Z98.82
Z98.82: Breast implant status
Billable / specific codeICD-10-CMPOA exempt
Z98.82 is a billable, specific ICD-10-CM code for breast implant status. It is valid for submission on a claim.
Check Z98.82 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- breast implant removal status (Z98.86)
Excludes2 inherited from the categories above Z98.82
Not part of this code, but both may be coded when both are present.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
Z98.82 is named in 6 Medicare coverage policies: 6 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- 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
Alphabetic index entries that lead here
- Status›breast implant
- Status›implant›breast
- Status›postoperative NEC›breast implant
Code history
Unchanged in every release from FY2024 to FY2027.