2027 ICD-10-CM Diagnosis Code Z45Encounter for adjustment and management of implanted device

ICD-10-CM Codes›Z00–Z99›Z40-Z53›Z45

ICD-10-CM Z45
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

Z45 is a non-billable ICD-10-CM category code for encounter for adjustment and management of implanted device, so it cannot be submitted on claims. Use a more specific code from this category instead, such as Z45.010, Z45.018, Z45.02, and Z45.09.

Code Identity

ICD-10-CM Code
Z45
Billable Status
No — Non-Billable Category
Code Describes
Encounter for adjustment and management of implanted device
Short Description
Encounter for adjustment and management of implanted device
Same as the full description in the CMS dataset.
Chapter
Z40-Z53
Encounters for other specific health care

Code Classification

ChapterZ00–Z99Factors influencing health status and contact with health services
SectionZ40-Z53Encounters for other specific health care
CategoryZ45Encounter for adjustment and management of implanted device
This CodeZ45Encounter for adjustment and management of implanted device

Specific Coding for Encounter for adjustment and management of implanted deviceOverview

Non-specific codes like Z45 require more characters. Use one of these billable codes instead:

  • Z45.0 for Encounter for adjustment and management of cardiac device

  • Z45.01 for Encounter for adjustment and management of cardiac pacemaker

  • Use Z45.02 for Encounter for adjustment and management of automatic implantable cardiac defibrillator

  • Use Z45.09 for Encounter for adjustment and management of other cardiac device

  • Use Z45.1 for Encounter for adjustment and management of infusion pump

  • Use Z45.2 for Encounter for adjustment and management of vascular access device

  • Z45.3 for Encounter for adjustment and management of implanted devices of the special senses

  • Use Z45.31 for Encounter for adjustment and management of implanted visual substitution device

  • Z45.32 for Encounter for adjustment and management of implanted hearing device

  • Z45.4 for Encounter for adjustment and management of implanted nervous system device

  • Use Z45.41 for Encounter for adjustment and management of cerebrospinal fluid drainage device

  • Use Z45.42 for Encounter for adjustment and management of neurostimulator

  • Use Z45.49 for Encounter for adjustment and management of other implanted nervous system device

  • Z45.8 for Encounter for adjustment and management of other implanted devices

  • Z45.81 for Encounter for adjustment or removal of breast implant

  • Use Z45.82 for Encounter for adjustment or removal of myringotomy device (stent) (tube)

  • Use Z45.89 for Encounter for adjustment and management of other implanted devices

  • Use Z45.9 for Encounter for adjustment and management of unspecified implanted device

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to Z45: its own notes plus those printed at block Z40-Z53 and Chapter 21. A note printed at a category, block or chapter applies to every code under it.

Includes

Further defines, or gives examples of, the content of the category.

  • removal or replacement of implanted device

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

  • malfunction or other complications of device - see Alphabetical Index

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

On Z45 itself
  • encounter for fitting and adjustment of non-implanted device (Z46.-)
From Block Z40-Z53 Encounters for other specific health care applies to 164 codes
  • follow-up examination for medical surveillance after treatment (Z08-Z09)

Notes

General instructions on how these codes are used.

From Chapter 21 (Z00-Z99) Factors influencing health status and contact with health services applies to 1,425 codes
  • Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
  • (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
  • (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name Z45, its category, or a range that includes it.

Excludes1 1

These codes carry an Excludes1 note naming Z45: they are not reported together with it, unless the two conditions are unrelated.

  • Z09 Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm
    surveillance of prosthetic and other medical devices (Z44-Z46) names Z44-Z46, which includes this code

Excludes2 5

These codes carry an Excludes2 note naming Z45: its condition is not part of those codes, and both may be reported when the patient has both.

  • Z46 Encounter for fitting and adjustment of other devices
    encounter for fitting and management of implanted devices (Z45.-)
  • Z43 Encounter for attention to artificial openings
    fitting and adjustment of prosthetic and other devices (Z44-Z46) names Z44-Z46, which includes this code
  • Z48 Encounter for other postprocedural aftercare
    encounter for fitting and adjustment of prosthetic and other devices (Z44-Z46) names Z44-Z46, which includes this code
  • Z96 Presence of other functional implants
    fitting and adjustment of prosthetic and other devices (Z44-Z46) names Z44-Z46, which includes this code
  • Z97 Presence of other devices
    fitting and adjustment of prosthetic and other devices (Z44-Z46) names Z44-Z46, which includes this code

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About Z45Overview

What is the ICD-10 code for encounter for adjustment and management of implanted device?

Z45 is the ICD-10-CM category for encounter for adjustment and management of implanted device, but it is a non-billable header: claims need a more specific code from this category, listed on this page.

Is Z45 (Encounter for adjustment and management of implanted device) a billable code?

No. This is a category header that groups the codes for encounter for adjustment and management of implanted device, and headers cannot be submitted on claims. Claims for encounter for adjustment and management of implanted device need a more specific code from this category, such as Z45.010, Z45.018, and Z45.02.