2026 ICD-10-CM Diagnosis Code Z95.0Presence of cardiac pacemaker
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
Code Classification
Code EditsBilling
Medicare Code Editor checks that affect claim validity for Z95.0.
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
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.
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.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
- cardiac
- CRT-P (cardiac resynchronization therapy pacemaker) - Z95.0
- implanted device (artificial) (functional) (prosthetic) - Z96.9
- cardiac pacemaker - Z95.0
- Status (post) - See Also: Presence (of);
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.
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.
Code HistoryHistory
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.
