ICD-10-CM Code Z45.81

Encounter for adjustment or removal of breast implant

Version 2020 Non-Billable Code

Not Valid for Submission

Z45.81 is a "header" nonspecific and non-billable code code, consider using a code with a higher level of specificity for a diagnosis of encounter for adjustment or removal of breast implant. The code is NOT valid for the year 2020 for the submission of HIPAA-covered transactions.

ICD-10:Z45.81
Short Description:Encounter for adjustment or removal of breast implant
Long Description:Encounter for adjustment or removal of breast implant

Consider the following ICD-10 codes with a higher level of specificity:

  • Z45.811 - Encounter for adjustment or removal of right breast implant
  • Z45.812 - Encounter for adjustment or removal of left breast implant
  • Z45.819 - Encounter for adjustment or removal of unspecified breast implant

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code Z45.81:

Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Encounter for elective implant exchange (different material) (different size)
  • Encounter removal of tissue expander with or without synchronous insertion of permanent implant

Type 1 Excludes

Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • complications of breast implant T85.4
  • encounter for initial breast implant insertion for cosmetic breast augmentation Z41.1
  • encounter for breast reconstruction following mastectomy Z42.1

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code Z45.81 are found in the index:


Code Classification

  • Factors influencing health status and contact with health services (Z00–Z99)
    • Encounters for other specific health care (Z40-Z53)
      • Encounter for adjustment and management of implanted device (Z45)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


Plastic and Cosmetic Surgery

Surgeons can reshape the appearance of body parts through cosmetic surgery. Some of the most common body parts people want to improve through surgery include

  • Breasts: Increase or reduce the size of breasts or reshape sagging breasts
  • Ears: Reduce the size of large ears or set protruding ears back closer to the head
  • Eyes: Correct drooping upper eyelids or remove puffy bags below the eyes
  • Face: Remove facial wrinkles, creases or acne scars
  • Hair: Fill in balding areas with one's own hair
  • Nose: Change the shape of the nose
  • Tummy: Flatten the abdomen

[Learn More]