2024 ICD-10-CM Diagnosis Code Z96.619

Presence of unspecified artificial shoulder joint

ICD-10-CM Code:
Z96.619
ICD-10 Code for:
Presence of unspecified 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)

Z96.619 is a billable diagnosis code used to specify a medical diagnosis of presence of unspecified 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.

Unspecified diagnosis codes like Z96.619 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.

Approximate Synonyms

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

  • Breakage of joint prosthesis
  • Breakage of prosthesis
  • Breakage of shoulder joint prosthesis
  • Dislocation of shoulder joint prosthesis
  • Instability of prosthesis of glenohumeral joint
  • Joint implant in situ
  • Loosening of glenoid component of total shoulder replacement
  • Loosening of humeral component of total shoulder replacement
  • Loosening of shoulder joint prosthesis
  • Loosening of shoulder joint prosthesis
  • Loosening of total shoulder replacement
  • Loosening of total shoulder replacement
  • Prosthetic joint mechanical failure
  • Shoulder joint prosthesis present
  • Shoulder joint unstable
  • Subluxation of glenohumeral joint prosthesis

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 Z96.619 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.