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Z45 Encounter for adjustment and management of implanted device

ICD-10-CM category Z45 sits in Chapter 21 (Factors influencing health status and contact with health services, Z00-Z99). It contains 19 billable codes for FY2027, effective October 1, 2026 to September 30, 2027. Always code to the most specific code available: a code with more characters that describes the diagnosis more precisely takes priority over a shorter one.

Subcategories

Z45.0 Encounter for adjustment and management of cardiac deviceZ45.01 Encounter for adjustment and management of cardiac pacemakerZ45.3 Encntr for adjust and mgmt of implnt dev of the specl sensesZ45.32 Encounter for adjust and management of implanted hear devZ45.4 Encntr for adjust and mgmt of implanted nervous sys deviceZ45.8 Encounter for adjustment and management of implanted devicesZ45.81 Encounter for adjustment or removal of breast implant

Billable codes in Z45

CodeDescription
Z45.010Encounter for checking and testing of cardiac pacemaker pulse generator [battery]
Z45.018Encounter for adjustment and management of other part of cardiac pacemaker
Z45.02Encounter for adjustment and management of automatic implantable cardiac defibrillator
Z45.09Encounter for adjustment and management of other cardiac device
Z45.1Encounter for adjustment and management of infusion pump
Z45.2Encounter for adjustment and management of vascular access device
Z45.31Encounter for adjustment and management of implanted visual substitution device
Z45.320Encounter for adjustment and management of bone conduction device
Z45.321Encounter for adjustment and management of cochlear device
Z45.328Encounter for adjustment and management of other implanted hearing device
Z45.41Encounter for adjustment and management of cerebrospinal fluid drainage device
Z45.42Encounter for adjustment and management of neurostimulator
Z45.49Encounter for adjustment and management of other implanted nervous system device
Z45.811Encounter for adjustment or removal of right breast implant
Z45.812Encounter for adjustment or removal of left breast implant
Z45.819Encounter for adjustment or removal of unspecified breast implant
Z45.82Encounter for adjustment or removal of myringotomy device (stent) (tube)
Z45.89Encounter for adjustment and management of other implanted devices
Z45.9Encounter for adjustment and management of unspecified implanted device

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