2027 ICD-10-CM Diagnosis Code Z98.2Presence of cerebrospinal fluid drainage device

ICD-10-CM Codes›Z00–Z99›Z77-Z99›Z98

ICD-10-CM Z98.2
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

Z98.2 is a billable ICD-10-CM diagnosis code for presence of cerebrospinal fluid drainage device. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 951. The code is not accepted as a principal diagnosis by the Medicare Code Editor and exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Implant, device or graft related encounter.

Code Identity

ICD-10-CM Code
Z98.2
Billable Status
Yes — Valid for Submission
Code Describes
Presence of cerebrospinal fluid drainage device
Short Description
Presence of cerebrospinal fluid drainage device
Same as the full description in the CMS dataset.
Parent Code
Other postprocedural states

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
CategoryZ98Other postprocedural states
This CodeZ98.2Presence of cerebrospinal fluid drainage device

Code EditsBilling

Medicare Code Editor checks that affect claim validity for Z98.2.

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)Billing

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Cerebrospinal fluid drainage device in situ
  • Extracranial ventricular shunt replaced
  • History of revision of ventriculoperitoneal shunt
  • History of revision of ventriculopleural shunt
  • Hydrocephalic shunt catheter in situ
  • Intracranial ventricular fluid external drainage catheter in situ
  • Lumbar peritoneal shunt in situ
  • Programmable ventricular shunt valve in situ
  • Ventricular shunt in situ
  • Ventriculoperitoneal shunt in situ
  • Ventriculoperitoneal shunt with programmable valve in situ
  • Ventriculoperitoneal shunt with programmable valve present
  • Ventriculopleural shunt in situ
  • Ventriculopleural shunt present
  • Ventriculopleural shunt with programmable valve in situ
  • Ventriculopleural shunt with programmable valve present

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to Z98.2: its own notes plus those printed at Z98, block Z77-Z99, and Chapter 21. A note printed at a category, block or chapter applies to every code under it.

Applicable To

Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.

  • Presence of CSF shunt

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 Z98 Other postprocedural states applies to 23 codes
  • aftercare (Z43-Z49, Z51)
  • follow-up medical care (Z08-Z09)
  • Fontan related circulation (I27.84-)
  • postprocedural complication - see Alphabetical Index

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 Z98.2, its category, or a range that includes it.

Excludes2 3

These codes carry an Excludes2 note naming Z98.2: its condition is not part of those codes, and both may be reported when the patient has both.

  • Z97 Presence of other devices
    presence of cerebrospinal fluid drainage device (Z98.2)
  • Z87.7 Personal history of (corrected) congenital malformations
    other postprocedural states (Z98.-) names Z98.-, which includes this code
  • Z92 Personal history of medical treatment
    postprocedural states (Z98.-) names Z98.-, which includes this code

Index to Diseases and InjuriesGuidance

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 Z98.2 to ICD-9-CMHistory

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

ICD-9-CM
V45.2 Ventricular shunt status
Exact Match The mapping is direct, with no qualifiers.

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 Z98.2Overview

What is the ICD-10 code for presence of cerebrospinal fluid drainage device?

The ICD-10-CM code for presence of cerebrospinal fluid drainage device is Z98.2 (sometimes written as Z982). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is Z98.2 (Other postprocedural states) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report presence of cerebrospinal fluid drainage device on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does Z98.2 group to?

On inpatient claims, presence of cerebrospinal fluid drainage device maps to MS-DRG 951 (other Factors Influencing Health Status), which carries a relative weight of 0.5574. Higher weights mean higher Medicare reimbursement.

Can Z98.2 be a principal diagnosis?

No. The Medicare Code Editor rejects this code as a principal diagnosis because presence of cerebrospinal fluid drainage device describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.

Is Z98.2 exempt from POA reporting?

Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for presence of cerebrospinal fluid drainage device on inpatient claims. The code appears in the Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99) range of the CMS exempt list.