Z45.42
Z45.42: Encounter for adjustment and management of neurostimulator
Billable / specific codeICD-10-CMPOA exempt
Z45.42 is a billable, specific ICD-10-CM code for encounter for adjustment and management of neurostimulator. It is valid for submission on a claim.
Check Z45.42 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Encounter for adjustment and management of brain neurostimulator
- Encounter for adjustment and management of gastric neurostimulator
- Encounter for adjustment and management of peripheral nerve neurostimulator
- Encounter for adjustment and management of sacral nerve neurostimulator
- Encounter for adjustment and management of spinal cord neurostimulator
- Encounter for adjustment and management of vagus nerve neurostimulator
Excludes1 inherited from the categories above Z45.42
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 Z45.42
Not part of this code, but both may be coded when both are present.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
Z45.42 is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53359Billing and Coding: Sacral Nerve Stimulation for Urinary and Fecal Incontinence
- A57791Billing and Coding: Spinal Cord Stimulators for Chronic Pain
- A59332Billing and Coding: Sacral Nerve Stimulation for the Treatment of Urinary and Fecal Incontinence
Alphabetic index entries that lead here
- Aftercare›neuropacemaker›implanted
- Encounter›adjustment and management›neurostimulator(brain) (gastric) (peripheral nerve) (sacral nerve) (spinal cord) (vagus nerve)
- Fitting›brain neuropacemaker›implanted
- Fitting›neuropacemaker›implanted
- Admission›adjustment›brain neuropacemaker›implanted
- Admission›adjustment›neuropacemaker›implanted
- Admission›change of›neuropacemaker device›implanted
- Admission›fitting›brain neuropacemaker›implanted
- Admission›fitting›neuropacemaker›implanted
- Admission›removal of›neuropacemaker›implanted
- Fitting›pacemaker›nervous system›implanted
- Admission›adjustment›pacemaker›nervous system›implanted
Code history
Unchanged in every release from FY2024 to FY2027.