Is Z95.9 a billable ICD-10-CM code?

Yes. Z95.9 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does Z95.9 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).

Z95.9

Z95.9 — Presence of cardiac and vascular implant and graft, unspecified

Billable / specific codeICD-10-CMPOA exempt

Z95.9 is a billable, specific ICD-10-CM code for presence of cardiac and vascular implant and graft, unspecified. It is valid for submission on a claim.

Excludes2 inherited from the categories above Z95.9

Also inherited, and the opposite of Excludes1: these conditions are not part of Z95.9, 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 Z95.9

These codes carry an Excludes1 note pointing at Z95.9. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Z95.9 alone.

Z18Retained foreign body fragments

Risk adjustment

Z95.9 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

Z95.9 is named in 1 Medicare coverage policy — 1 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

How Z95.9 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 Z95.9.

Presence›intravascular implant NEC(functional) (prosthetic)
Presence›vascular implant or device
Presence›cardiac›implant or graft

Code history

Z95.9 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. If Z95.9 is not quite right, the correct code is usually one of these.

Questions about Z95.9

Is Z95.9 a billable ICD-10-CM code?: Yes. Z95.9 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does Z95.9 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).