MCMedicalCodingSoftware
Z46.81

Z46.81: Encounter for fitting and adjustment of insulin pump

Billable / specific codeICD-10-CMPOA exempt

Z46.81 is a billable, specific ICD-10-CM code for encounter for fitting and adjustment of insulin pump. It is valid for submission on a claim.

Check Z46.81 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 insulin pump instruction and training
  • Encounter for insulin pump titration

Excludes1 inherited from the categories above Z46.81

A category’s note binds every code beneath it.

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 Z46.81

Not part of this code, but both may be coded when both are present.

Written on Z46: Encounter for fitting and adjustment of other devices

  • encounter for fitting and management of implanted devices (Z45.-)
  • issue of repeat prescription only (Z76.0)
  • presence of prosthetic and other devices (Z95-Z97)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Alphabetic index entries that lead here

  • Counseling›insulin pump use
  • Encounter›insulin pump titration
  • Encounter›titration, insulin pump
  • Fitting›insulin pump
  • Removal›insulin pump
  • Counseling›use›insulin pump
  • Encounter›removal›insulin pump
  • Encounter›training›insulin pump

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under Z46.8

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.