ICD-10-CM Code Z95.810

Presence of automatic (implantable) cardiac defibrillator

Version 2020 Billable Code Unacceptable Principal Diagnosis POA Exempt

Valid for Submission

Z95.810 is a billable code used to specify a medical diagnosis of presence of automatic (implantable) cardiac defibrillator. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code Z95.810 might also be used to specify conditions or terms like automatic implantable cardiac defibrillator in situ, biventricular automatic implantable cardioverter defibrillator in situ, cardiac defibrillator in situ, cardiac implant in situ, cardiac implant in situ, cardiac pacemaker in situ, etc The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

The code Z95.810 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.

ICD-10:Z95.810
Short Description:Presence of automatic (implantable) cardiac defibrillator
Long Description:Presence of automatic (implantable) cardiac defibrillator

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 Z95.810:

Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Presence of automatic (implantable) cardiac defibrillator with synchronous cardiac pacemaker
  • Presence of cardiac resynchronization therapy defibrillator (CRT-D)
  • Presence of cardioverter-defibrillator (ICD)

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 Z95.810 are found in the index:


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.

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Automatic implantable cardiac defibrillator in situ
  • Biventricular automatic implantable cardioverter defibrillator in situ
  • Cardiac defibrillator in situ
  • Cardiac implant in situ
  • Cardiac implant in situ
  • Cardiac pacemaker in situ
  • Combination internal cardiac defibrillator and pacemaker in situ
  • H/O: cardiac pacemaker in situ
  • H/O: pacemaker in situ
  • History of combination internal cardiac defibrillator and pacemaker

Present on Admission (POA)

Z95.810 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 CodePOA Reason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO

Convert Z95.810 to ICD-9

  • V45.02 - Status autm crd dfbrltr

Code Classification

  • Factors influencing health status and contact with health services (Z00–Z99)
    • Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99)
      • Presence of cardiac and vascular implants and grafts (Z95)

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

Information for Patients


Pacemakers and Implantable Defibrillators

An arrhythmia is any disorder of your heart rate or rhythm. It means that your heart beats too quickly, too slowly, or with an irregular pattern. Most arrhythmias result from problems in the electrical system of the heart. If your arrhythmia is serious, you may need a cardiac pacemaker or an implantable cardioverter defibrillator (ICD). They are devices that are implanted in your chest or abdomen.

A pacemaker helps control abnormal heart rhythms. It uses electrical pulses to prompt the heart to beat at a normal rate. It can speed up a slow heart rhythm, control a fast heart rhythm, and coordinate the chambers of the heart.

An ICD monitors heart rhythms. If it senses dangerous rhythms, it delivers shocks. This treatment is called defibrillation. An ICD can help control life-threatening arrhythmias, especially those that can cause sudden cardiac arrest (SCA). Most new ICDs can act as both a pacemaker and a defibrillator. Many ICDs also record the heart's electrical patterns when there is an abnormal heartbeat. This can help the doctor plan future treatment.

Getting a pacemaker or ICD requires minor surgery. You usually need to stay in the hospital for a day or two, so your doctor can make sure that the device is working well. You will probably be back to your normal activities within a few days.


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