ICD-10-CM Z45.81: Encounter for adjustment or removal of breast implant

ICD-10-CM Diagnosis Code (2025)

Official Description for Z45.81

Encounter for adjustment or removal of breast implant

Coding Notes & Guidelines for Z45.81

Excludes1: Not Coded Here
  • 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)
Inclusion Terms
  • Encounter for elective implant exchange (different material) (different size)
  • Encounter for removal of tissue expander with or without synchronous insertion of permanent implant

Parent Code (Less Specific):

About ICD-10-CM Code Z45.81 (Encounter for adjustment or removal of breast implant)

ICD-10-CM code Z45.81 is a billable or specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2025 edition of ICD-10-CM Z45.81 became effective on October 1, 2024.

This page provides detailed information about Z45.81 - Encounter for adjustment or removal of breast implant. It includes common terminology, coding guidelines such as "Includes," "Excludes1," and "Excludes2" notes, and information on required 7th characters. Utilizing this information correctly is essential for accurate medical coding and claims submission for conditions like Encounter for adjustment or removal of breast implant.