2027 ICD-10-CM Diagnosis Code Z96.698Presence of other orthopedic joint implants

ICD-10-CM Codes›Z00–Z99›Z77-Z99›Z96

ICD-10-CM Z96.698
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

Z96.698 is a billable ICD-10-CM diagnosis code for presence of other orthopedic joint implants. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 564 through 566. The code is not accepted as a principal diagnosis by the Medicare Code Editor. Coders also document this condition as dislocation of prosthetic joint of finger. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Implant, device or graft related encounter.

Code Identity

ICD-10-CM Code
Z96.698
Billable Status
Yes — Valid for Submission
Code Describes
Presence of other orthopedic joint implants
Short Description
Presence of other orthopedic joint implants
Same as the full description in the CMS dataset.
Parent Code
Z96.69
Presence of other orthopedic joint 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 CodeZ96.698Presence of other orthopedic joint implants

Code EditsBilling

Medicare Code Editor checks that affect claim validity for Z96.698.

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.

  • Dislocation of prosthetic joint of finger
  • H/O: artificial joint
  • History of implantation of joint prosthesis into wrist joint
  • History of replacement of joint of digit of hand
  • Infection associated with prosthetic joint of toe of left foot
  • Infection associated with prosthetic joint of toe of right foot
  • Infection of joint of toe associated with prosthetic joint
  • Mechanical failure of implanted prosthesis of joint of finger

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to Z96.698: its own notes plus those printed at Z96, block Z77-Z99, and Chapter 21. A note printed at a category, block or chapter applies to every code under it.

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From Z96 Presence of other functional implants applies to 40 codes
  • complications of internal prosthetic devices, implants and grafts (T82-T85)
  • fitting and adjustment of prosthetic and other devices (Z44-Z46)

Code Also

A second code may be needed to fully describe the condition; the note gives no sequencing direction.

From Block Z77-Z99 Persons with potential health hazards related to family and personal history and certain conditions influencing health status applies to 567 codes
  • any follow-up examination (Z08-Z09)

Notes

General instructions on how these codes are used.

From Chapter 21 (Z00-Z99) Factors influencing health status and contact with health services applies to 1,425 codes
  • Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
  • (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
  • (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name Z96.698, its category, or a range that includes it.

Excludes1 2

These codes carry an Excludes1 note naming Z96.698: they are not reported together with it, unless the two conditions are unrelated.

  • Z18 Retained foreign body fragments
    artificial joint prosthesis status (Z96.6-) names Z96.6-, which includes this code
  • Z18 Retained foreign body fragments
    organ or tissue replaced by means other than transplant (Z96.-, Z97.-) names Z96.-, which includes this code

Excludes2 4

These codes carry an Excludes2 note naming Z96.698: its condition is not part of those codes, and both may be reported when the patient has both.

  • Z87.7 Personal history of (corrected) congenital malformations
    presence of other functional implants (Z96.-) names Z96.-, which includes this code
  • M96 Intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified
    presence of functional implants and other devices (Z96-Z97) names Z96-Z97, which includes this code
  • Z45.018 Encounter for adjustment and management of other part of cardiac pacemaker
    presence of prosthetic and other devices (Z95.1-Z95.5, Z95.811-Z97) names Z95.811-Z97, which includes this code
  • Z46 Encounter for fitting and adjustment of other devices
    presence of prosthetic and other devices (Z95-Z97) names Z95-Z97, which includes this code

Use Additional Code 8

These codes say to use an additional code from the note, and Z96.698 is one of the codes named.

  • M97.8 Periprosthetic fracture around other internal prosthetic joint
    code to identify the joint (Z96.6-) names Z96.6-, which includes this code
  • T84.018 Broken internal joint prosthesis, other site
    code to identify the joint (Z96.6-) names Z96.6-, which includes this code
  • T84.028 Dislocation of other internal joint prosthesis
    code to identify the joint (Z96.6-) names Z96.6-, which includes this code
  • T84.038 Mechanical loosening of other internal prosthetic joint
    code to identify the joint (Z96.6-) names Z96.6-, which includes this code
  • T84.058 Periprosthetic osteolysis of other internal prosthetic joint
    code to identify the joint (Z96.6-) names Z96.6-, which includes this code
  • T84.068 Wear of articular bearing surface of other internal prosthetic joint
    code to identify the joint (Z96.6-) names Z96.6-, which includes this code
  • T84.098 Other mechanical complication of other internal joint prosthesis
    code to identify the joint (Z96.6-) names Z96.6-, which includes this code
  • Z47.1 Aftercare following joint replacement surgery
    code to identify the joint (Z96.6-) names Z96.6-, which includes this code

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

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

Patient EducationClinical

Artificial Limbs

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

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert Z96.698 to ICD-9-CMHistory

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

ICD-9-CM
V43.69 Oth spcf joint replaced
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 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About Z96.698Overview

What is the ICD-10 code for presence of other orthopedic joint implants?

The ICD-10-CM code for presence of other orthopedic joint implants is Z96.698 (sometimes written as Z96698). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is Z96.698 (Presence of other orthopedic joint implants) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report presence of other orthopedic joint implants on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does Z96.698 group to?

On inpatient claims, presence of other orthopedic joint implants maps to MS-DRG 564, 566, 565, with relative weights from 0.7374 to 1.4909 depending on complications. Higher weights mean higher Medicare reimbursement.

Can Z96.698 be a principal diagnosis?

No. The Medicare Code Editor rejects this code as a principal diagnosis because presence of other orthopedic joint 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 Z96.698?

Under the General Equivalence Mappings, presence of other orthopedic joint implants converts to ICD-9-CM V43.69 (oth spcf joint replaced). The mapping is approximate, so confirm the match fits the documentation.