Z45.812
Z45.812 — Encounter for adjustment or removal of left breast implant
Billable / specific codeICD-10-CMPOA exemptleft
Z45.812 is a billable, specific ICD-10-CM code for encounter for adjustment or removal of left breast implant. It is valid for submission on a claim.
Risk adjustment
Z45.812 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
Z45.812 is named in 7 Medicare coverage policies — 7 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53064Billing and Coding: Outpatient Occupational Therapy
- A56587Billing and Coding: Cosmetic and Reconstructive Surgery
- A56658Billing and Coding: Cosmetic and Reconstructive Surgery
- A57221Billing and Coding: Plastic Surgery
Related codes at this level
Codes that share Z45.81. If Z45.812 is not quite right, the correct code is usually one of these.
Questions about Z45.812
- Is Z45.812 a billable ICD-10-CM code?
- Yes. Z45.812 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does Z45.812 sit in the tabular list?
- Factors influencing health status and contact with health services (Z00-Z99), in the block Encounters for other specific health care (Z40-Z53).