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.
Check Z96.649 with the rest of the claim: free scrubberExcludes2 inherited from the categories above Z96.649
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with Z96.649
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
Z96.649 is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- 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)
Code history
Unchanged in every release from FY2024 to FY2027.