Alphabetic Index FY2027

Z45

Encounter for adjustment and management of implanted device

FY2027Chapter 21: Factors influencing health status and contact with health services/Z40–Z53 Encounters for other specific health care

Non-billable headerNot valid on its own. Use one of the more specific codes under it.

Z45 is a non-billable ICD-10-CM code category for encounter for adjustment and management of implanted device. Report a more specific code from it instead. It is part of the FY2027 code set, effective October 1, 2026. The more specific codes under it are Z45.0 Encounter for adjustment and management of cardiac device, Z45.1 Encounter for adjustment and management of infusion pump, Z45.2 Encounter for adjustment and management of vascular access device, Z45.3 Encounter for adjustment and management of implanted devices of the special senses and 3 more. Its coding notes include 1 Excludes1 entry and 2 Excludes2 entries.

Guidelines tip

From the FY2027 Official Guidelines. ICD10Ref adds no rules of its own.

Aftercare Z codes are not used when treatment is directed at a current, acute disease, or for aftercare of an injury. For an injury, the acute injury code with a 7th character for a subsequent encounter is used.

Guidelines I.C.21.c.7Aftercare Z codesRead the official text

Excludes1

Not coded here. The listed conditions generally should not be reported together.

This code
  • malfunction or other complications of device - see Alphabetical Index

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

This code
  • encounter for fitting and adjustment of non-implanted device (Z46.-)
Also from chapter/block level (1 note)
Inherited from Z40–Z53 Encounters for other specific health care
  • follow-up examination for medical surveillance after treatment (Z08-Z09)

Includes

Further defines or gives examples of the content of the category.

This code
  • removal or replacement of implanted device

Notes

Also from chapter/block level (3 notes)
Inherited from Chapter 21 Factors influencing health status and contact with health services
  • Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
    • (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
    • (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.

More specific codes under Z45 7