2026 ICD-10-CM Diagnosis Code Z98.82Breast implant status
Z98.82 is a billable ICD-10-CM diagnosis code for breast implant status. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). The code is not accepted as a principal diagnosis by the Medicare Code Editor and exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Implant, device or graft related encounter.
Code Identity
Code Classification
Code EditsBilling
Medicare Code Editor checks that affect claim validity for Z98.82.
Present on Admission (POA)Billing
Z98.82 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Breast present
- Breast prosthesis in situ
- History of augmentation of breast
- History of bilateral breast implants
- History of breast reconstruction
- History of elective breast augmentation
- Implant revised since previous mammogram
- Left breast implant in situ
- Right breast prosthesis in situ
Tabular List NotesGuidance
Coding notes and annotation back-references applicable to this code.
Type 1 Excludes
- breast implant removal status Z98.86
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.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
- Status (post) - See Also: Presence (of);
- breast implant - Z98.82
- implant
- breast - Z98.82
- postoperative (postprocedural) NEC - Z98.890
- breast implant - Z98.82
External Cause of Injuries IndexGuidance
References for this code in the External Cause of Injuries Index.
- Status(post)
- breast implant
- Status(post)
- implant
- breast
- Status(post)
- postoperative (postprocedural) NEC
- breast implant
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Breast Reconstruction
If you need a mastectomy, you have a choice about whether or not to have surgery to rebuild the shape of the breast. Instead of breast reconstruction, you could choose to wear a breast form that replaces the breast, wear padding inside your bra, or do nothing. All of these options have pros and cons.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert Z98.82 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About Z98.82Overview
Is Z98.82 (Other specified postprocedural states) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report breast implant status on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
Can Z98.82 be a principal diagnosis?
No. The Medicare Code Editor rejects this code as a principal diagnosis because breast implant status describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.
Is Z98.82 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 breast implant status on inpatient claims.
What is the ICD-9 equivalent of Z98.82?
Under the General Equivalence Mappings, breast implant status converts to ICD-9-CM V43.82 (breast replacement). The mapping is approximate, so confirm the match fits the documentation.
