Z45.018: Encounter for adjustment and management of other part of cardiac pacemaker
Z45.018 is a billable, specific ICD-10-CM code for encounter for adjustment and management of other part of cardiac pacemaker. It is valid for submission on a claim.
Check Z45.018 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- presence of other part of cardiac pacemaker (Z95.0)
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.
Excludes1 inherited from the categories above Z45.018
A category’s note binds every code beneath it.
Written on Z45.01: Encounter for adjustment and management of cardiac pacemaker
- encounter for adjustment and management of automatic implantable cardiac defibrillator with synchronous cardiac pacemaker (Z45.02)
Written on Z45: Encounter for adjustment and management of implanted device
- malfunction or other complications of device - see Alphabetical Index
Excludes2 inherited from the categories above Z45.018
Not part of this code, but both may be coded when both are present.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
Z45.018 is named in 11 Medicare coverage policies: 11 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56451Billing and Coding: Cardiac Computed Tomography (CCT) and Coronary Computed Tomography Angiography (CCTA)
- A56602Billing and Coding: Cardiac Rhythm Device Evaluation
- A56737Billing and Coding: Cardiac Computed Tomography (CCT) and Coronary Computed Tomography Angiography (CCTA)
- A57038Billing and Coding: Surveillance of Implantable or Wearable Cardioverter Defibrillators (ICDs): Office, Hospital, Web, or Non-Web Based
Alphabetic index entries that lead here
- Change›pacemaker
- Checking›cardiac pacemaker(battery) (electrode(s))
- Fitting›CRT-P(cardiac resynchronization therapy pacemaker)
- Fitting›pacemaker(cardiac) (cardiac resynchronization therapy (CRT-P))
- Interrogation›cardiac pacemaker
- Management›cardiac pacemaker NEC
- Cardiac›pacemaker›management or adjustment
- Admission›adjustment›pacemaker›cardiac
- Worn out›cardiac›pacemaker›lead
- Admission›adjustment›device NEC›implanted›cardiac›pacemaker(cardiac resynchronization therapy (CRT-P))
Code history
Unchanged in every release from FY2024 to FY2027.