2027 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 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 951. 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 the other POA exempt codes in Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99).
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
- Left breast prosthesis present
- Right breast prosthesis in situ
- Right breast prosthesis present
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to Z98.82: its own notes plus those printed at Z98, block Z77-Z99, and Chapter 21. A note printed at a category, block or chapter applies to every code under it.
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
- breast implant removal status (Z98.86)
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
Code Also
A second code may be needed to fully describe the condition; the note gives no sequencing direction.
Notes
General instructions on how these codes are used.
- Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
- (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
- (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name Z98.82, its category, or a range that includes it.
Excludes2 2
These codes carry an Excludes2 note naming Z98.82: its condition is not part of those codes, and both may be reported when the patient has both.
Use Additional Code 1
These codes say to use an additional code from the note, and Z98.82 is one of the codes named.
- C84.7A Anaplastic large cell lymphoma, ALK-negative, breastbreast implant status (Z98.82)
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
Status (post) See Also: Presence (of);
breast implant Z98.82
breast Z98.82
postoperative (postprocedural) NEC Z98.890
breast implant Z98.82
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
What is the ICD-10 code for breast implant status?
The ICD-10-CM code for breast implant status is Z98.82 (sometimes written as Z9882). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
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, 2026 through September 30, 2027.
What MS-DRG does Z98.82 group to?
On inpatient claims, breast implant status maps to MS-DRG 951 (other Factors Influencing Health Status), which carries a relative weight of 0.5574. Higher weights mean higher Medicare reimbursement.
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. The code appears in the Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99) range of the CMS exempt list.
