Breakdown of breast prosthesis and implant, subs

This code signifies a mechanical failure of a breast prosthesis or implant that has occurred after the initial treatment or procedure for the breakdown. This could include issues such as rupture, deflation, or other structural compromises of the implant itself, requiring further medical attention.

Use this code when a patient presents for follow-up care, evaluation, or treatment of a previously identified mechanical breakdown of a breast implant. This applies to encounters after the initial diagnosis and management of the implant failure. Examples include a patient returning for surgical revision or removal of a ruptured implant, or for diagnostic imaging to assess the extent of a known mechanical issue.

• Ensure the encounter is for a subsequent visit related to the mechanical breakdown, not the initial diagnosis.
• Always code the specific type of breast implant (e.g., silicone, saline) if known and documented.
• Consider additional codes for any associated complications, such as infection or pain, if applicable.