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Z44.31

Billable

Encounter for fitting and adjustment of external right breast prosthesis

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A patient visit to have an external right breast prosthesis fitted or adjusted after mastectomy or for cosmetic purposes.

Coding Tips

  • Confirm documentation specifies the right breast to justify this laterality-specific code
  • Consider linking to the underlying condition (such as Z90.11 for unilateral mastectomy) if applicable

Code Hierarchy

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