Z98.61 — Coronary angioplasty status
Z98.61 is a billable, specific ICD-10-CM code for coronary angioplasty status. 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.
- coronary angioplasty status with implant and graft (Z95.5)
Other codes that can never be billed with Z98.61
These codes carry an Excludes1 note pointing at Z98.61. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Z98.61 alone.
- Z95.5Presence of coronary angioplasty implant and graft
Risk adjustment
Z98.61 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
Z98.61 is named in 24 Medicare coverage policies — 24 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52850Billing and Coding: Cardiac Catheterization and Coronary Angiography
- A52850Billing and Coding: Cardiac Catheterization and Coronary Angiography
- A53775Billing and Coding: Frequency and Duration for Cardiac Rehabilitation and Intensive Cardiac Rehabilitation
- A56423Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
How Z98.61 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 Z98.61.
- Status›angioplasty›coronary artery
Related codes at this level
Codes that share Z98.6. If Z98.61 is not quite right, the correct code is usually one of these.
Questions about Z98.61
- Is Z98.61 a billable ICD-10-CM code?
- Yes. Z98.61 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does Z98.61 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 Z98.61?
- Z98.61 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.