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Z45.41

Z45.41: Encounter for adjustment and management of cerebrospinal fluid drainage device

Billable / specific codeICD-10-CMPOA exempt

Z45.41 is a billable, specific ICD-10-CM code for encounter for adjustment and management of cerebrospinal fluid drainage device. It is valid for submission on a claim.

Check Z45.41 with the rest of the claim: free scrubber

Inclusion terms

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

  • Encounter for adjustment and management of cerebral ventricular (communicating) shunt

Excludes1 inherited from the categories above Z45.41

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 Z45.41

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.

Medicare coverage

Z45.41 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A56612Billing and Coding: CT of the Head

Alphabetic index entries that lead here

  • Management›cerebrospinal fluid drainage device
  • Admission›adjustment›device NEC›implanted›nervous system›CSF drainage

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under Z45.4

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.