Z96

Z96: Presence of other functional implants

Non-billable headerICD-10-CM

Z96 is a non-billable header ICD-10-CM code for presence of other functional implants. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes2: not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

complications of internal prosthetic devices, implants and grafts (T82-T85)
fitting and adjustment of prosthetic and other devices (Z44-Z46)

Other codes that can never be billed with Z96

Their own Excludes1 notes name this code, so the conflict is not listed above.

H27Other disorders of lens
H59Intraoperative and postprocedural complications and disorders of eye and adnexa, not elsewhere classified
Z18Retained foreign body fragments

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead Z96

10 child codes. Green means billable.