Z44.3 — Encounter for fitting and adjustment of external breast prosthesis
Is Z44.3 billable?
No — Z44.3 is a non-billable header code. Z44.3 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 3 billable codes beneath Z44.3.
Z44.3 at a glance
| Code | Z44.3 |
|---|---|
| Description | Encounter for fitting and adjustment of external breast prosthesis |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is Z44.3 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to Z44.3. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Admission › fitting › breast prosthesis (for)
- Fitting › artificial › breast (and adjustment) (of)
- Fitting › prosthesis › breast (and adjustment) (of)
- Admission › adjustment › breast › prosthesis (for)
- Admission › adjustment › prosthesis › breast (for)
- Admission › fitting › prosthesis › breast (for)
- Fitting › device NOS › prosthetic › breast (and adjustment) (of)
- Removal › external › prosthesis, prosthetic device › breast (from) (of)
- Admission › adjustment › device NEC › prosthetic › breast (for)
- Admission › fitting › device NEC › prosthetic › breast (for)
- Encounter › removal › external › prosthesis, prosthetic device › breast (with health service) (for)
Excludes1 — never code together
The conditions below can never be reported together with Z44.3 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Excludes1 — never code together — inherited from Z44
The conditions below can never be reported together with Z44.3 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- malfunction or other complications of device - see Alphabetical Index
- presence of prosthetic device (Z97.-)
Excludes2 — not included here — inherited from Z40-Z53
The conditions below are not part of Z44.3, but a patient may have both at the same time. When documentation supports it, Z44.3 and the excluded code may both be reported.
- follow-up examination for medical surveillance after treatment (Z08-Z09)
What codes fall under Z44.3? (3)
How long has Z44.3 existed?
Z44.3 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 Z44.3?
ICD-10-CM declares these codes mutually exclusive with Z44.3 — exactly one of each pair can be correct for a given encounter.
What other codes are in the Z44 family? (5)
- Z44.0Encounter for fitting and adjustment of artificial armnot billable
- Z44.1Encounter for fitting and adjustment of artificial legnot billable
- Z44.2Encounter for fitting and adjustment of artificial eyenot billable
- Z44.8Encounter for fitting and adjustment of other external prosthetic devices
- Z44.9Encounter for fitting and adjustment of unspecified external prosthetic device