Z97.4

Presence of external hearing-aid

FY2027Chapter 21: Factors influencing health status and contact with health services/Z77–Z99 Persons with potential health hazards related to family and personal history and certain conditions influencing health status

BillableComplete code, valid to report

Z97.4 (also written Z974) is a billable ICD-10-CM diagnosis code for presence of external hearing-aid. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 13 codes in category Z97 (Presence of other devices). The Alphabetic Index lists it under 2 entries. Its coding notes include a Code also instruction, 1 Excludes1 entry and 2 Excludes2 entries.

Guidelines tip

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

A status code is not the same as a history code. It is not added when the diagnosis code already includes the status.

Guidelines I.C.21.c.3Status Z codesRead the official text

Code also

Two codes may be needed to describe the condition. This note gives no sequencing order.

Also from chapter/block level (1 note)
Inherited from Z77–Z99 Persons with potential health hazards related to family and personal history and certain conditions influencing health status
  • any follow-up examination (Z08-Z09)

Excludes1

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

Inherited from Z97 Presence of other devices
  • complications of internal prosthetic devices, implants and grafts (T82-T85)

Excludes2

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

Inherited from Z97 Presence of other devices
  • fitting and adjustment of prosthetic and other devices (Z44-Z46)
  • presence of cerebrospinal fluid drainage device (Z98.2)

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.

Alphabetic Index terms

Terms the official Alphabetic Index lists for this code. 2 entries