Z96.7

Z96.7: Presence of other bone and tendon implants

Billable / specific codeICD-10-CM

Z96.7 is a billable, specific ICD-10-CM code for presence of other bone and tendon implants. It is valid for submission on a claim.

Check Z96.7 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Presence of skull plate

Excludes2 inherited from the categories above Z96.7

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 Z96.7

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

Z96.7 is named in 5 Medicare coverage policies: 5 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A53057Billing and Coding: Home Health Occupational Therapy
A53058Billing and Coding: Home Health Physical Therapy
A53064Billing and Coding: Outpatient Occupational Therapy
A53065Billing and Coding: Outpatient Physical Therapy

Alphabetic index entries that lead here

Presence›skull-plate implant
Presence›tendon implant(functional) (graft)
Replacement by artificial or mechanical device or prosthesis of›bone NEC
Replacement by artificial or mechanical device or prosthesis of›tendon
Presence›bone›implant NEC(functional)
Presence›implanted device›skull plate

Code history

Unchanged in every release from FY2024 to FY2027.