Is Z95.828 a billable ICD-10-CM code?

Yes. Z95.828 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does Z95.828 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).

Z95.828

Z95.828 — Presence of other vascular implants and grafts

Billable / specific codeICD-10-CMPOA exempt

Z95.828 is a billable, specific ICD-10-CM code for presence of other vascular implants and grafts. 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 intravascular prosthesis NEC

Excludes2 inherited from the categories above Z95.828

Also inherited, and the opposite of Excludes1: these conditions are not part of Z95.828, but a patient can have both, so you may code both.

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 Z95.828

These codes carry an Excludes1 note pointing at Z95.828. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Z95.828 alone.

Z18Retained foreign body fragments

Risk adjustment

Z95.828 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

Z95.828 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.

A56697Billing and Coding: Non-Invasive Vascular Studies
A56758Billing and Coding: Non-Invasive Vascular Studies
A57326Billing and Coding: Electrocardiograms
A57591Billing and Coding: Non-Invasive Abdominal / Visceral Vascular Studies

How Z95.828 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 Z95.828.

Replacement by artificial or mechanical device or prosthesis of›blood vessel NEC
Replacement by artificial or mechanical device or prosthesis of›peripheral vessel NEC
Replacement by artificial or mechanical device or prosthesis of›vessel NEC
Presence›graft›vascular NEC
Presence›vascular implant or device›access port device
Presence›vascular implant or device›specified type NEC
Status›organ replacement›by artificial or mechanical device or prosthesis of›artery
Status›organ replacement›by artificial or mechanical device or prosthesis of›blood vessel

Code history

Z95.828 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share Z95.82. If Z95.828 is not quite right, the correct code is usually one of these.

Z95.820Peripheral vascular angioplasty status with implants and grafts

Questions about Z95.828

Is Z95.828 a billable ICD-10-CM code?: Yes. Z95.828 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does Z95.828 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).