ICD-10 Code Z96.698

Presence of other orthopedic joint implants

Version 2020 Billable Code Unacceptable Principal Diagnosis

Valid for Submission

Z96.698 is a billable code used to specify a medical diagnosis of presence of other orthopedic joint implants. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10 code Z96.698 might also be used to specify conditions or terms like h/o: artificial joint or h/o: artificial joint or history of implantation of joint prosthesis into wrist joint or history of replacement of joint of digit of hand.

The code Z96.698 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:Z96.698
Short Description:Presence of other orthopedic joint implants
Long Description:Presence of other orthopedic joint implants

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 Z96.698 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:

  • H/O: artificial joint
  • H/O: artificial joint
  • History of implantation of joint prosthesis into wrist joint
  • History of replacement of joint of digit of hand

Diagnostic Related Groups

The ICD-10 code Z96.698 is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2020 through 09/30/2020.

  • 564 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC
  • 565 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC
  • 566 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC

Convert Z96.698 to ICD-9

  • V43.69 - Oth spcf joint replaced (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


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.


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