Z96.643
Z96.643: Presence of artificial hip joint, bilateral
Billable / specific codeICD-10-CMbilateral
Z96.643 is a billable, specific ICD-10-CM code for presence of artificial hip joint, bilateral. It is valid for submission on a claim.
Check Z96.643 with the rest of the claim: free scrubberExcludes2 inherited from the categories above Z96.643
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with Z96.643
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
Z96.643 is named in 10 Medicare coverage policies: 10 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
- A53065Billing and Coding: Outpatient Physical Therapy
- A56777Billing and Coding: Total Joint Arthroplasty
Code history
Unchanged in every release from FY2024 to FY2027.