Z98.82 — Breast implant status
Z98.82 is a billable, specific ICD-10-CM code for breast implant status. It is valid for submission on a claim.
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- breast implant removal status (Z98.86)
Risk adjustment
Z98.82 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
Z98.82 is named in 6 Medicare coverage policies — 6 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56587Billing and Coding: Cosmetic and Reconstructive Surgery
- A56658Billing and Coding: Cosmetic and Reconstructive Surgery
- A57221Billing and Coding: Plastic Surgery
- A58573Billing and Coding: Cosmetic and Reconstructive Surgery
How Z98.82 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to Z98.82.
- Status›breast implant
- Status›implant›breast
- Status›postoperative NEC›breast implant
Related codes at this level
Codes that share Z98.8. If Z98.82 is not quite right, the correct code is usually one of these.
Questions about Z98.82
- Is Z98.82 a billable ICD-10-CM code?
- Yes. Z98.82 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does Z98.82 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).
- What cannot be coded together with Z98.82?
- Z98.82 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.