Z45.81 - Encounter for adjustment or removal of breast implant

  • Applicable to Encounter for adjustment or removal of breast implant
  • The 2025 edition of ICD10-CM Z45.81 became effective on October 1, 2024.
  • This is the American ICD10-CM version of Z45.81 - other international versions of ICD10 Z45.81 may differ.
  • Z45.81 is a Non-Billable / Non-Specific ICD10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • Z45.81 Code should not be used for billing or reimbursement purposes as there are multiple ICD-10 CM codes below it that contain a greater level of detail.
  • Z45.81 - Encounter for adjustment or removal of breast implant
    • Z45.81 - Encounter for adjustment or removal of breast implant
    • Z45.811 - Encounter for adjustment or removal of right breast implant
    • Z45.812 - Encounter for adjustment or removal of left breast implant
    • Z45.819 - Encounter for adjustment or removal of unspecified breast implant

 Inclusion Term

  • Encounter for elective implant exchange (different material) (different size)
  • Encounter for removal of tissue expander with or without synchronous insertion of permanent implant

Type 1 Excludes

  • complications of breast implant (T85.4-)
  • encounter for initial breast implant insertion for cosmetic breast augmentation (Z41.1)
  • encounter for breast reconstruction following mastectomy (Z42.1)

The following codes above Z45.81 contain annotation back-references that may be applicable to Z45.81:

Chapter: Z00-Z99 Factors influencing health status and contact with health services

Section: Z40-Z53 Encounters for other specific health care

Category: Z45 Encounter for adjustment and management of implanted device

    
Non-Billable/Non-Specific Code

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