2017/18 ICD-10-CM Diagnosis Code Z46

Encounter for fitting and adjustment of other devices

Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as Z46. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • malfunction or other complications of device - see Alphabetical Index
Type 2 Excludes
Type 2 Excludes Help
A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (Z46) and the excluded code together.
  • encounter for fitting and management of implanted devices (
    ICD-10-CM Diagnosis Code Z45
    • Z45 Encounter for adjustment and management of im...
      • Z45.0 Encounter for adjustment and management of ca...
        • Z45.01 Encounter for adjustment and management of ca...
          • Z45.010 Encounter for checking and testing of cardiac...
          • Z45.018 Encounter for adjustment and management of ot...
        • Z45.02 Encounter for adjustment and management of au...
        • Z45.09 Encounter for adjustment and management of ot...
      • Z45.1 Encounter for adjustment and management of in...
      • Z45.2 Encounter for adjustment and management of va...
      • Z45.3 Encounter for adjustment and management of im...
        • Z45.31 Encounter for adjustment and management of im...
        • Z45.32 Encounter for adjustment and management of im...
          • Z45.320 Encounter for adjustment and management of bo...
          • Z45.321 Encounter for adjustment and management of co...
          • Z45.328 Encounter for adjustment and management of ot...
      • Z45.4 Encounter for adjustment and management of im...
        • Z45.41 Encounter for adjustment and management of ce...
        • Z45.42 Encounter for adjustment and management of ne...
        • Z45.49 Encounter for adjustment and management of ot...
      • Z45.8 Encounter for adjustment and management of ot...
        • Z45.81 Encounter for adjustment or removal of breast...
          • Z45.811 Encounter for adjustment or removal of right ...
          • Z45.812 Encounter for adjustment or removal of left b...
          • Z45.819 Encounter for adjustment or removal of unspec...
        • Z45.82 Encounter for adjustment or removal of myring...
        • Z45.89 Encounter for adjustment and management of ot...
      • Z45.9 Encounter for adjustment and management of un...
    Z45.-
    )
  • issue of repeat prescription only (
    ICD-10-CM Diagnosis Code Z76.0

    Encounter for issue of repeat prescription

      2016 2017 2018 Billable/Specific Code POA Exempt
    Applicable To
    • Encounter for issue of repeat prescription for appliance
    • Encounter for issue of repeat prescription for medicaments
    • Encounter for issue of repeat prescription for spectacles
    Type 2 Excludes
    • issue of medical certificate (Z02.7)
    • repeat prescription for contraceptive (Z30.4-)
    Z76.0
    )
  • presence of prosthetic and other devices (
    ICD-10-CM Diagnosis Code Z95

    Presence of cardiac and vascular implants and grafts

      2016 2017 2018 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • complications of cardiac and vascular devices, implants and grafts (T82.-)
    Z95
    -
    ICD-10-CM Diagnosis Code Z97

    Presence of other devices

      2016 2017 2018 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • complications of internal prosthetic devices, implants and grafts (T82-T85)
    • fitting and adjustment of prosthetic and other devices (Z44-Z46)
    Type 2 Excludes
    • presence of cerebrospinal fluid drainage device (Z98.2)
    Z97
    )
Includes
Includes Help
"Includes" further defines, or give examples of, the content of the code or category.
  • removal or replacement of other device
The following code(s) above Z46 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to Z46:
  • Z00-Z99
    2018 ICD-10-CM Range Z00-Z99

    Factors influencing health status and contact with health services

    Note
    • 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.
    Factors influencing health status and contact with health services
  • Z40-Z53
    2018 ICD-10-CM Range Z40-Z53

    Encounters for other specific health care

    Applicable To
    • Categories Z40-Z53 are intended for use to indicate a reason for care. They may be used for patients who have already been treated for a disease or injury, but who are receiving aftercare or prophylactic care, or care to consolidate the treatment, or to deal with a residual state
    Type 2 Excludes
    • follow-up examination for medical surveillance after treatment (Z08-Z09)
    Encounters for other specific health care
Code History
Code annotations containing back-references to Z46:
ICD-10-CM Codes Adjacent To Z46
Z45.42 Encounter for adjustment and management of neuropacemaker (brain) (peripheral nerve) (spinal cord)
Z45.49 Encounter for adjustment and management of other implanted nervous system device
Z45.8 Encounter for adjustment and management of other implanted devices
Z45.81 Encounter for adjustment or removal of breast implant
Z45.811 Encounter for adjustment or removal of right breast implant
Z45.812 Encounter for adjustment or removal of left breast implant
Z45.819 Encounter for adjustment or removal of unspecified breast implant
Z45.82 Encounter for adjustment or removal of myringotomy device (stent) (tube)
Z45.89 Encounter for adjustment and management of other implanted devices
Z45.9 Encounter for adjustment and management of unspecified implanted device
Z46 Encounter for fitting and adjustment of other devices
Z46.0 Encounter for fitting and adjustment of spectacles and contact lenses
Z46.1 Encounter for fitting and adjustment of hearing aid
Z46.2 Encounter for fitting and adjustment of other devices related to nervous system and special senses
Z46.3 Encounter for fitting and adjustment of dental prosthetic device
Z46.4 Encounter for fitting and adjustment of orthodontic device
Z46.5 Encounter for fitting and adjustment of other gastrointestinal appliance and device
Z46.51 Encounter for fitting and adjustment of gastric lap band
Z46.59 Encounter for fitting and adjustment of other gastrointestinal appliance and device
Z46.6 Encounter for fitting and adjustment of urinary device
Z46.8 Encounter for fitting and adjustment of other specified devices

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.