2018/2019 ICD-10-CM Diagnosis Code Z45

Encounter for adjustment and management of implanted device

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 Z45. 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 (Z45) and the excluded code together.
  • encounter for fitting and adjustment of non-implanted device (
    ICD-10-CM Diagnosis Code Z46
    • Z46 Encounter for fitting and adjustment of other...
      • Z46.0 Encounter for fitting and adjustment of spect...
      • Z46.1 Encounter for fitting and adjustment of heari...
      • Z46.2 Encounter for fitting and adjustment of other...
      • Z46.3 Encounter for fitting and adjustment of denta...
      • Z46.4 Encounter for fitting and adjustment of ortho...
      • Z46.5 Encounter for fitting and adjustment of other...
        • Z46.51 Encounter for fitting and adjustment of gastr...
        • Z46.59 Encounter for fitting and adjustment of other...
      • Z46.6 Encounter for fitting and adjustment of urina...
      • Z46.8 Encounter for fitting and adjustment of other...
        • Z46.81 Encounter for fitting and adjustment of insul...
        • Z46.82 Encounter for fitting and adjustment of non-v...
        • Z46.89 Encounter for fitting and adjustment of other...
      • Z46.9 Encounter for fitting and adjustment of unspe...
    Z46.-
    )
Includes
Includes Help
"Includes" further defines, or give examples of, the content of the code or category.
  • removal or replacement of implanted device
The following code(s) above Z45 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 Z45:
  • Z00-Z99
    2019 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
    2019 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 Z45:
ICD-10-CM Codes Adjacent To Z45
Z44.2 Encounter for fitting and adjustment of artificial eye
Z44.20 …… unspecified
Z44.21 Encounter for fitting and adjustment of artificial right eye
Z44.22 Encounter for fitting and adjustment of artificial left eye
Z44.3 Encounter for fitting and adjustment of external breast prosthesis
Z44.30 …… unspecified breast
Z44.31 Encounter for fitting and adjustment of external right breast prosthesis
Z44.32 Encounter for fitting and adjustment of external left breast prosthesis
Z44.8 Encounter for fitting and adjustment of other external prosthetic devices
Z44.9 Encounter for fitting and adjustment of unspecified external prosthetic device
Z45 Encounter for adjustment and management of implanted device
Z45.0 Encounter for adjustment and management of cardiac device
Z45.01 Encounter for adjustment and management of cardiac pacemaker
Z45.010 Encounter for checking and testing of cardiac pacemaker pulse generator [battery]
Z45.018 Encounter for adjustment and management of other part of cardiac pacemaker
Z45.02 Encounter for adjustment and management of automatic implantable cardiac defibrillator
Z45.09 Encounter for adjustment and management of other 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
Z45.31 Encounter for adjustment and management of implanted visual substitution device

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