Breast implant status

This code indicates that a patient currently has breast implants in place, regardless of the reason for their insertion (e.g., augmentation, reconstruction). It signifies the ongoing presence of these implants as part of the patient's medical history or current status.

This code is appropriate for encounters where the presence of breast implants is relevant to the patient's care, such as during routine follow-up appointments, imaging studies (e.g., mammograms, MRIs), or when evaluating symptoms potentially related to the implants. It should be used when the implants are still present and have not been removed.

• Do not use this code if the implants have been removed; refer to the Excludes1 note.
• This code is often used in conjunction with codes for the reason for the original implant insertion (e.g., personal history of breast cancer, cosmetic augmentation).
• Ensure documentation clearly states the presence of implants, not just a history of implantation.