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Z45.2

Z45.2: Encounter for adjustment and management of vascular access device

Billable / specific codeICD-10-CMPOA exempt

Z45.2 is a billable, specific ICD-10-CM code for encounter for adjustment and management of vascular access device. It is valid for submission on a claim.

Check Z45.2 with the rest of the claim: free scrubber

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

  • encounter for adjustment and management of renal dialysis catheter (Z49.01)

Inclusion terms

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

  • Encounter for adjustment and management of vascular catheters

Excludes1 inherited from the categories above Z45.2

A category’s note binds every code beneath it.

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 Z45.2

Not part of this code, but both may be coded when both are present.

Written on Z45: Encounter for adjustment and management of implanted device

  • encounter for fitting and adjustment of non-implanted device (Z46.-)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Alphabetic index entries that lead here

  • Fitting›portacath(port-a-cath)
  • Management›vascular access device
  • Removal›vascular access device or catheter
  • Admission›adjustment›portacath(port-a-cath)
  • Removal›catheter›vascular NEC
  • Admission›adjustment›device NEC›implanted›vascular access

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under Z45

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.