Z45.811 — Encounter for adjustment or removal of right breast implant
Is Z45.811 billable?
Yes — Z45.811 is billable for FY2027. Z45.811 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. Z45.811 may be submitted for encounters from October 1, 2026 through September 30, 2027.
Z45.811 at a glance
| Code | Z45.811 |
|---|---|
| Description | Encounter for adjustment or removal of right breast implant |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does Z45.811 group to?
Z45.811 sits in MDC 23 and helps define the logic of 1 MS-DRG (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 951Other Factors Influencing Health Statusmedical
How is Z45.811 listed in the Alphabetic Index?
The Alphabetic Index lists these routes under Z45.81, the nearest indexed parent of Z45.811. Use them to find the family, then select the specific code.
- Encounter › breast implant exchange (with health service) (for)
- Removal › breast implant (from) (of)
- Encounter › adjustment and management › breast implant (with health service) (for)
- Encounter › removal › breast implant (with health service) (for)
- Admission › adjustment › breast › implant (for)
- Encounter › removal › breast implant › tissue expander (with health service) (for)
Excludes1 — never code together — inherited from Z45
The conditions below can never be reported together with Z45.811 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
Excludes1 — never code together — inherited from Z45.81
The conditions below can never be reported together with Z45.811 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Excludes2 — not included here — inherited from Z40-Z53
The conditions below are not part of Z45.811, but a patient may have both at the same time. When documentation supports it, Z45.811 and the excluded code may both be reported.
- follow-up examination for medical surveillance after treatment (Z08-Z09)
Excludes2 — not included here — inherited from Z45
The conditions below are not part of Z45.811, but a patient may have both at the same time. When documentation supports it, Z45.811 and the excluded code may both be reported.
- encounter for fitting and adjustment of non-implanted device (Z46.-)
How long has Z45.811 existed?
Z45.811 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.