Z45.81: Encounter for adjustment or removal of breast implant
Z45.81 is a non-billable header ICD-10-CM code for encounter for adjustment or removal of breast implant. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Encounter for elective implant exchange (different material) (different size)
- Encounter for removal of tissue expander with or without synchronous insertion of permanent implant
Excludes1 inherited from the categories above Z45.81
A category’s note binds every code beneath it.
Written on Z45: Encounter for adjustment and management of implanted device
- malfunction or other complications of device - see Alphabetical Index
Excludes2 inherited from the categories above Z45.81
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with Z45.81
Their own Excludes1 notes name this code, so the conflict is not listed above.
- Z44.3Encounter for fitting and adjustment of external breast prosthesis
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Alphabetic index entries that lead here
- Encounter›breast implant exchange(different material) (different size)
- Removal›breast implant
- Encounter›adjustment and management›breast implant
- Encounter›removal›breast implant
- Admission›adjustment›breast›implant
- Encounter›removal›breast implant›tissue expander(with or without synchronous insertion of permanent implant)
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead Z45.81
3 child codes. Green means billable.