2026 ICD-10-CM Diagnosis Code Z95.0Presence of cardiac pacemaker

ICD-10-CM CodesZ00–Z99Z77-Z99Z95

ICD-10-CM Z95.0
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

Z95.0 is a billable ICD-10-CM diagnosis code for presence of cardiac pacemaker. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). The code is not accepted as a principal diagnosis by the Medicare Code Editor and exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Conduction disorders; and Implant, device or graft related encounter.

Code Identity

ICD-10-CM Code
Z95.0
Billable Status
Yes — Valid for Submission
Code Describes
Presence of cardiac pacemaker
Short Description
Presence of cardiac pacemaker
Same as the full description in the CMS dataset.
Parent Code
Presence of cardiac and vascular implants and grafts

Code Classification

ChapterZ00–Z99Factors influencing health status and contact with health services
SectionZ77-Z99Persons with potential health hazards related to family and personal history and certain conditions influencing health status
CategoryZ95Presence of cardiac and vascular implants and grafts
This CodeZ95.0Presence of cardiac pacemaker

Code EditsBilling

Medicare Code Editor checks that affect claim validity for Z95.0.

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)Billing

Z95.0 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Atrial rhythm from artificial pacing
  • Biventricular cardiac pacemaker present
  • Cardiac defibrillator in situ
  • Cardiac pacemaker active on electrocardiogram
  • Cardiac pacemaker in situ
  • Cardiac pacemaker replaced
  • Combination internal cardiac defibrillator and pacemaker in situ
  • ECG: paced rhythm
  • H/O: cardiac pacemaker in situ
  • H/O: pacemaker in situ
  • Normally functioning cardiac pacemaker in situ
  • Patient paced
  • Permanent cardiac pacemaker
  • Rhythm from artificial pacing
  • Ventricular rhythm from artificial pacing

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

  • Presence of cardiac resynchronization therapy (CRT-P) pacemaker

Type 1 Excludes

  • adjustment or management of cardiac device Z45.0
  • adjustment or management of cardiac pacemaker Z45.0
  • presence of automatic implantable cardiac defibrillator with synchronous cardiac pacemaker Z95.810

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Cardiac
      • pacemaker
        • in situ
    • Presence(of)
      • cardiac
        • pacemaker
    • Presence(of)
      • cardiac
        • resynchronization therapy
          • pacemaker
    • Presence(of)
      • CRT-P (cardiac resynchronization therapy pacemaker)
    • Presence(of)
      • implanted device (artificial) (functional) (prosthetic)
        • cardiac pacemaker
    • Status(post)
      • pacemaker
        • cardiac

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR CIR016
Conduction disorders
Default principal diagnosis: inpatient No · outpatient Yes
CCSR FAC009
Implant, device or graft related encounter
Default principal diagnosis: inpatient No · outpatient No

Clinical InformationClinical

  • Permanent Cardiac Pacemaker

    a cardiac pacemaker where the generator is implanted inside the body.

Patient EducationClinical

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).

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert Z95.0 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
V45.01 Status cardiac pacemaker
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About Z95.0Overview

Is Z95.0 (Presence of cardiac and vascular implants and grafts) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report presence of cardiac pacemaker on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

Can Z95.0 be a principal diagnosis?

No. The Medicare Code Editor rejects this code as a principal diagnosis because presence of cardiac pacemaker describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.

Is Z95.0 exempt from POA reporting?

Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for presence of cardiac pacemaker on inpatient claims.

What is the ICD-9 equivalent of Z95.0?

Under the General Equivalence Mappings, presence of cardiac pacemaker converts to ICD-9-CM V45.01 (status cardiac pacemaker). The mapping is a direct match.