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.
Risk adjustment
Z96.643 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.
Medicare coverage
Z96.643 is named in 10 Medicare coverage policies — 10 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- 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
Related codes at this level
Codes that share Z96.64. If Z96.643 is not quite right, the correct code is usually one of these.
Questions about Z96.643
- Is Z96.643 a billable ICD-10-CM code?
- Yes. Z96.643 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does Z96.643 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).