Z44.3

Non-billable

Encounter for fitting and adjustment of external breast prosthesis

Z44.3 is the ICD-10-CM code for Encounter for fitting and adjustment of external breast prosthesis. It is a non-billable category code — use a more specific child code such as Z44.30 for billing.

Status
Header (non-billable)
Chapter
Z00-Z99
Parent
Z44
Subcodes
3
Edition
FY2026

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

What this means — in plain language

MedlinePlus · NIH

If you need a mastectomy , you have a choice about whether or not to have surgery to rebuild the shape of the breast. Instead of breast reconstruction, you could choose to wear a breast form that replaces the breast, wear padding inside your bra, or do nothing. All of these options have pros and cons. What is right for one woman may not be right for another. Breast reconstruction may be done at the same time as the…

Read more about Breast Reconstruction at MedlinePlus ↗

Source: U.S. National Library of Medicine (MedlinePlus). Informational only — not medical advice.

Excludes1 — not coded here

  • 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)

Frequently asked questions

What is ICD-10 code Z44.3?
Z44.3 is the ICD-10-CM code for "Encounter for fitting and adjustment of external breast prosthesis". It falls under Z00-Z99 Factors influencing health status and contact with health services.
Is Z44.3 a billable code?
No — Z44.3 is a non-billable header code. Use a more specific child code (such as Z44.30) for billing.
What are the subcodes of Z44.3?
Z44.3 has 3 more specific child codes, including Z44.30, Z44.31, Z44.32.
What is excluded from Z44.3?
Excludes1 (not coded here): 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).

Source: CMS ICD-10-CM FY2026. For informational purposes only — not medical advice. See our medical disclaimer.

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