Is Z97.5 a billable ICD-10-CM code?

Yes. Z97.5 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does Z97.5 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 Z97.5?

Z97.5 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

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.

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-)

Other codes that can never be billed with Z97.5

These codes carry an Excludes1 note pointing at Z97.5. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Z97.5 alone.

Z92.0Personal history of contraception

Risk adjustment

Z97.5 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.

How Z97.5 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 Z97.5.

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

Related codes at this level

Codes that share Z97. If Z97.5 is not quite right, the correct code is usually one of these.

Questions about Z97.5

Is Z97.5 a billable ICD-10-CM code?: Yes. Z97.5 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does Z97.5 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 Z97.5?: Z97.5 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.