2026 ICD-10-CM Diagnosis Code Z45.811Encounter for adjustment or removal of right breast implant

ICD-10-CM Codes›Z00–Z99›Z40-Z53›Z45

ICD-10-CM Z45.811
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

Z45.811 is a billable ICD-10-CM diagnosis code for encounter for adjustment or removal of right breast implant. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). The code is exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Implant, device or graft related encounter.

Code Identity

ICD-10-CM Code
Z45.811
Billable Status
Yes — Valid for Submission
Code Describes
Encounter for adjustment or removal of right breast implant
Short Description
Encounter for adjustment or removal of right breast implant
Same as the full description in the CMS dataset.
Parent Code
Z45.81
Encounter for adjustment or removal of breast implant

Code Classification

ChapterZ00–Z99Factors influencing health status and contact with health services
SectionZ40-Z53Encounters for other specific health care
CategoryZ45Encounter for adjustment and management of implanted device
This CodeZ45.811Encounter for adjustment or removal of right breast implant

Present on Admission (POA)Billing

Z45.811 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR FAC009
Implant, device or graft related encounter
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

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Read the full article at MedlinePlus

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Convert Z45.811 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
V52.4 Fit/adj breast pros/impl
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About Z45.811Overview

Is Z45.811 (Encounter for adjustment or removal of breast implant) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report encounter for adjustment or removal of right breast implant on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

Is Z45.811 exempt from POA reporting?

Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for encounter for adjustment or removal of right breast implant on inpatient claims.

What is the ICD-9 equivalent of Z45.811?

Under the General Equivalence Mappings, encounter for adjustment or removal of right breast implant converts to ICD-9-CM V52.4 (fit/adj breast pros/impl). The mapping is approximate, so confirm the match fits the documentation.