Is Z95.812 a billable ICD-10-CM code?

Yes. Z95.812 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does Z95.812 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).

Z95.812

Z95.812 — Presence of fully implantable artificial heart

Billable / specific codeICD-10-CMPOA exempt

Z95.812 is a billable, specific ICD-10-CM code for presence of fully implantable artificial heart. It is valid for submission on a claim.

Other codes that can never be billed with Z95.812

These codes carry an Excludes1 note pointing at Z95.812. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Z95.812 alone.

Z94.1Heart transplant status

Risk adjustment

Z95.812 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

Z95.812 is named in 3 Medicare coverage policies — 3 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A56625Billing and Coding: Echocardiography
A56781Billing and Coding: Transthoracic Echocardiography (TTE)
A57306Billing and Coding: Transthoracic Echocardiography (TTE)

How Z95.812 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 Z95.812.

Replacement by artificial or mechanical device or prosthesis of›heart
Dependence›on›artificial heart(fully implantable) (mechanical)
Presence›artificial›heart(fully implantable) (mechanical)
Presence›implanted device›heart
Status›organ replacement›by artificial or mechanical device or prosthesis of›heart

Related codes at this level

Codes that share Z95.81. If Z95.812 is not quite right, the correct code is usually one of these.

Questions about Z95.812

Is Z95.812 a billable ICD-10-CM code?: Yes. Z95.812 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does Z95.812 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).