Is Z90.10 a billable ICD-10-CM code?

Yes. Z90.10 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does Z90.10 sit in the tabular list?

Factors influencing health status and contact with health services (Z00-Z99), in the block Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99).

Z90.10

Z90.10 — Acquired absence of unspecified breast and nipple

Billable / specific codeICD-10-CMPOA exemptunspecified

Z90.10 is a billable, specific ICD-10-CM code for acquired absence of unspecified breast and nipple. It is valid for submission on a claim.

Risk adjustment

Z90.10 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

Z90.10 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.

A52478External Breast Prostheses - Policy Article

Related codes at this level

Codes that share Z90.1. If Z90.10 is not quite right, the correct code is usually one of these.

Questions about Z90.10

Is Z90.10 a billable ICD-10-CM code?: Yes. Z90.10 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does Z90.10 sit in the tabular list?: Factors influencing health status and contact with health services (Z00-Z99), in the block Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99).