Z98.61
Z98.61: Coronary angioplasty status
Billable / specific codeICD-10-CMPOA exempt
Z98.61 is a billable, specific ICD-10-CM code for coronary angioplasty status. It is valid for submission on a claim.
Check Z98.61 with the rest of the claim: free scrubberExcludes1: 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)
Excludes2 inherited from the categories above Z98.61
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with Z98.61
Their own Excludes1 notes name this code, so the conflict is not listed above.
- Z95.5Presence of coronary angioplasty implant and graft
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
Z98.61 is named in 14 Medicare coverage policies: 14 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- 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
- A56476Billing and Coding: Cardiac Radionuclide Imaging
Alphabetic index entries that lead here
- Status›angioplasty›coronary artery
Code history
Unchanged in every release from FY2024 to FY2027.