Encounter for fitting and adjustment of other devices (Z46) ICD-10-CM
The Z46 code range covers encounter for fitting and adjustment of other devices with 15 ICD-10-CM diagnosis codes. 12 of them are billable and valid for claim submission in fiscal year 2027, and the category headers group them but cannot themselves be billed.
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 other 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.
Codes in the Z46 Range 15 codes · 12 billable
- Z46 Encounter for fitting and adjustment of other devicesNon-billable
- Z46.0 Encounter for fitting and adjustment of spectacles and contact lenses
- Z46.1 Encounter for fitting and adjustment of hearing aid
- Z46.2 Encounter for fitting and adjustment of other devices related to nervous system and special senses
- Z46.3 Encounter for fitting and adjustment of dental prosthetic device
- Z46.4 Encounter for fitting and adjustment of orthodontic device
- Z46.5 Encounter for fitting and adjustment of other gastrointestinal appliance and deviceNon-billable
- Z46.51 Encounter for fitting and adjustment of gastric lap band
- Z46.59 Encounter for fitting and adjustment of other gastrointestinal appliance and device
- Z46.6 Encounter for fitting and adjustment of urinary device
- Z46.8 Encounter for fitting and adjustment of other specified devicesNon-billable
- Z46.81 Encounter for fitting and adjustment of insulin pump
- Z46.82 Encounter for fitting and adjustment of non-vascular catheter
- Z46.89 Encounter for fitting and adjustment of other specified devices
- Z46.9 Encounter for fitting and adjustment of unspecified device
About the Z46 Code Range
These encounters involve fitting or adjusting devices, such as glasses, hearing aids, dental devices, and devices for other parts of the body.
Z46.0 covers spectacles and contact lenses; Z46.1 covers hearing aids. Other devices related to the nervous system and special senses have their own subdivision, as do dental prosthetic and orthodontic devices.
The gastrointestinal device subdivision separates gastric lap bands from other devices. Urinary devices have a separate subdivision. Among other specified devices, insulin pumps and non-vascular catheters have distinct codes. Z46.9 covers an unspecified device.
Questions About This Page
How many billable codes are in the Z46 range?
Of the 15 codes in this range, 12 are billable and valid for claim submission from October 1, 2026 through September 30, 2027. Category header codes group them but cannot be reported on claims.
What does the Z46 range classify?
The range classifies encounter for fitting and adjustment of other devices. Each code links to its own reference page with billing status, MS-DRG grouping, coding notes, and clinical information.
Related References
Source: CMS FY 2027 ICD-10-CM Tabular List and order file, effective October 1, 2026 through September 30, 2027.
