Z97

Z97: Presence of other devices

Non-billable headerICD-10-CM

Z97 is a non-billable header ICD-10-CM code for presence of other devices. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

complications of internal prosthetic devices, implants and grafts (T82-T85)

Excludes2: not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

fitting and adjustment of prosthetic and other devices (Z44-Z46)
presence of cerebrospinal fluid drainage device (Z98.2)

Other codes that can never be billed with Z97

Their own Excludes1 notes name this code, so the conflict is not listed above.

Z92.0Personal history of contraception
Z18Retained foreign body fragments
Z44Encounter for fitting and adjustment of external prosthetic device

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead Z97

7 child codes. Green means billable.