Z96.612
Z96.612: Presence of left artificial shoulder joint
Billable / specific codeICD-10-CMleft
Z96.612 is a billable, specific ICD-10-CM code for presence of left artificial shoulder joint. It is valid for submission on a claim.
Check Z96.612 with the rest of the claim: free scrubberExcludes2 inherited from the categories above Z96.612
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with Z96.612
Their own Excludes1 notes name this code, so the conflict is not listed above.
- Z18Retained foreign body fragments
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
Z96.612 is named in 6 Medicare coverage policies: 6 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53057Billing and Coding: Home Health Occupational Therapy
- A53058Billing and Coding: Home Health Physical Therapy
- A53064Billing and Coding: Outpatient Occupational Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
Code history
Unchanged in every release from FY2024 to FY2027.