Z46.51
Z46.51: Encounter for fitting and adjustment of gastric lap band
Billable / specific codeICD-10-CMPOA exempt
Z46.51 is a billable, specific ICD-10-CM code for encounter for fitting and adjustment of gastric lap band. It is valid for submission on a claim.
Check Z46.51 with the rest of the claim: free scrubberExcludes1 inherited from the categories above Z46.51
A category’s note binds every code beneath it.
Written on Z46.5: Encounter for fitting and adjustment of other gastrointestinal appliance and device
Written on Z46: Encounter for fitting and adjustment of other devices
- malfunction or other complications of device - see Alphabetical Index
Excludes2 inherited from the categories above Z46.51
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
Z46.51 is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A54923Billing and Coding: Bariatric Surgery for Treatment of Co-Morbidities Conditions Related to Morbid Obesity
- A57414Billing and Coding: Upper Gastrointestinal Endoscopy (Diagnostic and Therapeutic)
Alphabetic index entries that lead here
- Fitting›gastric lap band
Code history
Unchanged in every release from FY2024 to FY2027.