2026 ICD-10-CM Diagnosis Code Z96.5Presence of tooth-root and mandibular implants

ICD-10-CM Codes›Z00–Z99›Z77-Z99›Z96

ICD-10-CM Z96.5
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

Z96.5 is a billable ICD-10-CM diagnosis code for presence of tooth-root and mandibular implants. 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. Coders also document this condition as dental prosthetic device in situ. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Implant, device or graft related encounter.

Code Identity

ICD-10-CM Code
Z96.5
Billable Status
Yes — Valid for Submission
Code Describes
Presence of tooth-root and mandibular implants
Short Description
Presence of tooth-root and mandibular implants
Same as the full description in the CMS dataset.
Parent Code
Z96
Presence of other functional implants

Code Classification

ChapterZ00–Z99Factors influencing health status and contact with health services
SectionZ77-Z99Persons with potential health hazards related to family and personal history and certain conditions influencing health status
CategoryZ96Presence of other functional implants
This CodeZ96.5Presence of tooth-root and mandibular implants

Code EditsBilling

Medicare Code Editor checks that affect claim validity for Z96.5.

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.

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Dental prosthetic device in situ
  • Dental root implant in situ
  • History of implantation of dental endosseous implant
  • Mandibular implant in situ
  • Postprocedural finding oral cavity

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Presence(of)
      • implanted device (artificial) (functional) (prosthetic)
        • dental
    • Presence(of)
      • mandibular implant (dental)
    • Presence(of)
      • tooth root (s) implant
    • Replacement by artificial or mechanical device or prosthesis of
      • mandible NEC (for tooth root implant (s))
    • Replacement by artificial or mechanical device or prosthesis of
      • tooth root (s)

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR FAC009
Implant, device or graft related encounter
Default principal diagnosis: inpatient No · outpatient Yes

Convert Z96.5 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
V43.89 Organ/tiss replacmnt NEC
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About Z96.5Overview

Is Z96.5 (Presence of other functional implants) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report presence of tooth-root and mandibular implants on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

Can Z96.5 be a principal diagnosis?

No. The Medicare Code Editor rejects this code as a principal diagnosis because presence of tooth-root and mandibular implants describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.

What is the ICD-9 equivalent of Z96.5?

Under the General Equivalence Mappings, presence of tooth-root and mandibular implants converts to ICD-9-CM V43.89 (organ/tiss replacmnt NEC). The mapping is approximate, so confirm the match fits the documentation.