Z45.81Encounter for adjustment or removal of breast implant

Z45.81 is the ICD-10-CM diagnosis code for encounter for adjustment or removal of breast implant. It belongs to category Z45 (encounter for adjustment and management of implanted device), block Z40-Z53 (Encounters for other specific health care) and chapter 21 (factors influencing health status and contact with health services). It is a header code, so it can't be reported by itself; one of its 3 subcodes must be used instead.

Within Z45.8 (encounter for adjustment and management of other implanted devices), Z45.81 is specifically for encounter for adjustment or removal of breast implant. Related codes cover or removal of myringotomy device (stent) (tube) (Z45.82) and and management of other implanted devices (Z45.89).

To report this condition, pick the subcode that matches the documentation: Z45.811 (implant), Z45.812 (implant) and Z45.819 (implant).

Don't report Z45.81 together with the conditions in its Excludes1 note: complications of breast implant (T85.4-), encounter for initial breast implant insertion for cosmetic breast augmentation (Z41.1) and encounter for breast reconstruction following mastectomy (Z42.1).

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.