Z97.5

Z97.5: Presence of (intrauterine) contraceptive device

Billable / specific codeICD-10-CMPOA exempt

Z97.5 is a billable, specific ICD-10-CM code for presence of (intrauterine) contraceptive device. It is valid for submission on a claim.

Check Z97.5 with the rest of the claim: free scrubber

Excludes1: never code together

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

checking, reinsertion or removal of implantable subdermal contraceptive (Z30.46)
checking, reinsertion or removal of intrauterine contraceptive device (Z30.43-)

Excludes1 inherited from the categories above Z97.5

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 Z97.5

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 Z97.5

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.

Alphabetic index entries that lead here

Contraception, contraceptive›device(intrauterine) (in situ)
Intrauterine contraceptive device›in situ
Presence›intrauterine contraceptive device(IUD)
Contraception, contraceptive›device›in place
Foreign body›genitourinary tract›uterus›IUD
Foreign body›genitourinary tract›vagina›contraceptive device

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under Z97