Encounter for prophylactic removal of breast
Billable / specific
Z40.01 is a billable, specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes in FY2027.
Inclusion terms
Includes (from Z40)
- Note: Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
- Note: (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
- Note: (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.
Excludes1
Not coded here — never report together with this code.
Excludes2
Not included here — may be reported together when both conditions exist.
Use additional code
Add a code to identify the following, if applicable.
Also known as
- Admission, prophylactic, organ removal, breast
- Prophylactic, organ removal, breast
Parent code
- Z40.0Encounter for prophylactic surgery for risk factors related to malignant neoplasmsHeader