Z96.6
Z96.6 — Presence of orthopedic joint implants
Non-billable headerICD-10-CM
Z96.6 is a non-billable header ICD-10-CM code for presence of orthopedic joint implants. It cannot be billed on its own: choose one of the more specific child codes below.
Other codes that can never be billed with Z96.6
These codes carry an Excludes1 note pointing at Z96.6. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Z96.6 alone.
- Z18Retained foreign body fragments
Risk adjustment
Z96.6 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.
Code to one of these instead Z96.6
8 child codes. Green means billable.
- Z96.60Presence of unspecified orthopedic joint implant
- Z96.61Presence of artificial shoulder joint
- Z96.62Presence of artificial elbow joint
- Z96.63Presence of artificial wrist joint
- Z96.64Presence of artificial hip joint
- Z96.65Presence of artificial knee joint
- Z96.66Presence of artificial ankle joint
- Z96.69Presence of other orthopedic joint implants
Related codes at this level
Codes that share Z96. If Z96.6 is not quite right, the correct code is usually one of these.
- Z96.0Presence of urogenital implants
- Z96.1Presence of intraocular lens
- Z96.2Presence of otological and audiological implants
- Z96.3Presence of artificial larynx
- Z96.4Presence of endocrine implants
- Z96.5Presence of tooth-root and mandibular implants
- Z96.7Presence of other bone and tendon implants
- Z96.8Presence of other specified functional implants
- Z96.9Presence of functional implant, unspecified
Questions about Z96.6
- Is Z96.6 a billable ICD-10-CM code?
- No. Z96.6 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does Z96.6 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).