Present on Admission Exempt ICD-10 Codes - Encounter for adjustment and management of implanted device (Z45)

The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific ICD-10 diagnosis codes that are exempt from the POA reporting requirement.

  • Z45.010 - Encntr for checking and test of card pacemaker pulse gnrtr
  • Z45.018 - Encounter for adjust and mgmt oth prt cardiac pacemaker
  • Z45.02 - Encntr for adjust and mgmt of automatic implntbl card defib
  • Z45.09 - Encounter for adjustment and management of cardiac device
  • Z45.1 - Encounter for adjustment and management of infusion pump
  • Z45.2 - Encounter for adjustment and management of VAD
  • Z45.31 - Encntr for adjust and mgmt of implnt visual substitution dev
  • Z45.320 - Encounter for adjust and mgmt of bone conduction device
  • Z45.321 - Encounter for adjustment and management of cochlear device
  • Z45.328 - Encounter for adjust and management of implanted hear dev
  • Z45.41 - Encounter for adjustment and management of CSF drain dev
  • Z45.42 - Encounter for adjust and mgmt of neuropacemaker (brain)
  • Z45.49 - Encntr for adjust and mgmt of implanted nervous sys device
  • Z45.811 - Encounter for adjustment or removal of right breast implant
  • Z45.812 - Encounter for adjustment or removal of left breast implant
  • Z45.819 - Encounter for adjustment or removal of unsp breast implant
  • Z45.82 - Encntr for adjust or removal of myringotomy device (tube)
  • Z45.89 - Encounter for adjustment and management of implanted devices
  • Z45.9 - Encounter for adjust and management of unsp implanted device