Z96.649
Z96.649 — Presence of unspecified artificial hip joint
Billable / specific codeICD-10-CMunspecified
Z96.649 is a billable, specific ICD-10-CM code for presence of unspecified artificial hip joint. It is valid for submission on a claim.
Risk adjustment
Z96.649 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
Z96.649 is named in 3 Medicare coverage policies — 3 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53064Billing and Coding: Outpatient Occupational Therapy
- A56796Billing and Coding: Lower Extremity Major Joint Replacement (Hip and Knee)
- A57765Billing and Coding: Major Joint Replacement (Hip and Knee)
Related codes at this level
Codes that share Z96.64. If Z96.649 is not quite right, the correct code is usually one of these.
Questions about Z96.649
- Is Z96.649 a billable ICD-10-CM code?
- Yes. Z96.649 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does Z96.649 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).