Z95.811 — Presence of heart assist device
Z95.811 is a billable, specific ICD-10-CM code for presence of heart assist device. It is valid for submission on a claim.
Risk adjustment
Z95.811 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 223 Heart Assist Device/Artificial Heart2.505 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.
Medicare coverage
Z95.811 is named in 6 Medicare coverage policies — 6 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56505Billing and Coding: Transesophageal Echocardiography (TEE)
- A56625Billing and Coding: Echocardiography
- A56781Billing and Coding: Transthoracic Echocardiography (TTE)
- A57306Billing and Coding: Transthoracic Echocardiography (TTE)
How Z95.811 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 Z95.811.
- Presence›heart assist device
- Presence›device NEC›heart assist
Related codes at this level
Codes that share Z95.81. If Z95.811 is not quite right, the correct code is usually one of these.
Questions about Z95.811
- Is Z95.811 a billable ICD-10-CM code?
- Yes. Z95.811 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does Z95.811 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).