Z95.0
Z95.0: Presence of cardiac pacemaker
Billable / specific codeICD-10-CMPOA exempt
Z95.0 is a billable, specific ICD-10-CM code for presence of cardiac pacemaker. It is valid for submission on a claim.
Check Z95.0 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Presence of cardiac resynchronization therapy (CRT-P) pacemaker
Other codes that can never be billed with Z95.0
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
Z95.0 is named in 12 Medicare coverage policies: 12 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56423Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
- A56602Billing and Coding: Cardiac Rhythm Device Evaluation
- A56809Billing and Coding: Transesophageal Echocardiography (TEE)
- A56952Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
Alphabetic index entries that lead here
- Presence›CRT-P(cardiac resynchronization therapy pacemaker)
- Cardiac›pacemaker›in situ
- Presence›cardiac›pacemaker
- Presence›implanted device›cardiac pacemaker
- Status›pacemaker›cardiac
- Presence›cardiac›resynchronization therapy›pacemaker
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under Z95
- Z95.1Presence of aortocoronary bypass graft
- Z95.2Presence of prosthetic heart valve
- Z95.3Presence of xenogenic heart valve
- Z95.4Presence of other heart-valve replacement
- Z95.5Presence of coronary angioplasty implant and graft
- Z95.8Presence of other cardiac and vascular implants and grafts
- Z95.9Presence of cardiac and vascular implant and graft, unspecified