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.
Risk adjustment
Z97.1 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 Z97.1
7 child codes. Green means billable.
- Z97.10Presence of artificial limb (complete) (partial), unspecified
- Z97.11Presence of artificial right arm (complete) (partial)
- Z97.12Presence of artificial left arm (complete) (partial)
- Z97.13Presence of artificial right leg (complete) (partial)
- Z97.14Presence of artificial left leg (complete) (partial)
- Z97.15Presence of artificial arms, bilateral (complete) (partial)
- Z97.16Presence of artificial legs, bilateral (complete) (partial)
Related codes at this level
Codes that share Z97. If Z97.1 is not quite right, the correct code is usually one of these.
Questions about Z97.1
- Is Z97.1 a billable ICD-10-CM code?
- No. Z97.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does Z97.1 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).