Z97.1

Z97.1: Presence of artificial limb (complete) (partial)

Non-billable headerICD-10-CM

Z97.1 is a non-billable header ICD-10-CM code for presence of artificial limb (complete) (partial). It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 inherited from the categories above Z97.1

A category’s note binds every code beneath it.

Written on Z97: Presence of other devices

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

Excludes2 inherited from the categories above Z97.1

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

Written on Z97: Presence of other devices

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 Z97.1

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

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 Z97.1

7 child codes. Green means billable.