Z96.653

Z96.653: Presence of artificial knee joint, bilateral

Billable / specific codeICD-10-CMbilateral

Z96.653 is a billable, specific ICD-10-CM code for presence of artificial knee joint, bilateral. It is valid for submission on a claim.

Check Z96.653 with the rest of the claim: free scrubber

Excludes2 inherited from the categories above Z96.653

Not part of this code, but both may be coded when both are present.

Written on Z96: Presence of other functional implants

complications of internal prosthetic devices, implants and grafts (T82-T85)
fitting and adjustment of prosthetic and other devices (Z44-Z46)

Other codes that can never be billed with Z96.653

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

Z96.653 is named in 12 Medicare coverage policies: 12 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A52465Knee Orthoses - Policy Article
A53057Billing and Coding: Home Health Occupational Therapy
A53058Billing and Coding: Home Health Physical Therapy
A53064Billing and Coding: Outpatient Occupational Therapy

Code history

Unchanged in every release from FY2024 to FY2027.