Is Z45.819 a billable ICD-10-CM code?

Yes. Z45.819 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does Z45.819 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).

Z45.819

Z45.819 — Encounter for adjustment or removal of unspecified breast implant

Billable / specific codeICD-10-CMPOA exemptunspecified

Z45.819 is a billable, specific ICD-10-CM code for encounter for adjustment or removal of unspecified breast implant. It is valid for submission on a claim.

Risk adjustment

Z45.819 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

Z45.819 is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A56658Billing and Coding: Cosmetic and Reconstructive Surgery

Related codes at this level

Codes that share Z45.81. If Z45.819 is not quite right, the correct code is usually one of these.

Questions about Z45.819

Is Z45.819 a billable ICD-10-CM code?: Yes. Z45.819 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does Z45.819 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).