Z96.652
Z96.652 — Presence of left artificial knee joint
Billable / specific codeICD-10-CMleft
Z96.652 is a billable, specific ICD-10-CM code for presence of left artificial knee joint. It is valid for submission on a claim.
Risk adjustment
Z96.652 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
Z96.652 is named in 13 Medicare coverage policies — 13 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52465Knee Orthoses - Policy Article
- A52465Knee Orthoses - Policy Article
- A53057Billing and Coding: Home Health Occupational Therapy
- A53058Billing and Coding: Home Health Physical Therapy
Related codes at this level
Codes that share Z96.65. If Z96.652 is not quite right, the correct code is usually one of these.
Questions about Z96.652
- Is Z96.652 a billable ICD-10-CM code?
- Yes. Z96.652 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does Z96.652 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).