Z45.819 — Encounter for adjustment or removal of unspecified breast implant
Is Z45.819 billable?
Yes, but Z45.819 is an unspecified code. Z45.819 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, Z45.819 is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting Z45.819 — the more specific alternatives are listed below.
Z45.819 at a glance
| Code | Z45.819 |
|---|---|
| Description | Encounter for adjustment or removal of unspecified breast implant |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does Z45.819 group to?
Z45.819 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 Z45.819 listed in the Alphabetic Index?
The Alphabetic Index lists these routes under Z45.81, the nearest indexed parent of Z45.819. 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 Z45.819 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 Z45.819 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 Z45.819, but a patient may have both at the same time. When documentation supports it, Z45.819 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 Z45.819, but a patient may have both at the same time. When documentation supports it, Z45.819 and the excluded code may both be reported.
- encounter for fitting and adjustment of non-implanted device (Z46.-)
How long has Z45.819 existed?
Z45.819 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.