2026 ICD-10-CM Diagnosis Code Z45Encounter for adjustment and management of implanted device
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
Code Classification
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
Tabular List NotesGuidance
Coding notes and annotation back-references applicable to this code.
Includes
- removal or replacement of implanted device
Type 1 Excludes
- malfunction or other complications of device - see Alphabetical Index
Type 2 Excludes
- encounter for fitting and adjustment of non-implanted device Z46
This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
Code HistoryHistory
Questions About Z45Overview
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.
