Fitting and adjustment of breast prosthesis and implant

This code signifies a patient encounter focused on the proper placement, sizing, or modification of an external breast prosthesis or an internal breast implant. It covers the process of ensuring the device fits comfortably and functions as intended, whether for cosmetic or reconstructive purposes.

Use this code for follow-up visits after a mastectomy for the initial fitting of an external breast form, or for adjustments to an existing external prosthesis. It also applies to encounters where an internal breast implant, placed during a previous surgery, requires adjustment or fine-tuning.

• This code is for the fitting/adjustment service, not the supply of the prosthesis itself.
• Do not use for initial surgical insertion of an implant; that would be a procedure code.
• Consider a secondary diagnosis if the reason for the prosthesis/implant (e.g., history of mastectomy) is relevant.