Is Z97 a billable ICD-10-CM code?

No. Z97 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does Z97 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).

What cannot be coded together with Z97?

Z97 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

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

These codes carry an Excludes1 note pointing at Z97. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Z97 alone.

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

Risk adjustment

Z97 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.

Code to one of these instead Z97

7 child codes. Green means billable.

Questions about Z97

Is Z97 a billable ICD-10-CM code?: No. Z97 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does Z97 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).
What cannot be coded together with Z97?: Z97 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.