Excessive frequent and irregular menstruation - Excessive and frequent menstruation with irregular cycle N92.1 11
Maternal care for other conditions predominantly related to pregnancy O26.60 11
Benign neoplasm of breast D24 10
Complete placenta previa with hemorrhage unspecified trimester O44.10 10
Liveborn infants according to place of birth Z38.3 10
Female genital prolapse - Complete uterovaginal prolapse N81.3 9
Infections of genitourinary tract in pregnancy O23.5 9
Preterm labour O60.2 9
Obstacle to birth due to irregularity of position posture or attitude of the unborn child O64.0 9
Puerperal sepsis O85 9
Other maternal diseases classifiable elsewhere but complicating pregnancy childbirth and the puerperium O99.5 9
Malignant neoplasm of cervix uteri - Malignant neoplasm of overlapping sites of cervix uteri C53.8 8
Neoplasm of uncertain or unknown behaviour of female genital organs D39.1 8
Endometriosis - Endometriosis of uterus N80.0 8
Other abnormal products of conception - Missed abortion O02.1 8
Medical abortion O04.4 8
Complications following abortion and ectopic and molar pregnancy - Delayed or excessive hemorrhage following ectopic and molar pregnancy O08.1 8
Excessive vomiting in pregnancy - Hyperemesis gravidarum with metabolic disturbance O21.1 8
Infections of breast associated with childbirth O91.20 8
Other maternal diseases classifiable elsewhere but complicating pregnancy childbirth and the puerperium O99.3 8
Carcinoma in situ of other and unspecified genital organs - Carcinoma in situ of vulva D07.1 7
Noninflammatory disorders of ovary fallopian tube and broad ligament N83.5 7
Polyp of female genital tract - Polyp of corpus uteri N84.0 7
Other noninflammatory disorders of uterus except cervix N85.1 7
Excessive frequent and irregular menstruation - Excessive bleeding in the premenopausal period N92.4 7
Care of the mother if the fetus is found or suspected to have an abnormal position or setting O32.1 7
Maternal care for known or suspected abnormality of pelvic organs O34.1 7
Polyhydramnios O40 7
False labour - False labor at or after 37 completed weeks of gestation O47.1 7
Other maternal diseases classifiable elsewhere but complicating pregnancy childbirth and the puerperium O99.8 7
Hypothermia of newborn - Other hypothermia of newborn P80.8 7
Liveborn infants according to place of birth - Single liveborn infant born outside hospital Z38.1 7
Malignant neoplasm of vulva - Malignant neoplasm of overlapping sites of vulva C51.8 6
Leiomyoma of uterus - Submucous leiomyoma of uterus D25.0 6
Premature rupture of membranes O42.9 6
Complications of the puerperium not elsewhere classified O90.8 6
Other maternal diseases classifiable elsewhere but complicating pregnancy childbirth and the puerperium O99.4 6
Complications of procedures not elsewhere classified T81.8 6
Complications of other internal prosthetic devices implants and grafts T85.4 6
Malignant neoplasm of cervix uteri - Malignant neoplasm of cervix uteri unspecified C53.9 5
Diseases of Bartholin gland - Abscess of Bartholins gland N75.1 5
Other inflammation of vagina and vulva - Abscess of vulva N76.4 5
Spontaneous abortion - Incomplete spontaneous abortion without complication O03.4 5
Unspecified abortion O06.1 5
Care of the mother if anomaly is found or suspected or if the fetus is damaged O35.8 5
Care of the mother because of other identified or suspected complications in the unborn child in the womb O36.4 5
Complete placenta previa NOS or without hemorrhage first trimester O44.01 5
Long labour - Prolonged first stage of labor O63.0 5
Complications of procedures not elsewhere classified T81.0 5
Complications of other internal prosthetic devices implants and grafts T85.78 5
Malignant neoplasm of vulva - Malignant neoplasm of labium majus C51.0 4
Malignant neoplasm of corpus uteri - Malignant neoplasm of overlapping sites of corpus uteri C54.8 4
Carcinoma in situ of breast D05.9 4
Spontaneous abortion - Complete or unspecified spontaneous abortion without complication O03.9 4
Medical abortion O04.1 4
Pre-existing hypertension complicating pregnancy childbirth and the puerperium O10.0 4
Maternal care for other conditions predominantly related to pregnancy O26.7 4
Maternal care for known or suspected disproportion O33.5 4
Other disorders of amniotic fluid and membranes O41.1 4
Premature rupture of membranes O42.29 4
Obstacle to birth due to irregularity of position posture or attitude of the unborn child O64.4 4
Other obstructed labour - Obstructed labor due to shoulder dystocia O66.0 4
Labour and delivery complicated by umbilical cord complications O69.8 4
Birth asphyxia P21.0 4
Other infections specific to the perinatal period - Infection specific to the perinatal period unspecified P39.9 4
Complications of other internal prosthetic devices implants and grafts T85.73 4
Follow-up care involving plastic surgery - Encounter for breast reconstruction following mastectomy Z42.1 4
Diarrhoea and gastroenteritis of presumed infectious origin A09.9 not specified
Other septicaemia - Sepsis due to Escherichia coli E. coli A41.51 not specified
Erysipelas A46 not specified
Bacterial infection of unspecified site - Bacterial infection unspecified A49.9 not specified
Gonococcal infection A54.2 not specified
Malignant neoplasm of colon - Malignant neoplasm of transverse colon C18.4 not specified
Malignant neoplasm of colon - Malignant neoplasm of sigmoid colon C18.7 not specified
Malignant neoplasm of rectum C20 not specified
Malignant neoplasm of gallbladder C23 not specified
Malignant neoplasm of bronchus and lung C34.1 not specified
Malignant neoplasm of bronchus and lung - Malignant neoplasm of middle lobe bronchus or lung C34.2 not specified
Malignant neoplasm of bronchus and lung C34.3 not specified
Malignant neoplasm of breast C50.0 not specified
Malignant neoplasm of vulva - Malignant neoplasm of clitoris C51.2 not specified
Malignant neoplasm of vulva - Malignant neoplasm of vulva unspecified C51.9 not specified
Malignant neoplasm of cervix uteri - Malignant neoplasm of endocervix C53.0 not specified
Malignant neoplasm of cervix uteri - Malignant neoplasm of exocervix C53.1 not specified
Malignant neoplasm of corpus uteri - Malignant neoplasm of myometrium C54.2 not specified
Malignant neoplasm of corpus uteri - Malignant neoplasm of fundus uteri C54.3 not specified
Malignant neoplasm of corpus uteri - Malignant neoplasm of corpus uteri unspecified C54.9 not specified
Secondary and unspecified malignant neoplasm of lymph nodes - Secondary and unspecified malignant neoplasm of lymph nodes of head face and neck C77.0 not specified
Secondary and unspecified malignant neoplasm of lymph nodes - Secondary and unspecified malignant neoplasm of axilla and upper limb lymph nodes C77.3 not specified
Secondary malignant neoplasm of respiratory and digestive organs C78.0 not specified
Spread metastasis of cancer in otherwise unspecified areas of the body - Secondary malignant neoplasm of skin C79.2 not specified
Malignant neoplasm without specification of site - Disseminated malignant neoplasm unspecified C80.0 not specified
Carcinoma in situ of breast D05.7 not specified
Carcinoma in situ of cervix uteri - Carcinoma in situ of endocervix D06.0 not specified
Carcinoma in situ of cervix uteri - Carcinoma in situ of other parts of cervix D06.7 not specified
Carcinoma in situ of cervix uteri - Carcinoma in situ of cervix unspecified D06.9 not specified
Benign neoplasm of other and unspecified female genital organs - Benign neoplasm of uterine tubes and ligaments D28.2 not specified
Benign neoplasm of urinary organs - Benign neoplasm of bladder D30.3 not specified
Neoplasm of uncertain or unknown behaviour of middle ear and respiratory and intrathoracic organs - Neoplasm of uncertain behavior of trachea bronchus and lung D38.1 not specified
Neoplasm of uncertain or unknown behaviour of female genital organs D39.7 not specified
Iron deficiency anaemia - Iron deficiency anemia secondary to blood loss chronic D50.0 not specified
Purpura and other haemorrhagic conditions D69.58 not specified
Agranulocytosis secondary to cancer chemotherapy D70.18 not specified
Agranulocytosis secondary to cancer chemotherapy D70.19 not specified
Gender identity disorders - Transsexualism F64.0 not specified
Phlebitis and thrombophlebitis I80.0 not specified
Pneumonia organism unspecified - Pneumonia unspecified organism J18.9 not specified
Chronic obstructive pulmonary disease with acute exacerbation J44.19 not specified
Other respiratory disorders - Other disorders of lung J98.4 not specified
Paralytic ileus and intestinal obstruction without hernia K56.4 not specified
Paralytic ileus and intestinal obstruction without hernia K56.6 not specified
Other functional intestinal disorders - Other constipation K59.09 not specified
Peritonitis - Acute peritonitis - Other and unspecified acute peritonitis K65.09 not specified
Other disorders of peritoneum - Peritoneal adhesions postprocedural postinfection K66.0 not specified
Other disorders of peritoneum - Hemoperitoneum K66.1 not specified
Other disorders of peritoneum - Disorder of peritoneum unspecified K66.9 not specified
Cutaneous abscess furuncle and carbuncle L02.2 not specified
Cutaneous abscess furuncle and carbuncle L02.4 not specified
Atrophic disorders of skin - Scar conditions and fibrosis of skin L90.5 not specified
Other disorders of urinary system - Urinary tract infection site not specified N39.0 not specified
Other disorders of urinary system N39.48 not specified
Benign mammary dysplasia N60.2 not specified
Benign mammary dysplasia N60.8 not specified
Other disorders of breast N64.5 not specified
Other disorders of breast N64.8 not specified
Salpingitis and oophoritis N70.1 not specified
Salpingitis and oophoritis N70.9 not specified
Other female pelvic inflammatory diseases - Female pelvic peritoneal adhesions postinfective N73.6 not specified
Other inflammation of vagina and vulva - Acute vaginitis N76.0 not specified
Other inflammation of vagina and vulva - Ulceration of vulva N76.6 not specified
Endometriosis - Endometriosis of pelvic peritoneum N80.3 not specified
Endometriosis - Endometriosis in cutaneous scar N80.6 not specified
Endometriosis - Other endometriosis N80.8 not specified
Female genital prolapse - Rectocele N81.6 not specified
Female genital prolapse N81.8 not specified
Noninflammatory disorders of ovary fallopian tube and broad ligament N83.0 not specified
Noninflammatory disorders of ovary fallopian tube and broad ligament - Other noninflammatory disorders of ovary fallopian tube and broad ligament N83.8 not specified
Other noninflammatory disorders of uterus except cervix N85.0 not specified
Dysplasia of cervix uteri - Mild cervical dysplasia N87.0 not specified
Other noninflammatory disorders of cervix uteri - Stricture and stenosis of cervix uteri N88.2 not specified
Other noninflammatory disorders of vagina - Stricture and atresia of vagina N89.5 not specified
Other noninflammatory disorders of vagina - Other specified noninflammatory disorders of vagina N89.8 not specified
Other noninflammatory disorders of vulva and perineum - Moderate vulvar dysplasia N90.1 not specified
Other noninflammatory disorders of vulva and perineum - Leukoplakia of vulva N90.4 not specified
Other noninflammatory disorders of vulva and perineum N90.8 not specified
Other abnormal uterine and vaginal bleeding - Other specified abnormal uterine and vaginal bleeding N93.8 not specified
Pain and other conditions associated with female genital organs and menstrual cycle N94.1 not specified
Pain and other conditions associated with female genital organs and menstrual cycle - Secondary dysmenorrhea N94.5 not specified
Complications associated with artificial fertilization - Hyperstimulation of ovaries N98.1 not specified
Postprocedural disorders of genitourinary system not elsewhere classified - Prolapse of vaginal vault after hysterectomy N99.3 not specified
Postprocedural disorders of genitourinary system not elsewhere classified - Postprocedural pelvic peritoneal adhesions N99.4 not specified
Ectopic pregnancy O00.8 not specified
Spontaneous abortion - Genital tract and pelvic infection following incomplete spontaneous abortion O03.0 not specified
Spontaneous abortion O03.3 not specified
Medical abortion O04.0 not specified
Medical abortion O04.3 not specified
Medical abortion - Delayed or excessive hemorrhage following induced termination of pregnancy O04.6 not specified
Other abortion O05.0 not specified
Other abortion O05.1 not specified
Other abortion O05.3 not specified
Other abortion O05.4 not specified
Other abortion O05.9 not specified
Unspecified abortion O06.6 not specified
Unspecified abortion O06.9 not specified
Complications following abortion and ectopic and molar pregnancy - Genital tract and pelvic infection following ectopic and molar pregnancy O08.0 not specified
Complications following abortion and ectopic and molar pregnancy O08.8 not specified
Gestational pregnancy-induced oedema and proteinuria without hypertension O12.0 not specified
Gestational pregnancy-induced oedema and proteinuria without hypertension O12.1 not specified
Gestational pregnancy-induced hypertension with significant proteinuria O14.2 not specified
Gestational pregnancy-induced hypertension with significant proteinuria O14.9 not specified
Eclampsia - Eclampsia complicating the puerperium O15.2 not specified
Eclampsia - Eclampsia unspecified as to time period O15.9 not specified
Unspecified maternal hypertension O16 not specified
Haemorrhage in early pregnancy - Other hemorrhage in early pregnancy O20.8 not specified
Excessive vomiting in pregnancy - Late vomiting of pregnancy O21.2 not specified
Excessive vomiting in pregnancy - Other vomiting complicating pregnancy O21.8 not specified
Infections of genitourinary tract in pregnancy O23.4 not specified
Diabetes mellitus in pregnancy O24.0 not specified
Diabetes mellitus in pregnancy O24.1 not specified
Maternal care for other conditions predominantly related to pregnancy O26.2 not specified
Maternal care for other conditions predominantly related to pregnancy O26.4 not specified
Maternal care for other conditions predominantly related to pregnancy O26.9 not specified
Multiple gestation O30.1 not specified
Care of the mother if the fetus is found or suspected to have an abnormal position or setting O32.0 not specified
Maternal care for known or suspected disproportion O33.4 not specified
Maternal care for known or suspected abnormality of pelvic organs - Maternal care for cervical incompetence first trimester O34.31 not specified
Maternal care for known or suspected abnormality of pelvic organs O34.39 not specified
Maternal care for known or suspected abnormality of pelvic organs O34.4 not specified
Maternal care for known or suspected abnormality of pelvic organs O34.5 not specified
Maternal care for known or suspected abnormality of pelvic organs O34.8 not specified
Care of the mother if anomaly is found or suspected or if the fetus is damaged O35.3 not specified
Care of the mother if anomaly is found or suspected or if the fetus is damaged O35.9 not specified
Other disorders of amniotic fluid and membranes O41.8 not specified
Premature rupture of membranes - Full-term premature rupture of membranes onset of labor more than 24 hours following rupture O42.12 not specified
Premature rupture of membranes O42.22 not specified
Placental disorders O43.1 not specified
Placental disorders O43.21 not specified
Complete placenta previa NOS or without hemorrhage unspecified trimester O44.00 not specified
Complete placenta previa with hemorrhage first trimester O44.11 not specified
Premature separation of placenta abruptio placentae O45.8 not specified
Antepartum haemorrhage not elsewhere classified O46.9 not specified
False labour O47.0 not specified
Preterm labour O60.3 not specified
Abnormalities of forces of labour - Secondary uterine inertia O62.1 not specified
Long labour - Prolonged second stage of labor O63.1 not specified
Long labour - Long labor unspecified O63.9 not specified
Obstructed labour due to maternal pelvic abnormality - Obstructed labor due to abnormality of maternal pelvic organs O65.5 not specified
Labour and delivery complicated by fetal stress distress O68.3 not specified
Labour and delivery complicated by umbilical cord complications O69.2 not specified
Other obstetric trauma O71.0 not specified
Other obstetric trauma - Obstetric high vaginal laceration alone O71.4 not specified
Postpartum haemorrhage - Third-stage hemorrhage O72.0 not specified
Postpartum haemorrhage - Other immediate postpartum hemorrhage O72.1 not specified
Postpartum haemorrhage - Delayed and secondary postpartum hemorrhage O72.2 not specified
Other complications of labour and delivery not elsewhere classified - Maternal distress during labor and delivery O75.0 not specified
Single delivery by caesarean section O82 not specified
Other puerperal infections O86.2 not specified
Other puerperal infections O86.8 not specified
Obstetric embolism O88.1 not specified
Complications of anaesthesia during the puerperium - Spinal and epidural anesthesia-induced headache during the puerperium O89.4 not specified
Complications of the puerperium not elsewhere classified - Disruption of cesarean delivery wound O90.0 not specified
Complications of the puerperium not elsewhere classified - Hematoma of obstetric wound O90.2 not specified
Complications of the puerperium not elsewhere classified - Complication of the puerperium unspecified O90.9 not specified
Infections of breast associated with childbirth O91.10 not specified
Infections of breast associated with childbirth O91.11 not specified
Suppressed lactation O92.50 not specified
Maternal infectious and parasitic diseases classifiable elsewhere but complicating pregnancy childbirth and the puerperium O98.4 not specified
Maternal infectious and parasitic diseases classifiable elsewhere but complicating pregnancy childbirth and the puerperium O98.5 not specified
Other maternal diseases classifiable elsewhere but complicating pregnancy childbirth and the puerperium O99.1 not specified
Damage to the fetus and newborn due to complications of the placenta umbilical cord and egg membranes P02.7 not specified
Newborn affected by Cesarean delivery P03.4 not specified
Birth injury to scalp - Cephalhematoma due to birth injury P12.0 not specified
Birth injury to scalp P12.8 not specified
Intrauterine hypoxia P20.0 not specified
Respiratory distress of newborn - Respiratory distress syndrome of newborn P22.0 not specified
Respiratory distress of newborn - Transient tachypnea of newborn P22.1 not specified
Neonatal aspiration syndromes P24.0 not specified
Neonatal jaundice from other and unspecified causes - Neonatal jaundice associated with preterm delivery P59.0 not specified
Feeding problems of newborn - Neonatal difficulty in feeding at breast P92.5 not specified
Feeding problems of newborn - Other feeding problems of newborn P92.8 not specified
Other congenital malformations of peripheral vascular system - Congenital absence and hypoplasia of umbilical artery Q27.0 not specified
Congenital deformities of feet Q66.0 not specified
Other congenital malformations of skin - Congenital non-neoplastic nevus Q82.5 not specified
Congenital malformations of breast - Congenital absence of breast with absent nipple Q83.0 not specified
Other congenital malformations of breast Q83.80 not specified
Ascites R18 not specified
Malaise and fatigue R53 not specified
Enlarged lymph nodes - Localized enlarged lymph nodes R59.0 not specified
Open wound of abdomen lower back and pelvis S31.4 not specified
Open wound of abdomen lower back and pelvis S31.80 not specified
Fracture of forearm S52.11 not specified
Complications of procedures not elsewhere classified T81.3 not specified
Complications of procedures not elsewhere classified T81.4 not specified
Complications of genitourinary prosthetic devices implants and grafts T83.3 not specified
Complications of other internal prosthetic devices implants and grafts T85.83 not specified
Medical observation and evaluation for suspected diseases and conditions Z03.8 not specified
Prophylactic surgery - Encounter for prophylactic removal of unspecified organ Z40.00 not specified
Prophylactic surgery - Encounter for prophylactic removal of breast Z40.01 not specified