ICD-10-CM Code Z45

Encounter for adjustment and management of implanted device

Version 2020 Non-Billable Code

Not Valid for Submission

Z45 is a "header" nonspecific and non-billable code code, consider using a code with a higher level of specificity for a diagnosis of encounter for adjustment and management of implanted device. The code is NOT valid for the year 2020 for the submission of HIPAA-covered transactions.

ICD-10:Z45
Short Description:Encounter for adjustment and management of implanted device
Long Description:Encounter for adjustment and management of implanted device

Consider the following ICD-10 codes with a higher level of specificity:

  • Z45.0 - Encounter for adjustment and management of cardiac device
  • Z45.01 - Encounter for adjustment and management of cardiac pacemaker
  • Z45.010 - Encounter for checking and testing of cardiac pacemaker pulse generator [battery]
  • Z45.018 - Encounter for adjustment and management of other part of cardiac pacemaker
  • Z45.02 - Encounter for adjustment and management of automatic implantable cardiac defibrillator
  • Z45.09 - Encounter for adjustment and management of other cardiac device
  • Z45.1 - Encounter for adjustment and management of infusion pump
  • Z45.2 - Encounter for adjustment and management of vascular access device
  • Z45.3 - Encounter for adjustment and management of implanted devices of the special senses
  • Z45.31 - Encounter for adjustment and management of implanted visual substitution device
  • Z45.32 - Encounter for adjustment and management of implanted hearing device
  • Z45.320 - Encounter for adjustment and management of bone conduction device
  • Z45.321 - Encounter for adjustment and management of cochlear device
  • Z45.328 - Encounter for adjustment and management of other implanted hearing device
  • Z45.4 - Encounter for adjustment and management of implanted nervous system device
  • Z45.41 - Encounter for adjustment and management of cerebrospinal fluid drainage device
  • Z45.42 - Encounter for adjustment and management of neurostimulator
  • Z45.49 - Encounter for adjustment and management of other implanted nervous system device
  • Z45.8 - Encounter for adjustment and management of other implanted devices
  • Z45.81 - Encounter for adjustment or removal of breast implant
  • 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 unspecified breast implant
  • Z45.82 - Encounter for adjustment or removal of myringotomy device (stent) (tube)
  • Z45.89 - Encounter for adjustment and management of other implanted devices
  • Z45.9 - Encounter for adjustment and management of unspecified implanted device

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code Z45:

Includes

Includes
This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
  • removal or replacement of implanted device

Type 1 Excludes

Type 1 Excludes
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.
  • malfunction or other complications of device - see Alphabetical Index

Type 2 Excludes

Type 2 Excludes
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.
  • encounter for fitting and adjustment of non-implanted device Z46

Code Classification

  • Factors influencing health status and contact with health services (Z00–Z99)
    • Encounters for other specific health care (Z40-Z53)
      • Encounter for adjustment and management of implanted device (Z45)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020