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Z45.81

⚠ Non-billable (Header)

Encounter for adjustment or removal of breast implant

Factors influencing health status and contact with health services (Z00-Z99)

⚠️ This is a category header code — not billable. Use a more specific child code below.

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Also Known As

Encounter for elective implant exchange (different material) (different size)Encounter for removal of tissue expander with or without synchronous insertion of permanent implant

❌ Excludes1

direct

These codes are mutually exclusive. Never code them together.

  • • complications of breast implant (T85.4-)
  • • encounter for initial breast implant insertion for cosmetic breast augmentation (Z41.1)
  • • encounter for breast reconstruction following mastectomy (Z42.1)

❌ Excludes1

inherited

Rules inherited from parent codes in the hierarchy.

Z45
  • • malfunction or other complications of device - see Alphabetical Index

⚠️ Excludes2

inherited

Rules inherited from parent codes.

Z45
  • • encounter for fitting and adjustment of non-implanted device (Z46.-)

Child Codes (3)

Z45.811Encounter for adjustment or removal of right breast implantZ45.812Encounter for adjustment or removal of left breast implantZ45.819Encounter for adjustment or removal of unspecified breast implant

Clinical Description

ICD-10-CM code Z45.81 represents encounter for adjustment or removal of breast implant. This code falls under the Factors influencing health status and contact with health services (Z00-Z99) classification. It is a non-billable category header code. A more specific child code from the list below must be used for billing and reimbursement purposes.

This is a 6-character code at the 5th level of specificity. There are 3 more specific child codes under Z45.81. Coders should note that Z45.81 has 4 Excludes1 restriction(s) — codes that cannot be reported together on the same claim.

Frequently Asked Questions

What is ICD-10 code Z45.81?

ICD-10-CM code Z45.81 is "Encounter for adjustment or removal of breast implant". It belongs to the category: Factors influencing health status and contact with health services (Z00-Z99).

Is Z45.81 a billable ICD-10 code?

No, Z45.81 is a non-billable header code. A more specific child code must be used for billing.

What codes are excluded with Z45.81?

Z45.81 has 4 Excludes1 rule(s). These codes are mutually exclusive and cannot be coded together on the same claim.

Can Z45.81 be coded with other codes?

Z45.81 has 1 Excludes2 note(s). These conditions can be coded together if both are documented in the patient record.

Related Codes in Z45.8

Other codes in the same category that may be relevant for differential coding:

Z45.82Encounter for adjustment or removal of myringotomy device (stent) (tube)Z45.89Encounter for adjustment and management of other implanted devices

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Code Information

CodeZ45.81
BillableNo — Header code
ParentZ45.8
CategoryFactors influencing health status and contact with health services (Z00-Z99)
Excludes14 rule(s)
Excludes21 note(s)
Child codes3

Data Source

CMS ICD-10-CM 2026 Tabular List

Updated October 1, 2025 (FY2026)