ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 Z44.30

Billable / Specific

Encounter for fitting and adjustment of external breast prosthesis, unspecified breast

Z44
Block
0
Synonyms
116
LCDs
1
Payer Policies
0
Linked CPTs

About ICD-10-CM Z44.30

ICD-10-CM code Z44.30 represents Encounter for fitting and adjustment of external breast prosthesis, unspecified breast. This is a billable/specific code in the Factors Influencing Health Status chapter (block Z44). The 2026 edition of ICD-10-CM Z44.30 became effective on October 1, 2025.

Medicare LCD Coverage for Z44.30

Local Coverage Determinations (LCDs) from CMS MACs that list Z44.30 as a covered diagnosis.

116 LCDs

Showing top 10 of 116 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Cosmetic and Reconstructive Surgery
Article ID: 56658, Effective: 2026-01-01 00:00:00, 647 covered, 6 non-covered
CPT 21121 →
CMS LCD: Billing and Coding: Cosmetic and Reconstructive Surgery
Article ID: 56658, Effective: 2026-01-01 00:00:00, 647 covered, 6 non-covered
CPT 21145 →
CMS LCD: Billing and Coding: Cosmetic and Reconstructive Surgery
Article ID: 56658, Effective: 2026-01-01 00:00:00, 647 covered, 6 non-covered
CPT 19371 →
CMS LCD: Billing and Coding: Cosmetic and Reconstructive Surgery
Article ID: 56658, Effective: 2026-01-01 00:00:00, 647 covered, 6 non-covered
CPT 21138 →
CMS LCD: Billing and Coding: Cosmetic and Reconstructive Surgery
Article ID: 56658, Effective: 2026-01-01 00:00:00, 647 covered, 6 non-covered
CPT 21244 →
CMS LCD: Billing and Coding: Cosmetic and Reconstructive Surgery
Article ID: 56658, Effective: 2026-01-01 00:00:00, 647 covered, 6 non-covered
CPT 21209 →
CMS LCD: Billing and Coding: Cosmetic and Reconstructive Surgery
Article ID: 56658, Effective: 2026-01-01 00:00:00, 647 covered, 6 non-covered
CPT 21089 →
CMS LCD: Billing and Coding: Cosmetic and Reconstructive Surgery
Article ID: 56658, Effective: 2026-01-01 00:00:00, 647 covered, 6 non-covered
CPT 21249 →
CMS LCD: Billing and Coding: Cosmetic and Reconstructive Surgery
Article ID: 56658, Effective: 2026-01-01 00:00:00, 647 covered, 6 non-covered
CPT 30462 →
CMS LCD: Billing and Coding: Cosmetic and Reconstructive Surgery
Article ID: 56658, Effective: 2026-01-01 00:00:00, 647 covered, 6 non-covered
CPT 21182 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing Z44.30.

1 policies

1 Medicare

Billing and Coding: Cosmetic and Reconstructive Surgery
Policy ID: ART-56658

CPT Codes Commonly Billed with Z44.30

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for Z44.30

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert Z44.30 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
Z44.30 V524 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

Codes Adjacent To Z44.30

Other codes in section Z40-Z53 (Encounters for other specific health care).

ICD-10 Z44.30, Billing FAQ

Is ICD-10 code Z44.30 billable? +

Yes, Z44.30 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What ICD-9 codes does Z44.30 map to? +

Per CMS GEMs, Z44.30 maps to ICD-9 codes: V524. Useful for legacy data review and historical claim analysis.

Get the full PayerReady toolkit

Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.

Start free →

Run this code through our claim audit tool

Check NCCI bundling, MUE limits, and modifier logic before submission.

Try the auditor →

Did this page help?

Quick signal so we know what to improve.

Thanks!

If you want a code reference page that doesn't exist yet, email coding@payerready.com.

Sorry to hear that.

Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.

Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team

Faster Approvals

Ready to Cut Your Enrollment Timeline in Half?

Join providers in all 50 states who handed off credentialing to a dedicated specialist. Create your free account in minutes and start enrolling the same day.

All 50 States Covered
No Long-Term Contracts
HIPAA HIPAA Compliant Platform
Dedicated Specialist Included