Z45.4
Z45.4 — Encounter for adjustment and management of implanted nervous system device
Non-billable headerICD-10-CM
Z45.4 is a non-billable header ICD-10-CM code for encounter for adjustment and management of implanted nervous system device. It cannot be billed on its own: choose one of the more specific child codes below.
Risk adjustment
Z45.4 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 Z45.4
3 child codes. Green means billable.
Related codes at this level
Codes that share Z45. If Z45.4 is not quite right, the correct code is usually one of these.
- 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
- Z45.8Encounter for adjustment and management of other implanted devices
- Z45.9Encounter for adjustment and management of unspecified implanted device
Questions about Z45.4
- Is Z45.4 a billable ICD-10-CM code?
- No. Z45.4 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does Z45.4 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).