Z41.1 — Encounter for cosmetic surgery
Is Z41.1 billable?
Yes — Z41.1 is billable for FY2027. Z41.1 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. Z41.1 may be submitted for encounters from October 1, 2026 through September 30, 2027.
Z41.1 at a glance
| Code | Z41.1 |
|---|---|
| Description | Encounter for cosmetic surgery |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does Z41.1 group to?
Z41.1 sits in MDC 09 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 606Minor Skin Disorders with MCCmedical
- 607Minor Skin Disorders without MCCmedical
How is Z41.1 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to Z41.1. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Admission › breast augmentation or reduction (for)
- Admission › cosmetic surgery NEC (for)
- Admission › plastic surgery, cosmetic NEC (for)
- Encounter › breast augmentation or reduction (with health service) (for)
Excludes1 — never code together
The conditions below can never be reported together with Z41.1 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Inclusion terms
Alternative wording in documentation that is classified to Z41.1.
- Encounter for cosmetic breast implant
- Encounter for cosmetic procedure
Excludes2 — not included here — inherited from Z40-Z53
The conditions below are not part of Z41.1, but a patient may have both at the same time. When documentation supports it, Z41.1 and the excluded code may both be reported.
- follow-up examination for medical surveillance after treatment (Z08-Z09)
How long has Z41.1 existed?
Z41.1 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
Which codes are confused with Z41.1?
ICD-10-CM declares these codes mutually exclusive with Z41.1 — exactly one of each pair can be correct for a given encounter.