ICD-10-CM Codes
Z00-Z99
Z40-Z53
Z41-
2023 ICD-10-CM Diagnosis Code Z41.1

2023 ICD-10-CM Diagnosis Code Z41.1

Encounter for cosmetic surgery

2016

2017

2018

2019

2020

2021

2022

2023

Billable/Specific Code

POA Exempt

Z41.1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
The 2023 edition of ICD-10-CM Z41.1 became effective on October 1, 2022.
This is the American ICD-10-CM version of Z41.1 - other international versions of ICD-10 Z41.1 may differ.

Applicable To

Encounter for cosmetic breast implant
Encounter for cosmetic procedure

Type 1 Excludes

Type 1 Excludes Help

A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as Z41.1. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.

encounter for plastic and reconstructive surgery following medical procedure or healed injury (
ICD-10-CM Diagnosis Code Z42
- Z42 Encounter for plastic and reconstructive surg...
  - Z42.1 Encounter for breast reconstruction following...
  - Z42.8 Encounter for other plastic and reconstructiv...
Z42.-
)
encounter for post-mastectomy breast implantation (
ICD-10-CM Diagnosis Code Z42.1
Encounter for breast reconstruction following mastectomy
Type 1 Excludes
- deformity and disproportion of reconstructed breast (N65.1-)
Z42.1
)

The following code(s) above Z41.1 contain annotation back-references

Annotation Back-References

In this context, annotation back-references refer to codes that contain:

Applicable To annotations, or
Code Also annotations, or
Code First annotations, or
Excludes1 annotations, or
Excludes2 annotations, or
Includes annotations, or
Note annotations, or
Use Additional annotations

that may be applicable to Z41.1:

Z00-Z99
2023 ICD-10-CM Range Z00-Z99
Factors influencing health status and contact with health services
Note
- 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.
Factors influencing health status and contact with health services
Z40-Z53
2023 ICD-10-CM Range Z40-Z53
Encounters for other specific health care
Applicable To
- Categories Z40-Z53 are intended for use to indicate a reason for care. They may be used for patients who have already been treated for a disease or injury, but who are receiving aftercare or prophylactic care, or care to consolidate the treatment, or to deal with a residual state
Type 2 Excludes
- follow-up examination for medical surveillance after treatment (Z08-Z09)
Encounters for other specific health care

Present On Admission

POA Help

"Present On Admission" is defined as present at the time the order for inpatient admission occurs — conditions that develop during an outpatient encounter, including emergency department, observation, or outpatient surgery, are considered POA.

Z41.1 is considered exempt from POA reporting.

ICD-10-CM Z41.1 is grouped within Diagnostic Related Group(s) (MS-DRG v40.0):

606 Minor skin disorders with mcc
607 Minor skin disorders without mcc

Convert Z41.1 to ICD-9-CM

Code History

2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
2017 (effective 10/1/2016): No change
2018 (effective 10/1/2017): No change
2019 (effective 10/1/2018): No change
2020 (effective 10/1/2019): No change
2021 (effective 10/1/2020): No change
2022 (effective 10/1/2021): No change
2023 (effective 10/1/2022): No change

Code annotations containing back-references to Z41.1:

Type 1 Excludes: Z42
, Z44.3
, Z45.81

ICD-10-CM Diagnosis Code Z42
Encounter for plastic and reconstructive surgery following medical procedure or healed injury
Type 1 Excludes
- encounter for cosmetic plastic surgery (Z41.1)
- encounter for plastic surgery for treatment of current injury - code to relevent injury
ICD-10-CM Diagnosis Code Z44.3
Encounter for fitting and adjustment of external breast prosthesis
Type 1 Excludes
- complications of breast implant (T85.4-)
- encounter for adjustment or removal of breast implant (Z45.81-)
- encounter for initial breast implant insertion for cosmetic breast augmentation (Z41.1)
- encounter for breast reconstruction following mastectomy (Z42.1)
ICD-10-CM Diagnosis Code Z45.81
Encounter for adjustment or removal of breast implant
Applicable To
- Encounter for elective implant exchange (different material) (different size)
- Encounter for removal of tissue expander with or without synchronous insertion of permanent implant
Type 1 Excludes
- 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)

Diagnosis Index entries containing back-references to Z41.1:

Admission (for) - see also Encounter (for)
- breast augmentation or reduction Z41.1
- cosmetic surgery NEC Z41.1
- plastic surgery, cosmetic NEC Z41.1
Encounter (with health service) (for) Z76.89
ICD-10-CM Diagnosis Code Z76.89
Persons encountering health services in other specified circumstances
Applicable To
Persons encountering health services NOS
- breast augmentation or reduction Z41.1

ICD-10-CM Codes Adjacent To Z41.1

Z40 Encounter for prophylactic surgery

Z40.0 Encounter for prophylactic surgery for risk factors related to malignant neoplasms

Z40.00 Encounter for prophylactic removal of unspecified organ

Z40.01 Encounter for prophylactic removal of breast

Z40.02 Encounter for prophylactic removal of ovary(s)

Z40.03 Encounter for prophylactic removal of fallopian tube(s)

Z40.09 Encounter for prophylactic removal of other organ

Z40.8 Encounter for other prophylactic surgery

Z40.9 Encounter for prophylactic surgery, unspecified

Z41 Encounter for procedures for purposes other than remedying health state

Z41.1 Encounter for cosmetic surgery

Z41.2 Encounter for routine and ritual male circumcision

Z41.3 Encounter for ear piercing

Z41.8 Encounter for other procedures for purposes other than remedying health state

Z41.9 Encounter for procedure for purposes other than remedying health state, unspecified

Z42 Encounter for plastic and reconstructive surgery following medical procedure or healed injury

Z42.1 Encounter for breast reconstruction following mastectomy

Z42.8 Encounter for other plastic and reconstructive surgery following medical procedure or healed injury

Z43 Encounter for attention to artificial openings

Z43.0 Encounter for attention to tracheostomy

Z43.1 Encounter for attention to gastrostomy

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

2023 ICD-10-CM Diagnosis Code Z41.1

Encounter for cosmetic surgery

Encounter for breast reconstruction following mastectomy

Factors influencing health status and contact with health services

Encounters for other specific health care

Encounter for plastic and reconstructive surgery following medical procedure or healed injury

Encounter for fitting and adjustment of external breast prosthesis

Encounter for adjustment or removal of breast implant

Persons encountering health services in other specified circumstances