MCMCB Pro
Z45.32

Z45.32Encounter for adjustment and management of implanted hearing device

Non-billable headerICD-10-CM

Z45.32 is a non-billable header ICD-10-CM code for encounter for adjustment and management of implanted hearing 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.

  • Encounter for fitting and adjustment of hearing aid (Z46.1)

Other codes that can never be billed with Z45.32

These codes carry an Excludes1 note pointing at Z45.32. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Z45.32 alone.

  • Z46.1Encounter for fitting and adjustment of hearing aid

Risk adjustment

Z45.32 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 Z45.32

3 child codes. Green means billable.

Related codes at this level

Codes that share Z45.3. If Z45.32 is not quite right, the correct code is usually one of these.

Questions about Z45.32

Is Z45.32 a billable ICD-10-CM code?
No. Z45.32 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does Z45.32 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 Z45.32?
Z45.32 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.
ICD-10-CMFY2026-Apr· effective April 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.