Z97.4 — Presence of external hearing-aid
Z97.4 is a billable, specific ICD-10-CM code for presence of external hearing-aid. It is valid for submission on a claim.
Risk adjustment
Z97.4 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.
Medicare coverage
Z97.4 is named in 4 Medicare coverage policies — 4 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52866Billing and Coding: Speech-Language Pathology
- A54111Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
- A56868Billing and Coding: Outpatient Speech Language Pathology
- A57040Billing and Coding: Speech-Language Pathology
How Z97.4 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to Z97.4.
- Presence›external hearing-aid or device
- Presence›hearing-aid or device(external)
Related codes at this level
Codes that share Z97. If Z97.4 is not quite right, the correct code is usually one of these.
Questions about Z97.4
- Is Z97.4 a billable ICD-10-CM code?
- Yes. Z97.4 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does Z97.4 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).