ICD-10 Diagnosis Code Z46.81

Encounter for fitting and adjustment of insulin pump

Diagnosis Code Z46.81

ICD-10: Z46.81
Short Description: Encounter for fitting and adjustment of insulin pump
Long Description: Encounter for fitting and adjustment of insulin pump
This is the 2017 version of the ICD-10-CM diagnosis code Z46.81

Code Classification
  • Factors influencing health status and contact with health services
    • Encounters for other specific health care (Z40-Z53)
      • Encounter for fitting and adjustment of other devices (Z46)

Information for Medical Professionals

Code Edits
The following edits are applicable to this code:
Unacceptable principal diagnosis Additional informationCallout TooltipUnacceptable principal diagnosis
There are selected codes that describe a circumstance which influences an individual’s health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.

Convert to ICD-9 Additional informationCallout TooltipGeneral Equivalence Map
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

Present on Admission (POA) Additional informationCallout TooltipPresent on Admission
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 diagnosis codes that are exempt from the POA reporting requirement.

The code Z46.81 is exempt from POA reporting.

Index of Diseases and Injuries
References found for the code Z46.81 in the Index of Diseases and Injuries:

Information for Patients


Also called: DM, Diabetes mellitus

Diabetes is a disease in which your blood glucose, or blood sugar, levels are too high. Glucose comes from the foods you eat. Insulin is a hormone that helps the glucose get into your cells to give them energy. With type 1 diabetes, your body does not make insulin. With type 2 diabetes, the more common type, your body does not make or use insulin well. Without enough insulin, the glucose stays in your blood. You can also have prediabetes. This means that your blood sugar is higher than normal but not high enough to be called diabetes. Having prediabetes puts you at a higher risk of getting type 2 diabetes.

Over time, having too much glucose in your blood can cause serious problems. It can damage your eyes, kidneys, and nerves. Diabetes can also cause heart disease, stroke and even the need to remove a limb. Pregnant women can also get diabetes, called gestational diabetes.

Blood tests can show if you have diabetes. One type of test, the A1C, can also check on how you are managing your diabetes. Exercise, weight control and sticking to your meal plan can help control your diabetes. You should also monitor your blood glucose level and take medicine if prescribed.

NIH: National Institute of Diabetes and Digestive and Kidney Diseases

  • A1C test
  • Blood sugar test - blood
  • Choose More than 50 Ways to Prevent Type 2 Diabetes - NIH - Easy-to-Read (National Diabetes Education Program)
  • Diabetes
  • Diabetes - keeping active
  • Diabetes - low blood sugar - self-care
  • Diabetes - tests and checkups
  • Diabetes - when you are sick
  • Diabetes and exercise
  • Giving an insulin injection
  • High blood sugar

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