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  5. Encounter for adjustment and management of implanted device (Z45)

Encounter for adjustment and management of implanted device (Z45)

The ICD-10 code Z45 series is used to document healthcare encounters focused on the adjustment and management of various implanted medical devices. These codes capture care related to devices ranging from cardiac pacemakers to hearing implants and infusion pumps.

Specifically, Z45.0 covers encounters for cardiac devices like pacemakers (Z45.01, including battery checks at elective replacement timing) and implantable defibrillators (Z45.02). Encounters for managing infusion pumps and vascular access devices are coded as Z45.1 and Z45.2, respectively. Special senses devices, including visual substitution and hearing implants such as cochlear devices, fall under Z45.3 and subcodes like Z45.321. Nervous system implants, including neurostimulators and cerebrospinal fluid drainage devices, are documented with Z45.4 codes. Breast implant adjustments or removals are represented by Z45.81 and more specific right or left breast implant codes. This ICD-10 code section helps healthcare professionals precisely record visits related to implanted device management, ensuring clarity in patient care documentation.

  • Factors influencing health status and contact with health services (Z00–Z99)

    • Encounters for other specific health care (Z40-Z53)

        • Encounter for adjustment and management of implanted device (Z45)

        • Z45 Encounter for adjustment and management of implanted device
        • Z45.0 Encounter for adjustment and management of cardiac device
        • Z45.01 Encounter for adjustment and management of cardiac pacemaker
        • Z45.010 Encounter for checking and testing of cardiac pacemaker pulse generator [battery]
        • Z45.018 Encounter for adjustment and management of other part of cardiac pacemaker
        • Z45.02 Encounter for adjustment and management of automatic implantable cardiac defibrillator
        • Z45.09 Encounter for adjustment and management of other cardiac device
        • Z45.1 Encounter for adjustment and management of infusion pump
        • Z45.2 Encounter for adjustment and management of vascular access device
        • Z45.3 Encounter for adjustment and management of implanted devices of the special senses
        • Z45.31 Encounter for adjustment and management of implanted visual substitution device
        • Z45.32 Encounter for adjustment and management of implanted hearing device
        • Z45.320 Encounter for adjustment and management of bone conduction device
        • Z45.321 Encounter for adjustment and management of cochlear device
        • Z45.328 Encounter for adjustment and management of other implanted hearing device
        • Z45.4 Encounter for adjustment and management of implanted nervous system device
        • Z45.41 Encounter for adjustment and management of cerebrospinal fluid drainage device
        • Z45.42 Encounter for adjustment and management of neurostimulator
        • Z45.49 Encounter for adjustment and management of other implanted nervous system device
        • Z45.8 Encounter for adjustment and management of other implanted devices
        • Z45.81 Encounter for adjustment or removal of breast implant
        • Z45.811 Encounter for adjustment or removal of right breast implant
        • Z45.812 Encounter for adjustment or removal of left breast implant
        • Z45.819 Encounter for adjustment or removal of unspecified breast implant
        • Z45.82 Encounter for adjustment or removal of myringotomy device (stent) (tube)
        • Z45.89 Encounter for adjustment and management of other implanted devices
        • Z45.9 Encounter for adjustment and management of unspecified implanted device

Instructional Notations

Includes

This note appears immediately under a three character code title to further define, or give examples of, the content of the category.

  • removal or replacement of implanted device

Type 1 Excludes

A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.

  • malfunction or other complications of device - see Alphabetical Index

Type 2 Excludes

A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.

  • encounter for fitting and adjustment of non-implanted device Z46