1. (a) Radical or modified radical mastectomy (removal of the breast, possible removal of other chest wall tissues, and possible removal of lymph nodes in the chest and/or under the arm).

   1. (1) Limitation of movement of shoulder and arm.
   2. (2) Permanent swelling of the arm.
   3. (3) Loss of the skin of the chest requiring skin graft.
   4. (4) Residual or recurrent malignancy, if present (cancer remaining or comes back after the surgery, if cancer present before the surgery).
   5. (5) Decreased sensation or numbness of the inner aspect of the arm and chest wall.

2. (b) Simple mastectomy (removal of the breast).

   1. (1) Loss of skin of the chest requiring skin graft.
   2. (2) Residual or recurrent malignancy, if present (cancer remaining or comes back after the surgery, if cancer present before the surgery).
   3. (3) Decreased sensation or numbness of the nipple.

3. (c) Lumpectomy (removal of a portion of the breast).

   1. (1) Loss of skin of the chest requiring skin graft.
   2. (2) Residual or recurrent malignancy, if present (cancer remaining or comes back after the surgery, if cancer present before the surgery).
   3. (3) Decreased sensation or numbness of the nipple.

4. (d) Open biopsy of the breast.

   1. (1) Loss of skin of the chest requiring skin graft.
   2. (2) Residual or recurrent malignancy, if present (cancer remaining or comes back after the surgery, if cancer present before the surgery).
   3. (3) Decreased sensation or numbness of the nipple.

Source Note:The provisions of this §602.9 adopted to be effective December 26, 2023, 48 TexReg 7985; amended to be effective May 25, 2025, 50 TexReg 2968.