MCMedicalCodingSoftware
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.

Excludes1 inherited from the categories above Z45.4

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 Z45.4

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.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead Z45.4

3 child codes. Green means billable.

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.