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Z45.812

Z45.812Encounter 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).
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.