ICD-10-CM Codes
Z00-Z99 Factors influencing health status and contact with health services
Z40-Z53 Encounters for other specific health care
Z45- Encounter for adjustment and management of implanted device

2018/2019 ICD-10-CM Diagnosis Code Z45.010

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

2016

2017

2018

2019

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 2018/2019 edition of ICD-10-CM Z45.010 became effective on October 1, 2018.
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
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
Z45
ICD-10-CM Diagnosis Code Z45
Encounter for adjustment and management of implanted device
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
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 v36.0):

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

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 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 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 Billable/Specific Code POA Exempt Questionable As Admission Dx
        Type 2 Excludes
        presence of prosthetic and other devices (Z95-Z97)
        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 Billable/Specific Code POA Exempt Questionable As Admission Dx
      Type 2 Excludes
      presence of prosthetic and other devices (Z95-Z97)
      - 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 Billable/Specific Code POA Exempt Questionable As Admission Dx
  Type 2 Excludes
  presence of prosthetic and other devices (Z95-Z97)
  - 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 Billable/Specific Code POA Exempt Questionable As Admission Dx
  Type 2 Excludes
  presence of prosthetic and other devices (Z95-Z97)
  - 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 Billable/Specific Code POA Exempt Questionable As Admission Dx
  Type 2 Excludes
  presence of prosthetic and other devices (Z95-Z97)
  - 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 Billable/Specific Code POA Exempt Questionable As Admission Dx
  Type 2 Excludes
  presence of prosthetic and other devices (Z95-Z97)
  - 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
- cardiac
  - pacemaker
    - battery Z45.010

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.

2018/2019 ICD-10-CM Diagnosis Code Z45.010

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

Factors influencing health status and contact with health services

Encounters for other specific health care

Encounter for adjustment and management of implanted device

Encounter for adjustment and management of cardiac pacemaker

Encounter for adjustment and management of other implanted devices

Encounter for adjustment and management of other cardiac device

Encounter for adjustment and management of other part of cardiac pacemaker

Encounter for adjustment and management of other part of cardiac pacemaker

Encounter for adjustment and management of other part of cardiac pacemaker

Encounter for adjustment and management of other part of cardiac pacemaker

Encounter for adjustment and management of other part of cardiac pacemaker

Encounter for adjustment and management of other part of cardiac pacemaker