Is Z45.01 a billable ICD-10-CM code?

No. Z45.01 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does Z45.01 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 Z45.01?

Z45.01 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

Z45.01

Z45.01 — Encounter for adjustment and management of cardiac pacemaker

Non-billable headerICD-10-CM

Z45.01 is a non-billable header ICD-10-CM code for encounter for adjustment and management of cardiac pacemaker. 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.

encounter for adjustment and management of automatic implantable cardiac defibrillator with synchronous cardiac pacemaker (Z45.02)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Encounter for adjustment and management of cardiac resynchronization therapy pacemaker (CRT-P)

Risk adjustment

Z45.01 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead Z45.01

2 child codes. Green means billable.

Related codes at this level

Codes that share Z45.0. If Z45.01 is not quite right, the correct code is usually one of these.

Questions about Z45.01

Is Z45.01 a billable ICD-10-CM code?: No. Z45.01 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does Z45.01 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 Z45.01?: Z45.01 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.