Personal history of breast implant removal

This code indicates a patient's past medical history of having undergone a surgical procedure to remove breast implants. It signifies that the implants are no longer present, regardless of the reason for their removal (e.g., rupture, capsular contracture, patient preference).

Apply this code when documenting a patient's medical history for follow-up care related to the breast area after implant removal, or when the history of removal is relevant to current medical management. It is also appropriate for patients presenting with symptoms that could be related to the prior presence of implants or the removal surgery itself.

• Do not use this code if the breast implants are still present, even if they are explanted and re-implanted during the same surgical encounter.
• This code is for the history of removal; use a procedure code for the actual removal surgery.
• Consider adding a code for the reason for removal if known and relevant to the current encounter.