Is Z44.111 a billable ICD-10-CM code?

Yes. Z44.111 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does Z44.111 sit in the tabular list?

Factors influencing health status and contact with health services (Z00-Z99), in the block Encounters for other specific health care (Z40-Z53).

What cannot be coded together with Z44.111?

Z44.111 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above Z44.111 (Z44) and apply to it just the same.

Z44.111

Z44.111 — Encounter for fitting and adjustment of complete right artificial leg

Billable / specific codeICD-10-CMPOA exemptright

Z44.111 is a billable, specific ICD-10-CM code for encounter for fitting and adjustment of complete right artificial leg. It is valid for submission on a claim.

Excludes1 inherited from the categories above Z44.111

These are not written on Z44.111, but they bind it: a note on a category applies to every code beneath it. Billing Z44.111 with anything listed here is a denial.

Written on Z44 — Encounter for fitting and adjustment of external prosthetic device

malfunction or other complications of device - see Alphabetical Index
presence of prosthetic device (Z97.-)

Risk adjustment

Z44.111 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

HCC 409 Amputation Status, Lower Limb/Amputation Complications0.598 RAF

Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.

Medicare coverage

Z44.111 is named in 4 Medicare coverage policies — 4 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A53057Billing and Coding: Home Health Occupational Therapy
A53058Billing and Coding: Home Health Physical Therapy
A53065Billing and Coding: Outpatient Physical Therapy
A57311Billing and Coding: Physical Therapy - Home Health

Code history

Z44.111 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share Z44.11. If Z44.111 is not quite right, the correct code is usually one of these.

Questions about Z44.111

Is Z44.111 a billable ICD-10-CM code?: Yes. Z44.111 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does Z44.111 sit in the tabular list?: Factors influencing health status and contact with health services (Z00-Z99), in the block Encounters for other specific health care (Z40-Z53).
What cannot be coded together with Z44.111?: Z44.111 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above Z44.111 (Z44) and apply to it just the same.