ICD-10-CM Code Z96.21

Cochlear implant status

Version 2020 Billable Code Unacceptable Principal Diagnosis

Valid for Submission

Z96.21 is a billable code used to specify a medical diagnosis of cochlear implant status. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code Z96.21 might also be used to specify conditions or terms like cochlear prosthesis in situ.

The code Z96.21 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:Z96.21
Short Description:Cochlear implant status
Long Description:Cochlear implant status

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 Z96.21 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:

  • Cochlear prosthesis in situ

Convert Z96.21 to ICD-9

  • V45.89 - Post-proc states NEC (Approximate Flag)

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 other functional implants (Z96)

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


Cochlear Implants

A cochlear implant is a small, complex electronic device that can help to provide a sense of sound. People who are profoundly deaf or severely hard-of-hearing can get help from them. The implant consists of two parts. One part sits on the outside of the body, behind the ear. A second part is surgically placed under the skin.

An implant does not restore normal hearing. It can help a person understand speech. Children and adults can benefit from them.

National Institute on Deafness and Other Communication Disorders


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