2024 ICD-10-CM Diagnosis Code Z96.611

Presence of right artificial shoulder joint

ICD-10-CM Code:
Z96.611
ICD-10 Code for:
Presence of right artificial shoulder joint
Is Billable?
Yes - Valid for Submission
Code Navigator:

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)

Z96.611 is a billable diagnosis code used to specify a medical diagnosis of presence of right artificial shoulder joint. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.

This code 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.

Approximate Synonyms

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

  • Dislocation of right shoulder joint prosthesis
  • Dislocation of shoulder joint prosthesis
  • History of bilateral reverse prosthetic total shoulder arthroplasty
  • History of bilateral shoulder arthroplasty
  • History of bilateral shoulder hemiarthroplasty
  • History of hemiarthroplasty of right shoulder
  • History of left shoulder arthroplasty
  • History of left shoulder arthroplasty
  • History of left shoulder arthroplasty
  • History of left shoulder hemiarthroplasty
  • History of left shoulder hemiarthroplasty
  • History of partial replacement of joint of right shoulder
  • History of partial replacement of joint of right shoulder
  • History of partial replacement of joint of right shoulder
  • History of reverse prosthetic total arthroplasty of left shoulder
  • History of reverse prosthetic total arthroplasty of right shoulder
  • History of reverse prosthetic total arthroplasty of right shoulder
  • History of revision of right total shoulder arthroplasty
  • History of right shoulder arthroplasty
  • History of right shoulder arthroplasty
  • History of right shoulder arthroplasty
  • History of right shoulder arthroplasty
  • History of total arthroplasty of bilateral shoulders
  • History of total arthroplasty of left shoulder
  • History of total arthroplasty of left shoulder
  • History of total arthroplasty of right shoulder
  • History of total arthroplasty of right shoulder
  • History of total arthroplasty of right shoulder
  • Instability of prosthesis of glenohumeral joint
  • Instability of prosthetic right shoulder joint
  • Instability of right shoulder joint
  • Shoulder joint unstable

Clinical Classification

Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10-CM 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.

Convert Z96.611 to ICD-9-CM

  • ICD-9-CM Code: V43.61 - Joint replaced shoulder
    Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Patient Education


Artificial Limbs

People can lose all or part of an arm or leg for a number of reasons. Common ones include:

  • Circulation problems from atherosclerosis or diabetes. They may cause you to need an amputation.
  • Traumatic injuries, including from traffic accidents and military combat
  • Cancer
  • Birth defects

If you are missing an arm or leg, an artificial limb can sometimes replace it. The device, which is called a prosthesis, can help you to perform daily activities such as walking, eating, or dressing. Some artificial limbs let you function nearly as well as before.


[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • 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. This was the first year ICD-10-CM was implemented into the HIPAA code set.