Z45
Z45: Encounter for adjustment and management of implanted device
Non-billable headerICD-10-CM
Z45 is a non-billable header ICD-10-CM code for encounter for adjustment and management of implanted device. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- malfunction or other complications of device - see Alphabetical Index
Excludes2: not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
- encounter for fitting and adjustment of non-implanted device (Z46.-)
Includes
Conditions this code covers.
- removal or replacement of implanted device
Other codes that can never be billed with Z45
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead Z45
7 child codes. Green means billable.
- Z45.0Encounter for adjustment and management of cardiac device
- Z45.1Encounter for adjustment and management of infusion pump
- Z45.2Encounter for adjustment and management of vascular access device
- Z45.3Encounter for adjustment and management of implanted devices of the special senses
- Z45.4Encounter for adjustment and management of implanted nervous system device
- Z45.8Encounter for adjustment and management of other implanted devices
- Z45.9Encounter for adjustment and management of unspecified implanted device