Is Z95.3 a billable ICD-10-CM code?

Yes. Z95.3 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does Z95.3 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).

Z95.3

Z95.3 — Presence of xenogenic heart valve

Billable / specific codeICD-10-CMPOA exempt

Z95.3 is a billable, specific ICD-10-CM code for presence of xenogenic heart valve. It is valid for submission on a claim.

Risk adjustment

Z95.3 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

Z95.3 is named in 14 Medicare coverage policies — 14 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A52850Billing and Coding: Cardiac Catheterization and Coronary Angiography
A53775Billing and Coding: Frequency and Duration for Cardiac Rehabilitation and Intensive Cardiac Rehabilitation
A55717Billing and Coding: Lab: Flow Cytometry
A56464Billing and Coding: Flow Cytometry

How Z95.3 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 Z95.3.

Presence›heart valve implant›xenogenic
Presence›implanted device›heart valve›xenogenic
Replacement by artificial or mechanical device or prosthesis of›heart›valve›xenogenic
Transplant›heart›valve›xenogenic

Related codes at this level

Codes that share Z95. If Z95.3 is not quite right, the correct code is usually one of these.

Questions about Z95.3

Is Z95.3 a billable ICD-10-CM code?: Yes. Z95.3 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does Z95.3 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).