Z95.810 — Presence of automatic (implantable) cardiac defibrillator
Z95.810 is a billable, specific ICD-10-CM code for presence of automatic (implantable) cardiac defibrillator. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Presence of automatic (implantable) cardiac defibrillator with synchronous cardiac pacemaker
- Presence of cardiac resynchronization therapy defibrillator (CRT-D)
- Presence of cardioverter-defibrillator (ICD)
Other codes that can never be billed with Z95.810
These codes carry an Excludes1 note pointing at Z95.810. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Z95.810 alone.
- Z95.0Presence of cardiac pacemaker
Risk adjustment
Z95.810 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
Z95.810 is named in 9 Medicare coverage policies — 9 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56602Billing and Coding: Cardiac Rhythm Device Evaluation
- A57038Billing and Coding: Surveillance of Implantable or Wearable Cardioverter Defibrillators (ICDs): Office, Hospital, Web, or Non-Web Based
- A57326Billing and Coding: Electrocardiograms
- A60278Billing and Coding: Temporary Nontherapeutic Ambulatory Cardiac Monitoring Devices
How Z95.810 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 Z95.810.
- Presence›cardioverter-defibrillator(ICD)
- Presence›CRT-D(cardiac resynchronization therapy defibrillator)
- Presence›ICD(cardioverter-defibrillator)
- Presence›cardiac›defibrillator(functional) (with synchronous cardiac pacemaker)
- Presence›implanted device›automatic cardiac defibrillator(with synchronous cardiac pacemaker)
- Presence›intravascular implant NEC›defibrillator(with synchronous cardiac pacemaker)
- Presence›cardiac›resynchronization therapy›defibrillator
Related codes at this level
Codes that share Z95.81. If Z95.810 is not quite right, the correct code is usually one of these.
Questions about Z95.810
- Is Z95.810 a billable ICD-10-CM code?
- Yes. Z95.810 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does Z95.810 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).