2025 ICD-10-CM code Z41.1
(Active) Effective Date: N/A Factors influencing health status and contact with health services - Encounters for other specific health care 21 Feed
Encounter for cosmetic surgery.
This code is generally not covered by insurance as it's for cosmetic purposes, not medical necessity.The documentation must clearly reflect that the procedure is cosmetic and not related to a medical condition.
The physician is responsible for evaluating the patient's suitability for the cosmetic procedure, performing the procedure, and providing post-operative care.
In simple words: This code is used when someone visits a healthcare provider for a cosmetic procedure, like a breast implant or other cosmetic surgery.
Encounter for cosmetic surgery, breast implant, or any other cosmetic procedure.
Example 1: A patient consults with a plastic surgeon about breast augmentation., A patient undergoes liposuction for cosmetic reasons., A patient has a consultation for a facelift.
Documentation should include the patient's medical history, physical examination findings, informed consent, details of the procedure performed, and post-operative instructions.
** While Z41.1 is a valid ICD-10-CM code, there's an ANSI standard for safety shoes (ANSI Z41.1-1967) that shares the same numeric designation, but they are unrelated. It is important to note that insurance companies typically do not cover cosmetic procedures using this code.
- Specialties:Plastic Surgery, Cosmetic Surgery, Dermatology
- Place of Service:Ambulatory Surgical Center, Office, Outpatient Hospital