{"code":"Z44.3","type":"code","title":"Encounter for fitting and adjustment of external breast prosthesis","codeAlso":[],"includes":["removal or replacement of external prosthetic device"],"modern_v":"official26","codeFirst":[],"excludes1":["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)","malfunction or other complications of device - see Alphabetical Index","presence of prosthetic device (Z97.-)"],"excludes2":["follow-up examination for medical surveillance after treatment (Z08-Z09)"],"isBillable":false,"fyEffectivity":{"fy2026":true,"fy2027":true},"sibling_codes":["Z44.30","Z44.31","Z44.32"],"inclusionTerms":[],"sibling_titles":{"code":"Z44.32","title":"Encounter for fitting and adjustment of external left breast prosthesis","isBillable":true},"useAdditionalCode":[],"clinicalDefinition":"Encounter for fitting and adjustment of external breast prosthesis is a non-billable ICD-10-CM category code (Z44.3). A more specific billable subcode must be selected for claims submission. Includes: removal or replacement of external prosthetic device. 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.","officialDefinition":"Encounter for fitting and adjustment of external breast prosthesis is a non-billable ICD-10-CM category code (Z44.3). A more specific billable subcode must be selected for claims submission. Includes: removal or replacement of external prosthetic device. 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); malfunction or other complications of device - see Alphabetical Index; presence of prosthetic device (Z97.-). Excludes2 (not included here): follow-up examination for medical surveillance after treatment (Z08-Z09).","seventhCharacterInstructions":[],"workflowProtocols":[],"guidelines":{"whenToUse":[],"whenNotToUse":[],"commonBillingMistakes":[],"codeComparisons":[],"documentationChecklist":[]},"domainLandscape":{"summary":"Primary diagnostic domain and clinical landscape evaluation.","keyCategories":[],"diagnosticContinuum":"Progression continuum from acute presentation to resolution."},"children":[],"hierarchy":[],"relatedCodes":[],"relevantCPTCodes":[],"documentationTips":[],"caseStudies":[],"description":"","overview":""}