Z47.2
Encounter for removal of internal fixation device
Z47.2 (also written Z472) is a billable ICD-10-CM diagnosis code for encounter for removal of internal fixation device. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 8 codes in category Z47 (Orthopedic aftercare). The Alphabetic Index lists it under 2 entries. Its coding notes include 5 Excludes1 entries and 1 Excludes2 entry.
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.
Excludes1
Not coded here. The listed conditions generally should not be reported together.
- encounter for adjustment of internal fixation device for fracture treatment- code to fracture with appropriate 7th character
- encounter for removal of external fixation device- code to fracture with 7th character D
- infection or inflammatory reaction to internal fixation device (T84.6-)
- mechanical complication of internal fixation device (T84.1-)
- aftercare for healing fracture-code to fracture with 7th character D
Excludes2
Not included here. Both codes may be reported if the patient has both conditions.
Also from chapter/block level (1 note)
- follow-up examination for medical surveillance after treatment (Z08-Z09)
Notes
Also from chapter/block level (3 notes)
- 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.
Alphabetic Index terms
Terms the official Alphabetic Index lists for this code. 2 entries