Is Z47.2 a billable ICD-10-CM code?

Yes. Z47.2 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does Z47.2 sit in the tabular list?

Factors influencing health status and contact with health services (Z00-Z99), in the block Encounters for other specific health care (Z40-Z53).

What cannot be coded together with Z47.2?

Z47.2 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

Z47.2

Z47.2 — Encounter for removal of internal fixation device

Billable / specific codeICD-10-CMPOA exempt

Z47.2 is a billable, specific ICD-10-CM code for encounter for removal of internal fixation device. It is valid for submission on a claim.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

encounter for adjustment of internal fixation device for fracture treatment- code to fracture with appropriate 7th character
encounter for removal of external fixation device- code to fracture with 7th character D
infection or inflammatory reaction to internal fixation device (T84.6-)
mechanical complication of internal fixation device (T84.1-)

Risk adjustment

Z47.2 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Medicare coverage

Z47.2 is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A53065Billing and Coding: Outpatient Physical Therapy

How Z47.2 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to Z47.2.

Aftercare›following surgery›removal of internal fixation device
Encounter›removal›internal fixation device

Related codes at this level

Codes that share Z47. If Z47.2 is not quite right, the correct code is usually one of these.

Questions about Z47.2

Is Z47.2 a billable ICD-10-CM code?: Yes. Z47.2 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does Z47.2 sit in the tabular list?: Factors influencing health status and contact with health services (Z00-Z99), in the block Encounters for other specific health care (Z40-Z53).
What cannot be coded together with Z47.2?: Z47.2 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.