2024 ICD-10-CM Diagnosis Code Z45.812
Encounter for adjustment or removal of left breast implant
- ICD-10-CM Code:
- Z45.812
- ICD-10 Code for:
- Encounter for adjustment or removal of left breast implant
- Is Billable?
- Yes - Valid for Submission
- Code Navigator:
Z45.812 is a billable diagnosis code used to specify a medical diagnosis of encounter for adjustment or removal of left breast implant. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
Clinical Classification
Clinical Category is Implant, device or graft related encounter
- CCSR Category Code: FAC009
- Inpatient Default CCSR: Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.
- Outpatient Default CCSR: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.
Present on Admission (POA)
Z45.812 is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here.
CMS POA Indicator Options and Definitions
POA Indicator | Reason for Code | CMS will pay the CC/MCC DRG? |
---|---|---|
Y | Diagnosis was present at time of inpatient admission. | YES |
N | Diagnosis was not present at time of inpatient admission. | NO |
U | Documentation insufficient to determine if the condition was present at the time of inpatient admission. | NO |
W | Clinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission. | YES |
1 | Unreported/Not used - Exempt from POA reporting. | NO |
Convert Z45.812 to ICD-9-CM
- ICD-9-CM Code: V52.4 - Fit/adj breast pros/impl
Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.
Patient Education
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 in MedlinePlus]
Code History
- FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
- FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
- FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.