Is Z96.64 a billable ICD-10-CM code?

No. Z96.64 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does Z96.64 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).

Z96.64

Z96.64 — Presence of artificial hip joint

Non-billable headerICD-10-CM

Z96.64 is a non-billable header ICD-10-CM code for presence of artificial hip joint. It cannot be billed on its own: choose one of the more specific child codes below.

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Hip-joint replacement (partial) (total)

Risk adjustment

Z96.64 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 Z96.64

4 child codes. Green means billable.

Related codes at this level

Codes that share Z96.6. If Z96.64 is not quite right, the correct code is usually one of these.

Questions about Z96.64

Is Z96.64 a billable ICD-10-CM code?: No. Z96.64 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does Z96.64 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).