Is Z95 a billable ICD-10-CM code?

No. Z95 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does Z95 sit in the tabular list?

Factors influencing health status and contact with health services (Z00-Z99), in the block Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99).

Z95

Z95 — Presence of cardiac and vascular implants and grafts

Non-billable headerICD-10-CM

Z95 is a non-billable header ICD-10-CM code for presence of cardiac and vascular implants and grafts. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes2 — not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

complications of cardiac and vascular devices, implants and grafts (T82.-)

Other codes that can never be billed with Z95

These codes carry an Excludes1 note pointing at Z95. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Z95 alone.

Z98.61Coronary angioplasty status
Z98.62Peripheral vascular angioplasty status
Z18Retained foreign body fragments
Z45.018Encounter for adjustment and management of other part of cardiac pacemaker
Z94.1Heart transplant status
Z95.0Presence of cardiac pacemaker

Risk adjustment

Z95 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.

Code to one of these instead Z95

8 child codes. Green means billable.

Questions about Z95

Is Z95 a billable ICD-10-CM code?: No. Z95 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does Z95 sit in the tabular list?: Factors influencing health status and contact with health services (Z00-Z99), in the block Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99).