ICD-10-CM Z98.82
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

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

ICD-10-CM Code
Z98.82
Billable Status
Yes — Valid for Submission
Code Describes
Breast implant status
Short Description
Breast implant status
Same as the full description in the CMS dataset.
Parent Code
Other specified postprocedural states

Code Classification

ChapterZ00–Z99Factors influencing health status and contact with health services
SectionZ77-Z99Persons with potential health hazards related to family and personal history and certain conditions influencing health status
CategoryZ98Other postprocedural states
This CodeZ98.82Breast implant status

Code EditsBilling

Medicare Code Editor checks that affect claim validity for Z98.82.

There are selected codes that describe a circumstance which influences an individual's health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.

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

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

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.

CCSR FAC009
Implant, device or graft related encounter
Default principal diagnosis: inpatient No · outpatient Yes

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.

ICD-9-CM
V43.82 Breast replacement
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 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.