All ICD10 Codes

Z45.81

Non-Billable
ChapterZ00–Z99
Ranksubcategory
Official Description

Encounter for adjustment or removal of breast implant

Metadata & Insights
  • •2026 ICD-10-CM Edition - Effective October 1, 2025.
  • •Non-billable category (requires more specific sub-code).
  • •Chapter 21: Factors Influencing Health Status and Contact with Health Services (Z00-Z99).

Instructional Notes

Includes
  • Encounter for elective implant exchange (different material) (different size)
  • Encounter for removal of tissue expander with or without synchronous insertion of permanent implant
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)
General instructions are available for the parent sections:
View Z40-Z53 NotesView Z45 Notes

Clinical Hierarchy

CH21Factors influencing health status and contact with health services (Z00-Z99)
Z40-Z53Encounters for other specific health care (Z40-Z53)
Z45Encounter for adjustment and management of implanted device
Z45.8Encounter for adjustment and management of other implanted devices
Z45.81Encounter for adjustment or removal of breast implant
Z45.811Encounter for adjustment or removal of right breast implant
Z45.812Encounter for adjustment or removal of left breast implant
Z45.819Encounter for adjustment or removal of unspecified breast implant

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to Z45.81:

categoryZ45
Encounter for adjustment and management of implanted device
View context instructions
blockZ40-Z53
Encounters for other specific health care (Z40-Z53)
View context instructions

Alphabetic Index Mentions

These are Diagnosis Index lookup paths that route to Z45.81. Use them as entry terms for search, then confirm final coding instructions in the Tabular List and notes above.

6 raw paths
Admission (for)1 unique routes
adjustment (of)
breast
implant→Z45.81
Encounter (with health service) (for)4 unique routes
adjustment and management (of)
breast implant→Z45.81
breast implant exchange (different material) (different size)→Z45.81
removal (of)(2 variants)
breast implant→Z45.81(2 variants)
tissue expander (with or without synchronous insertion of permanent implant)→Z45.81
Removal (from) (of)1 unique routes
breast implant→Z45.81

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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