Z95.5

Z95.5: Presence of coronary angioplasty implant and graft

Billable / specific codeICD-10-CMPOA exempt

Z95.5 is a billable, specific ICD-10-CM code for presence of coronary angioplasty implant and graft. It is valid for submission on a claim.

Check Z95.5 with the rest of the claim: free scrubber

Excludes1: never code together

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

coronary angioplasty status without implant and graft (Z98.61)

Excludes2 inherited from the categories above Z95.5

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

Written on Z95: Presence of cardiac and vascular implants and grafts

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

Other codes that can never be billed with Z95.5

Their own Excludes1 notes name this code, so the conflict is not listed above.

Z98.61Coronary angioplasty status
Z18Retained foreign body fragments

Risk adjustment

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

Medicare coverage

Z95.5 is named in 11 Medicare coverage policies: 11 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A52850Billing and Coding: Cardiac Catheterization and Coronary Angiography
A53775Billing and Coding: Frequency and Duration for Cardiac Rehabilitation and Intensive Cardiac Rehabilitation
A56423Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
A56476Billing and Coding: Cardiac Radionuclide Imaging

Alphabetic index entries that lead here

Presence›coronary artery graft or prosthesis
Replacement by artificial or mechanical device or prosthesis of›coronary artery
Status›prosthesis coronary angioplasty
Presence›intravascular implant NEC›coronary artery
Replacement by artificial or mechanical device or prosthesis of›vessel NEC›coronary(artery)
Status›angioplasty›coronary artery›with implant

Code history

Unchanged in every release from FY2024 to FY2027.