2024 ICD-10-CM Diagnosis Code Z97.2

Presence of dental prosthetic device (complete) (partial)

ICD-10-CM Code:
Z97.2
ICD-10 Code for:
Presence of dental prosthetic device (complete) (partial)
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 devices
        (Z97)

Z97.2 is a billable diagnosis code used to specify a medical diagnosis of presence of dental prosthetic device (complete) (partial). The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

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:

  • Able to clean own dentures
  • Able to perform mouthcare activities
  • Allergic contact stomatitis caused by denture
  • Assistance required to clean own dentures
  • Complete dental peri-implantitis
  • Complete denture with increase in vertical dimension of occlusion
  • Contact mucous membrane inflammation
  • Contact mucous membrane inflammation
  • Contact stomatitis
  • Contact stomatitis
  • Dental peri-implantitis
  • Dental peri-implantitis
  • Dental prosthetic device in situ
  • Denture present
  • Denture stomatitis
  • Denture unstable
  • Difficulty cleaning own dentures
  • Difficulty performing mouthcare activities
  • Does clean own dentures
  • Does not clean own dentures
  • Does not perform mouthcare activities
  • Does perform mouthcare activities
  • Finding related to ability to clean own dentures
  • Finding related to ability to clean own dentures
  • Finding related to ability to clean own dentures
  • Finding related to ability to clean own dentures
  • Finding related to ability to clean own dentures
  • Finding related to ability to clean own dentures
  • Fit of maxillofacial prosthesis finding
  • Fit of maxillofacial prosthesis finding
  • Fit of maxillofacial prosthesis finding
  • Implant supported overdenture in situ
  • Inflammatory fibroepithelial hyperplasia of oral mucous membrane
  • Inflammatory fibroepithelial hyperplasia of oral mucous membrane caused by denture
  • Irritant contact stomatitis caused by denture
  • Irritative hyperplasia of oral mucosa
  • Loss of vertical dimension of occlusion due to worn complete denture
  • Loss of vertical dimension of occlusion due to worn removable partial denture
  • Maxillofacial prosthesis present
  • Oral mucosal fungal disease
  • Oral mucous membrane inflammation due to denture trauma
  • Partial dental peri-implantitis
  • Partial denture with increase in vertical dimension of occlusion
  • Postprocedural finding oral cavity
  • Postprocedural finding oral cavity
  • Removable partial denture with loss of occlusal relationship
  • Removable partial denture with loss of retention
  • Unable to clean own dentures
  • Unable to perform mouthcare activities

Clinical Classification

Tabular List of Diseases and Injuries

The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.


Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Presence of dentures (complete) (partial)

Index to Diseases and Injuries References

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

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.

Present on Admission (POA)

Z97.2 is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here.

CMS POA Indicator Options and Definitions

POA IndicatorReason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO

Convert Z97.2 to ICD-9-CM

  • ICD-9-CM Code: V45.84 - Dental restoratn status
    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.

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.