2022 ICD-10-CM Code Z45.89
Encounter for adjustment and management of other implanted devices
Valid for Submission
ICD-10: | Z45.89 |
Short Description: | Encounter for adjustment and management of implanted devices |
Long Description: | Encounter for adjustment and management of other implanted devices |
Code Classification
Z45.89 is a billable diagnosis code used to specify a medical diagnosis of encounter for adjustment and management of other implanted devices. The code Z45.89 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
The code Z45.89 describes a circumstance which influences the patient's health status but not a current illness or injury. The code is unacceptable as a principal diagnosis.
Index to Diseases and Injuries
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code Z45.89 are found in the index:
- - Admission (for) - See Also: Encounter (for);
- - adjustment (of)
- - device NEC
- - implanted - Z45.89
- - specified NEC - Z45.89
- - implanted - Z45.89
- - device NEC
- - adjustment (of)
- - Encounter (with health service) (for) - Z76.89
- - adjustment and management (of)
- - implanted device NEC - Z45.89
- - removal (of) - See Also: Removal;
- - implanted device NEC - Z45.89
- - adjustment and management (of)
- - Fitting (and adjustment) (of)
- - device NOS - Z46.9
- - implanted NEC - Z45.89
- - device NOS - Z46.9
- - Management (of)
- - implanted device - Z45.9
- - specified NEC - Z45.89
- - prosthesis (external) - See Also: Fitting; - Z44.9
- - implanted - Z45.9
- - specified NEC - Z45.89
- - implanted - Z45.9
- - implanted device - Z45.9
- - Removal (from) (of)
- - device - Z46.9
- - implanted NEC - Z45.89
- - device - Z46.9
Code Edits
The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:
- Unacceptable 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.
Present on Admission (POA)
Z45.89 is exempt from POA reporting - 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. Review other POA exempt codes here.
CMS POA Indicator Options and Definitions
POA Indicator Code | POA Reason for Code | CMS will pay the CC/MCC DRG? |
---|---|---|
Y | Diagnosis was present at time of inpatient admission. | YES |
N | Diagnosis was not present at time of inpatient admission. | NO |
U | Documentation insufficient to determine if the condition was present at the time of inpatient admission. | NO |
W | Clinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission. | YES |
1 | Unreported/Not used - Exempt from POA reporting. | NO |
Convert Z45.89 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code Z45.89 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
- V53.99 - Fit/adjust device NEC (Approximate Flag)
Code History
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)