Presence of cardiac and vascular implants and grafts (Z95)
The ICD-10 code Z95 category is used to indicate the presence of various cardiac and vascular implants and grafts in a patient. This section covers conditions such as cardiac pacemakers, coronary bypass grafts, prosthetic and xenogenic heart valves, angioplasty implants, and other related devices documented during medical encounters.
These codes help clinicians and coders specify the type of device or graft present, such as a cardiac pacemaker (Z95.0), often noted as rhythm from artificial pacing or permanent pacemaker, or a presence of aortocoronary bypass graft (Z95.1), also described as history of coronary artery bypass grafting. For heart valve replacements, the codes distinguish between prosthetic valves (Z95.2), xenogenic valves like porcine valves (Z95.3), and other types of heart valve replacements (Z95.4). The presence of coronary angioplasty implants and stents is captured under Z95.5. Additionally, codes such as Z95.810 identify implantable cardiac defibrillators, and Z95.811 or Z95.812 cover heart assist devices and fully implantable artificial hearts, respectively. Vascular implants and grafts, including peripheral angioplasty and stents, are recorded under Z95.82 and related subcodes. These detailed codes assist in tracking implantable devices’ presence and history, facilitating accurate documentation and tailored patient care.
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)
Z95 Presence of cardiac and vascular implants and grafts
- Z95.0 Presence of cardiac pacemaker
- Z95.1 Presence of aortocoronary bypass graft
- Z95.2 Presence of prosthetic heart valve
- Z95.3 Presence of xenogenic heart valve
- Z95.4 Presence of other heart-valve replacement
- Z95.5 Presence of coronary angioplasty implant and graft
Z95.8 Presence of other cardiac and vascular implants and grafts
Z95.81 Presence of other cardiac implants and grafts
- Z95.810 Presence of automatic (implantable) cardiac defibrillator
- Z95.811 Presence of heart assist device
- Z95.812 Presence of fully implantable artificial heart
- Z95.818 Presence of other cardiac implants and grafts
Z95.82 Presence of other vascular implants and grafts
- Z95.820 Peripheral vascular angioplasty status with implants and grafts
- Z95.828 Presence of other vascular implants and grafts
- Z95.9 Presence of cardiac and vascular implant and graft, unspecified
Presence of cardiac and vascular implants and grafts (Z95)
Instructional Notations
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.
- complications of cardiac and vascular devices, implants and grafts T82
