Z41.1 Encounter for cosmetic surgery

✓ Billable ICD-10-CM 2026
Open Z41.1 in Web App →

The ICD-10-CM code for Encounter for cosmetic surgery is Z41.1 (FY2026). It is a billable, claim-ready diagnosis code.

Classification

Section
Z40-Z53: Encounters for other specific health care (Z40-Z53)
Category Z41
6 codes (5 billable)
FY2026 Status
Stable since FY2024

Also Known As

ICD-10-CM Alphabetic Index entries that lead to Z41.1:

  • Admission (for) › cosmetic surgery NEC
  • Admission (for) › breast augmentation or reduction
  • Encounter (with health service) (for) › breast augmentation or reduction
  • Admission (for) › plastic surgery, cosmetic NEC
Excludes1
Not coded here. These conditions should NOT be coded together with Z41.1.
  • encounter for plastic and reconstructive surgery following medical procedure or healed injury (Z42.-)
  • encounter for post-mastectomy breast implantation (Z42.1)

Inclusion Terms

  • Encounter for cosmetic breast implant
  • Encounter for cosmetic procedure

U.S. Hospital Utilization

  • An estimated 1,180 U.S. inpatient stays in 2023 included Z41.1 among the documented diagnoses.
  • 705 stays listed it as the principal diagnosis.

Source: National Inpatient Sample (NIS), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, 2016–2023. National survey-weighted estimates.

Official Coding Guidelines

Used with any code in range A00.0-T88.9, Z00-Z99

1) Used with any code in the range of A00.0-T88.9, Z00-Z99 An external cause code may be used with any code in the range of A00.0-T88.9, Z00-Z99, classification that represents a health condition due to an external cause. Though they are most applicable to injuries, they are also valid for use with such things as infections or diseases due to an external source, and other health conditions, such as a heart attack that occurs during strenuous physical activity.

— ICD-10-CM Official Guidelines for Coding and Reporting, FY2026, Section I.C.20.a.1
Additional codes with observation code (fragment)

observation code, but only if they are unrelated to the suspected condition being observed.

— ICD-10-CM Official Guidelines for Coding and Reporting, FY2026, Section I.C.21.c.6

Source: CMS — ICD-10-CM Official Guidelines for Coding and Reporting, FY2026

References

Related Codes

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Reviewed by Prajwal Shrestha, CPC, CRC
Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC) · AAPC Member ID 01997614 · About · Editorial policy · Content last reviewed: 2025-10-01

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