Other elective surgery for purposes other than remedying health states

This code identifies encounters for planned surgical procedures performed for non-medical reasons, where the patient is not seeking to correct an existing health problem. These procedures are primarily undertaken for cosmetic enhancement, personal preference, or other non-therapeutic purposes.

Use this code when a patient presents for a surgical procedure that is purely elective and not medically indicated, such as breast augmentation, rhinoplasty, or liposuction for aesthetic reasons. It applies when the patient is otherwise healthy and the surgery is not addressing a disease, injury, or congenital anomaly.

• Always sequence this code as a secondary diagnosis when a procedure code is also reported.
• Do not use this code for reconstructive surgeries following trauma or disease, as those would typically have a primary diagnosis related to the underlying condition.
• Ensure documentation clearly states the elective, non-therapeutic nature of the surgery.