Encounter for adjustment or removal of unsp breast implant

This code signifies a patient encounter for the purpose of either adjusting or completely removing a breast implant when the specific type of implant (e.g., silicone, saline, expander) is not documented. It indicates that the primary reason for the visit is related to the management of an existing, but unspecified, breast prosthesis.

Use this code when a patient presents for a procedure involving a breast implant, and the medical record does not specify the implant's material or type. This might occur in cases of implant rupture, capsular contracture, infection, or patient request for removal, where the exact implant details are unknown or not recorded.

• Only use this code when the implant type is truly unspecified in the documentation.
• Always seek clarification from the provider if the implant type is missing, as more specific codes may be available.
• This code is for the reason for the encounter; separate procedure codes will be required for the actual adjustment or removal.