Skip to main content

Z98.86 ICD-10-CM Code: Personal history of breast implant removal

Compare with another codeCheck this code on a claim

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Coding at a Glance

Tabular directives
4 Excludes2 · 1 code-also instruction

Billable · FY2027A valid, specific ICD-10-CM code, reportable for dates of service in FY2027.

What you need to know

Source: CMS/NCHS Official ICD-10-CM tabular notes, quoted. From the CMS/NCHS tabular list for the release in force. A note the category or block publishes applies to this code too; the Instructions section marks which is which.

Code alsoMay be needed with this code
  • any follow-up examination (Z08-Z09)
Excludes2Not included here; may be reported together
  • aftercare (Z43-Z49, Z51)
  • follow-up medical care (Z08-Z09)
  • Fontan related circulation (I27.84-)
  • postprocedural complication - see Alphabetical Index

Most relevant related codes MedCoder-derived

Read off the official notes above and this code’s own position in the tabular list. Which to report is a documentation question; Compare shows the two side by side.

CompareCheck ClaimView Related Codes

Inpatient Payment Groups (MS-DRG)

Potential MS-DRG participation — not a DRG assignment.

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v44, Appendix B.

  • MS-DRG 951 — OTHER FACTORS INFLUENCING HEALTH STATUS (MDC 23)

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for Z98.86 in the official ICD-10-CM tabular list, quoted as published.

Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2027Effective: October 1, 2026

Trace:FY2027 changesChange historyRelease, file and checksum

Notes without a marker are published on Z98.86 itself; “inherited from” names the category or block whose note applies here.

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

Source: inherited from Z98

Code Also

Additional codes that may be required to fully describe the encounter.

  • any follow-up examination (Z08-Z09)

Source: inherited from Z77-Z99

Coder workflow for Z98.86

MedCoder structured workflow — derived from this code’s own official record

Before you code Z98.86

  1. Confirm the reason for the encounter this Z code records: a status — a condition, carrier state or sequela that may affect care, distinct from a current complication of it. Check whether the code may be reported as first-listed or principal — some Z codes are limited to one position — and do not report a history or status code for a condition documented as current. Z code categories and their reporting positions (Guidelines I.C.21.c.3, I.C.21.c.15).

    Guide: Status codes (Z codes) →

Documentation check

The provider’s diagnostic statement
Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
The reason for the encounter
Whether the code records the encounter’s purpose, a status, or a history — and whether it may be first-listed (Guidelines I.C.21.c).

Official instructions as workflow

  • Excludes2 — not part of Z98.86(4 notes)

    Coding workflow: The conditions named in this note are not included in Z98.86. When the record documents both, both may be reported; the note is a boundary, not a prohibition.

    CompareZ51, I27.84

    See the official tabular notes · Guidelines I.A.12.b

  • Code Also — related condition(1 note)

    Coding workflow: Review the related condition when both are documented and the instruction applies. A Code Also note does not fix sequencing; the order follows the circumstances of the encounter.

    See the official tabular notes · Guidelines I.A.17

Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.

Don’t confuse Z98.86 with…

MedCoder analysis — pairs from this code’s official notes, distinctions written by MedCoder

The codes most likely to be picked instead of Z98.86 — named in its own official notes, or sharing its laterality or encounter family — with what separates them and which documentation moves the case. Each links to the full comparison.

  • Z43— Excludes2 relationship (Informational)

    Distinct conditions — both may be reported.

    A distinct condition — both may be reported when both are documented.

    What moves you there: Documentation of aftercare adds Z43; it is not part of this code and both may be reported when both are documented.

    Full comparison: Z98.86 vs Z43 →

  • Z49— Excludes2 relationship (Informational)

    Distinct conditions — both may be reported.

    A distinct condition — both may be reported when both are documented.

    What moves you there: Documentation of aftercare adds Z49; it is not part of this code and both may be reported when both are documented.

    Full comparison: Z98.86 vs Z49 →

  • Z51— Excludes2 relationship (Informational)

    Distinct conditions — both may be reported.

    A distinct condition — both may be reported when both are documented.

    What moves you there: Documentation of aftercare adds Z51; it is not part of this code and both may be reported when both are documented.

    Full comparison: Z98.86 vs Z51 →

  • Z08— Excludes2 relationship (Informational)

    Distinct conditions — both may be reported.

    A distinct condition — both may be reported when both are documented.

    What moves you there: Documentation of follow-up medical care adds Z08; it is not part of this code and both may be reported when both are documented.

    Full comparison: Z98.86 vs Z08 →

  • Z09— Excludes2 relationship (Informational)

    Distinct conditions — both may be reported.

    A distinct condition — both may be reported when both are documented.

    What moves you there: Documentation of follow-up medical care adds Z09; it is not part of this code and both may be reported when both are documented.

    Full comparison: Z98.86 vs Z09 →

  • I27.84— Excludes2 relationship (Informational)

    Distinct conditions — both may be reported.

    A distinct condition — both may be reported when both are documented.

    What moves you there: Documentation of Fontan related circulation adds I27.84; it is not part of this code and both may be reported when both are documented.

    Full comparison: Z98.86 vs I27.84 →

Relationships are read from this code's own official notes, its laterality siblings and its encounter family; the wording of each distinction is MedCoder editorial, and the documentation named in each “what moves you there” line is the official note phrase or sibling title itself. Source: CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a.

Coding context

Guidelines, coding notes, decision aids, relationships (with MS-DRG and CCSR classification), hierarchy, HCC, coverage and the context map: what a coder reaches for after the core. Each section names whether it is official source data, a MedCoder-derived relationship or MedCoder editorial.

Code Overview

Personal history of breast implant removal is a billable ICD-10-CM diagnosis code (Z98.86).

MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Official Coding Guidelines

Official source data — quoted verbatim from the CMS/NCHS Official Guidelines

Verbatim excerpts from the ICD-10-CM Official Guidelines for Coding and Reporting (CMS/NCHS) that govern this code.

Chapter 21: Factors influencing health status and contact with health services (Z00-Z99)

Code Z92.82 is only applicable to the receiving facility record and not to the transferring facility record. Z93 Artificial opening status Z94 Transplanted organ and tissue status Z95 Presence of cardiac and vascular implants and grafts Z96 Presence of other functional implants Z97 Presence of other devices Z98 Other postprocedural states Assign code Z98.85, Transplanted organ removal status, to indicate that a transplanted organ has been previously removed. This code should not be assigned for the encounter in which the transplanted organ is removed. The complication necessitating removal of the transplant organ should be assigned for that encounter.

Verify Before Coding

  • Principal-diagnosis restriction. The Medicare Code Editor lists this code as unacceptable as a principal diagnosis: it describes a circumstance influencing health status rather than a current illness or injury being treated. It is valid as a secondary diagnosis.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Relationships & Classification

MedCoder-derived relationships — computed from published CMS and AHRQ datasets

Other codes that name Z98.86 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

Referenced by 1 Excludes1 note: Z98.82 — Breast implant status.

These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.

Referenced by 3 Excludes2 notes: Z78 — Other specified health status (via Z98.-), Z87.7 — Personal history of (corrected) congenital malformations (via Z98.-), Z92 — Personal history of medical treatment (via Z98.-).

These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.

Referenced by 1 Use Additional Code instruction: C84.7A — Anaplastic large cell lymphoma, ALK-negative, breast.

These codes instruct coders to additionally report this code when it applies.

MS-DRG Grouper Relationships (FY2027)

Potential MS-DRG participation — not a DRG assignment.

FY2027 MS-DRG: not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity for that release.

Named in the grouper logic of 1 MS-DRG: DRG 951 (MDC 23).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Clinical classification (AHRQ CCSR):FAC030 — Personal history of other disease (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Related Codes

Principal diagnosis restriction (Medicare Code Editor)

Not acceptable as a principal diagnosis on an inpatient claim.

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Personal history of other disease).

Z91.81 — History of falling, Z91.82 — Personal history of military deployment, Z92.0 — Personal history of contraception, Z92.22 — Personal history of monoclonal drug therapy, Z92.23 — Personal history of estrogen therapy, Z92.240 — Personal history of inhaled steroid therapy, Z92.241 — Personal history of systemic steroid therapy, Z92.25 — Personal history of immunosuppression therapy, Z92.29 — Personal history of other drug therapy, Z92.81 — Personal history of extracorporeal membrane oxygenation (ECMO), Z92.82 — Status post administration of tPA (rtPA) in a different facility within the last 24 hours prior to admission to current facility, Z92.83 — Personal history of failed moderate sedation, Z92.84 — Personal history of unintended awareness under general anesthesia, Z92.858 — Personal history of other cellular therapy, Z92.859 — Personal history of cellular therapy, unspecified, Z92.86 — Personal history of gene therapy, Z92.89 — Personal history of other medical treatment, Z98.870 — Personal history of in utero procedure during pregnancy, Z98.871 — Personal history of in utero procedure while a fetus, Z98.891 — History of uterine scar from previous surgery, +100 more

Same Index main term, other category

The ICD-10-CM Index to Diseases and Injuries files this code under the main term “Status”; these codes share that main term but sit in a different category of the Tabular List.

Z93.8 — Other artificial opening status (vagina, artificial), Z93.9 — Artificial opening status, unspecified (artificial opening), Z95.0 — Presence of cardiac pacemaker (pacemaker, cardiac), Z95.1 — Presence of aortocoronary bypass graft (aortocoronary bypass), Z95.2 — Presence of prosthetic heart valve (organ replacement, by artificial or mechanical device or prosthesis of, heart, valve), Z95.5 — Presence of coronary angioplasty implant and graft (prosthesis coronary angioplasty), Z95.812 — Presence of fully implantable artificial heart (organ replacement, by artificial or mechanical device or prosthesis of, heart), Z95.820 — Peripheral vascular angioplasty status with implants and grafts (angioplasty, with implant), Z95.828 — Presence of other vascular implants and grafts (organ replacement, by artificial or mechanical device or prosthesis of, artery), Z96.0 — Presence of urogenital implants (organ replacement, by artificial or mechanical device or prosthesis of, bladder), Z96.1 — Presence of intraocular lens (pseudophakia), Z96.3 — Presence of artificial larynx (organ replacement, by artificial or mechanical device or prosthesis of, larynx), Z96.60 — Presence of unspecified orthopedic joint implant (organ replacement, by artificial or mechanical device or prosthesis of, joint), Z96.698 — Presence of other orthopedic joint implants (organ replacement, by artificial or mechanical device or prosthesis of, joint, specified site NEC), Z96.89 — Presence of other specified functional implants (pacemaker, brain), Z97.0 — Presence of artificial eye (organ replacement, by artificial or mechanical device or prosthesis of, eye globe), Z97.8 — Presence of other specified devices (organ replacement, by artificial or mechanical device or prosthesis of, lung), Z99.11 — Dependence on respirator [ventilator] status (ventilator), Z99.2 — Dependence on renal dialysis (dialysis), Z99.3 — Dependence on wheelchair (wheelchair confinement), +342 more

Contextual Map

Every relationship of Z98.86 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Run Z98.86 with these 5 related codes in Claim Check

Hierarchy

Referenced by Excludes1 notes

Referenced by Excludes2 notes

Referenced by Use Additional Code instructions

Clinical classification (CCSR)

MS-DRG Grouper

MDC crossing

  • MDC 23 — Factors Influencing Health Status and Other Contacts with Health Services[MDC crossing]: “Factors Influencing Health Status and Other Contacts with Health Services — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 1,258 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2027

Index entries

  • History, personal (of), breast implant removal[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • History, personal (of), removal, implant, breast[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • Status (post), breast implant, removal[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027

Nearest codes (30)

Change history

  • FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016

Reference

Index terms and tables, published questions and FAQ, every source behind this page with its release and checksum, the date-of-service check and the complete change history.

Indexed Clinical Terms (3)

Official source data — entries quoted as published, in the Index’s own lookup phrasing

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data
CMS/CDC ICD-10-CM FY2027 tabular list, index and tables, effective October 1, 2026 Release, file and checksum · Publisher’s page
Coding guidelines Official source data
ICD-10-CM Official Guidelines for Coding and Reporting (FY2027), quoted by section Release, file and checksum · Publisher’s page
Claim edits Official source data
CMS Definitions of Medicare Code Edits — v44.0 (October 2026) Release, file and checksum · Publisher’s page
Inpatient payment groups Official source data
CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v44 Release, file and checksum · Publisher’s page
Change history and date-of-service validity Official source data
CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
Comparisons, relationships and the contextual map MedCoder-derived relationship
Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Summary and FAQ answers MedCoder editorial explanation
Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources

Labels on this page: Official source data · MedCoder-derived relationship · MedCoder editorial explanation. How to read the labels · All data sources and release dates · CMS coding rules

Cite this page

Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.

MedCoder.ai. "Z98.86 — Personal history of breast implant removal." ICD-10-CM FY2027. https://medcoder.ai/icd10/code/z98.86-personal-history-of-breast-implant-removal

Change history

  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Personal history of breast implant removal

No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027, and none are recorded for this code. Note changes are tracked from FY2027 only.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to Z98.86 in its code family, with their registry titles.

View all codes in the Z98 family