Z45.81

Encounter for adjustment or removal of breast implant

Non-billable header

Z45.81 is a non-billable header code. Use one of the more specific codes below.

Inclusion terms

Applicable to

  • Encounter for elective implant exchange (different material) (different size)
  • Encounter for removal of tissue expander with or without synchronous insertion of permanent implant

Includes (from Z45)

  • removal or replacement of implanted device
  • 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.

  • complications of breast implant (T85.4-)
  • encounter for initial breast implant insertion for cosmetic breast augmentation (Z41.1)
  • encounter for breast reconstruction following mastectomy (Z42.1)
  • malfunction or other complications of device - see Alphabetical Index (from Z45)

Excludes2

Not included here — may be reported together when both conditions exist.

  • follow-up examination for medical surveillance after treatment (Z08-Z09) (from Z45)
  • encounter for fitting and adjustment of non-implanted device (Z46.-) (from Z45)

Also known as

  • Encounter for elective implant exchange (different material) (different size)
  • Encounter for removal of tissue expander with or without synchronous insertion of permanent implant
  • Admission, adjustment, breast, implant
  • Encounter, adjustment and management, breast implant
  • Encounter, breast implant exchange
  • Encounter, removal, breast implant
  • Encounter, removal, breast implant, tissue expander
  • Removal, breast implant

Parent code

  • Z45.8Encounter for adjustment and management of other implanted devicesHeader

More specific codes Z45.81

  • Z45.811Encounter for adjustment or removal of right breast implantBillable
  • Z45.812Encounter for adjustment or removal of left breast implantBillable
  • Z45.819Encounter for adjustment or removal of unspecified breast implantBillable

Related codes

  • Z45.82Encounter for adjustment or removal of myringotomy device (stent) (tube)Billable
  • Z45.89Encounter for adjustment and management of other implanted devicesBillable

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