Z41.1 Encounter for cosmetic surgery

Billable ICD-10-CM code, FY2026. Exempt from present-on-admission (POA) reporting.

Applicable to

• Encounter for cosmetic breast implant
• Encounter for cosmetic procedure

Excludes1 (never code together)

• encounter for plastic and reconstructive surgery following medical procedure or healed injury (Z42.-)
• encounter for post-mastectomy breast implantation (Z42.1)

MS-DRG index

Defines the logic of DRG(s) 606-607 in MDC 09.

Approximate ICD-9-CM (GEMs)

• V50.1 Other plastic surgery for unacceptable cosmetic appearance (approximate)

Code annotations containing back-references to Z41.1

Back-references to Z41.1

• Type 1 Excludes: Z42 Encounter for plastic and reconstructive surgery following medical procedure or healed injury ("encounter for cosmetic plastic surgery (Z41.1)")
• Type 1 Excludes: Z44.3 Encounter for fitting and adjustment of external breast prosthesis ("encounter for initial breast implant insertion for cosmetic breast augmentation (Z41.1)")
• Type 1 Excludes: Z45.81 Encounter for adjustment or removal of breast implant ("encounter for initial breast implant insertion for cosmetic breast augmentation (Z41.1)")

Diagnosis Index entries for Z41.1

• Admission (for) › breast augmentation or reduction
• Admission (for) › cosmetic surgery NEC
• Admission (for) › plastic surgery, cosmetic NEC
• Encounter (with health service) (for) › breast augmentation or reduction

Nearby codes

• Z41 Encounter for procedures for purposes other than remedying health state
• Z41.1 Encounter for cosmetic surgery (this code)
• Z41.2 Encounter for routine and ritual male circumcision
• Z41.3 Encounter for ear piercing
• Z41.8 Encounter for other procedures for purposes other than remedying health state
• Z41.9 Encounter for procedure for purposes other than remedying health state, unspecified