2021

  1. ICD-10-CM Codes
    2. ›
  2. Z00-Z99 Factors influencing health status and contact with health services
    3. ›
  3. Z40-Z53 Encounters for other specific health care
    4. ›
  4. Z45- Encounter for adjustment and management of implanted device
    5. ›
  5. 2021 ICD-10-CM Diagnosis Code Z45.010

2021 ICD-10-CM Diagnosis Code Z45.010

Encounter for checking and testing of cardiac pacemaker pulse generator [battery]

    2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt Questionable As Admission Dx
  • Z45.010 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • Short description: Encntr for checking and test of card pacemaker pulse gnrtr
  • The 2021 edition of ICD-10-CM Z45.010 became effective on October 1, 2020.
  • This is the American ICD-10-CM version of Z45.010 - other international versions of ICD-10 Z45.010 may differ.
ICD-10-CM Coding Rules
  • Z45.010 is not usually sufficient justification for admission to an acute care hospital when used a principal diagnosis.
Applicable To
  • Encounter for replacing cardiac pacemaker pulse generator [battery]
The following code(s) above Z45.010 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 Z45.010:
  • Z00-Z99
    2021 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
    2021 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
  • Z45
    ICD-10-CM Diagnosis Code Z45

    Encounter for adjustment and management of implanted device

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Includes
    • removal or replacement of implanted device
    Type 1 Excludes
    • malfunction or other complications of device - see Alphabetical Index
    Type 2 Excludes
    • encounter for fitting and adjustment of non-implanted device (Z46.-)
    Encounter for adjustment and management of implanted device
  • Z45.01
    ICD-10-CM Diagnosis Code Z45.01

    Encounter for adjustment and management of cardiac pacemaker

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Applicable To
    • Encounter for adjustment and management of cardiac resynchronization therapy pacemaker (CRT-P)
    Type 1 Excludes
    • encounter for adjustment and management of automatic implantable cardiac defibrillator with synchronous cardiac pacemaker (Z45.02)
    Encounter for adjustment and management of cardiac pacemaker
Present On Admission
POA Help
"Present On Admission" is defined as present at the time the order for inpatient admission occurs — conditions that develop during an outpatient encounter, including emergency department, observation, or outpatient surgery, are considered POA.
  • Z45.010 is considered exempt from POA reporting.
ICD-10-CM Z45.010 is grouped within Diagnostic Related Group(s) (MS-DRG v38.0):
  • 314 Other circulatory system diagnoses with mcc
  • 315 Other circulatory system diagnoses with cc
  • 316 Other circulatory system diagnoses without cc/mcc

Convert Z45.010 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change

Diagnosis Index entries containing back-references to Z45.010:
  • Admission (for) - see also Encounter (for)
    • adjustment (of)
      • device NEC
        • implanted Z45.89
          ICD-10-CM Diagnosis Code Z45.89

          Encounter for adjustment and management of other implanted devices

            2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
          • cardiac Z45.09
            ICD-10-CM Diagnosis Code Z45.09

            Encounter for adjustment and management of other cardiac device

              2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt Questionable As Admission Dx
            • pacemaker (cardiac resynchronization therapy (CRT-P)) Z45.018
              ICD-10-CM Diagnosis Code Z45.018

              Encounter for adjustment and management of other part of cardiac pacemaker

                2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt Questionable As Admission Dx
              Type 1 Excludes
              • presence of other part of cardiac pacemaker (Z95.0)
              Type 2 Excludes
              • pulse generator Z45.010
      • pacemaker (cardiac resynchronization therapy (CRT-P))
        • cardiac Z45.018
          ICD-10-CM Diagnosis Code Z45.018

          Encounter for adjustment and management of other part of cardiac pacemaker

            2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt Questionable As Admission Dx
          Type 1 Excludes
          • presence of other part of cardiac pacemaker (Z95.0)
          Type 2 Excludes
          • pulse generator Z45.010
  • Change(s) (in) (of) - see also Removal
    • pacemaker Z45.018
      ICD-10-CM Diagnosis Code Z45.018

      Encounter for adjustment and management of other part of cardiac pacemaker

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt Questionable As Admission Dx
      Type 1 Excludes
      • presence of other part of cardiac pacemaker (Z95.0)
      Type 2 Excludes
      • pulse generator Z45.010
  • Checking (of)
    • cardiac pacemaker (battery) (electrode(s)) Z45.018
      ICD-10-CM Diagnosis Code Z45.018

      Encounter for adjustment and management of other part of cardiac pacemaker

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt Questionable As Admission Dx
      Type 1 Excludes
      • presence of other part of cardiac pacemaker (Z95.0)
      Type 2 Excludes
      • pulse generator Z45.010
  • Fitting (and adjustment) (of)
    • CRT-P (cardiac resynchronization therapy pacemaker) Z45.018
      ICD-10-CM Diagnosis Code Z45.018

      Encounter for adjustment and management of other part of cardiac pacemaker

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt Questionable As Admission Dx
      Type 1 Excludes
      • presence of other part of cardiac pacemaker (Z95.0)
      Type 2 Excludes
      • pulse generator Z45.010
    • pacemaker (cardiac) (cardiac resynchronization therapy (CRT-P)) Z45.018
      ICD-10-CM Diagnosis Code Z45.018

      Encounter for adjustment and management of other part of cardiac pacemaker

        2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt Questionable As Admission Dx
      Type 1 Excludes
      • presence of other part of cardiac pacemaker (Z95.0)
      Type 2 Excludes
      • pulse generator Z45.010
  • Removal (from) (of)
    • cardiac pulse generator Z45.010 (battery) (end-of-life)
  • Test, tests, testing (for)
    • cardiac pulse generator Z45.010 (battery)
  • Worn out - see Exhaustion

ICD-10-CM Codes Adjacent To Z45.010
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
Z45.32 Encounter for adjustment and management of implanted hearing device
Z45.320 Encounter for adjustment and management of bone conduction device
Z45.321 Encounter for adjustment and management of cochlear device

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

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