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ICD-10-CM Codes
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Z00-Z99
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Z40-Z53
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Z44-
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2023 ICD-10-CM Diagnosis Code Z44.3
2023 ICD-10-CM Diagnosis Code Z44.3
Encounter for fitting and adjustment of external breast prosthesis
2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
- Z44.3 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
- Short description: Encounter for fit/adjst of external breast prosthesis
- The 2023 edition of ICD-10-CM Z44.3 became effective on October 1, 2022.
- This is the American ICD-10-CM version of Z44.3 - other international versions of ICD-10 Z44.3 may differ.
Type 1 ExcludesType 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 Z44.3. 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.
- complications of breast implant (
ICD-10-CM Diagnosis Code T85.4
Mechanical complication of breast prosthesis and implant
2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
T85.4-) - encounter for adjustment or removal of breast implant (
ICD-10-CM Diagnosis Code Z45.81
Encounter for adjustment or removal of breast implant
2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
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)
Z45.81-) - encounter for initial breast implant insertion for cosmetic breast augmentation (
ICD-10-CM Diagnosis Code Z41.1
Encounter for cosmetic surgery
2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
Applicable To- Encounter for cosmetic breast implant
- Encounter for cosmetic procedure
Type 1 Excludes- encounter for plastic and reconstructive surgery following medical procedure or healed injury (Z42.-)
- encounter for post-mastectomy breast implantation (Z42.1)
Z41.1) - encounter for breast reconstruction following mastectomy (
ICD-10-CM Diagnosis Code Z42.1
Encounter for breast reconstruction following mastectomy
2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Adult Dx (15-124 years) POA Exempt
Type 1 Excludes- deformity and disproportion of reconstructed breast (N65.1-)
Z42.1)
The following code(s) above
Z44.3 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
Z44.3:
- Z00-Z99
2023 ICD-10-CM Range Z00-Z99
Factors influencing health status and contact with health servicesNote- 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 careApplicable 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 - Z44
ICD-10-CM Diagnosis Code Z44
Encounter for fitting and adjustment of external prosthetic device
2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
Includes- removal or replacement of external prosthetic device
Type 1 Excludes- malfunction or other complications of device - see Alphabetical Index
- presence of prosthetic device (Z97.-)
Encounter for fitting and adjustment of external prosthetic device
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
- Admission (for) - see also Encounter (for)
- adjustment (of)
- breast
- prosthesis Z44.3 (external)
- device NEC
- prosthetic Z44.9
ICD-10-CM Diagnosis Code Z44.9
Encounter for fitting and adjustment of unspecified external prosthetic device
2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
- prosthesis Z44.9
ICD-10-CM Diagnosis Code Z44.9
Encounter for fitting and adjustment of unspecified external prosthetic device
2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
- fitting (of)
- device NEC
- prosthetic Z44.9
ICD-10-CM Diagnosis Code Z44.9
Encounter for fitting and adjustment of unspecified external prosthetic device
2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
- prosthesis Z44.9
ICD-10-CM Diagnosis Code Z44.9
Encounter for fitting and adjustment of unspecified external prosthetic device
2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
- breast prosthesis Z44.3 (external)
- Encounter (with health service) (for) Z76.89
ICD-10-CM Diagnosis Code Z76.89
Persons encountering health services in other specified circumstances
2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
Applicable To- Persons encountering health services NOS
- Fitting (and adjustment) (of)
- artificial
- device NOS Z46.9
ICD-10-CM Diagnosis Code Z46.9
Encounter for fitting and adjustment of unspecified device
2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
- prosthetic (external) Z44.9
ICD-10-CM Diagnosis Code Z44.9
Encounter for fitting and adjustment of unspecified external prosthetic device
2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
- prosthesis (external) Z44.9
ICD-10-CM Diagnosis Code Z44.9
Encounter for fitting and adjustment of unspecified external prosthetic device
2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
- Removal (from) (of)
- external
- prosthesis, prosthetic device Z44.9
ICD-10-CM Diagnosis Code Z44.9
Encounter for fitting and adjustment of unspecified external prosthetic device
2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
ICD-10-CM Codes Adjacent To Z44.3
Z44.112 Encounter for fitting and adjustment of complete left artificial leg
Z44.12 Encounter for fitting and adjustment of partial artificial leg
Z44.121 Encounter for fitting and adjustment of partial artificial right leg
Z44.122 Encounter for fitting and adjustment of partial artificial left leg
Z44.2 Encounter for fitting and adjustment of artificial eye
Z44.21 Encounter for fitting and adjustment of artificial right eye
Z44.22 Encounter for fitting and adjustment of artificial left eye
Z44.3
Encounter for fitting and adjustment of external breast prosthesis
Z44.31 Encounter for fitting and adjustment of external right breast prosthesis
Z44.32 Encounter for fitting and adjustment of external left breast prosthesis
Z44.8 Encounter for fitting and adjustment of other external prosthetic devices
Z44.9 Encounter for fitting and adjustment of unspecified external prosthetic device
Z45 Encounter for adjustment and management of implanted device
Z45.0 Encounter for adjustment and management of cardiac device
Z45.01 Encounter for adjustment and management of cardiac pacemaker
Z45.010 Encounter for checking and testing of cardiac pacemaker pulse generator [battery]
Z45.018 Encounter for adjustment and management of other part of cardiac pacemaker
Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.