Z98.86
Z98.86: Personal history of breast implant removal
Billable / specific codeICD-10-CMPOA exempt
Z98.86 is a billable, specific ICD-10-CM code for personal history of breast implant removal. It is valid for submission on a claim.
Check Z98.86 with the rest of the claim: free scrubberExcludes2 inherited from the categories above Z98.86
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with Z98.86
Their own Excludes1 notes name this code, so the conflict is not listed above.
- Z98.82Breast implant status
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
Z98.86 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56448Billing and Coding: Breast Imaging Mammography/Breast Echography (Sonography)/Breast MRI/Ductography
Alphabetic index entries that lead here
- History›personal›breast implant removal
- Status›breast implant›removal
- History›personal›removal›implant›breast
Code history
Unchanged in every release from FY2024 to FY2027.