2023

  1. ICD-10-CM Codes
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  2. Z00-Z99
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  3. Z40-Z53
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  4. Z45-
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  5. 2023 ICD-10-CM Diagnosis Code Z45.2

2023 ICD-10-CM Diagnosis Code Z45.2

Encounter for adjustment and management of vascular access device

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
  • Z45.2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • Short description: Encounter for adjustment and management of VAD
  • The 2023 edition of ICD-10-CM Z45.2 became effective on October 1, 2022.
  • This is the American ICD-10-CM version of Z45.2 - other international versions of ICD-10 Z45.2 may differ.
Applicable To
  • Encounter for adjustment and management of vascular catheters
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 Z45.2. 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.
  • encounter for adjustment and management of renal dialysis catheter (
    ICD-10-CM Diagnosis Code Z49.01

    Encounter for fitting and adjustment of extracorporeal dialysis catheter

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
    Applicable To
    • Removal or replacement of renal dialysis catheter
    • Toilet or cleansing of renal dialysis catheter
    Z49.01
    )
The following code(s) above Z45.2 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 Z45.2:
  • Z00-Z99
    2023 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
    2023 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 2022 2023 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
Approximate Synonyms
  • Adjustment and management of peripherally inserted central catheter (picc) line
  • Adjustment and management of peripherally inserted central catheter line done
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.
  • Z45.2 is considered exempt from POA reporting.
ICD-10-CM Z45.2 is grouped within Diagnostic Related Group(s) (MS-DRG v40.0):
  • 949 Aftercare with cc/mcc
  • 950 Aftercare without cc/mcc

Convert Z45.2 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
  • 2022 (effective 10/1/2021): No change
  • 2023 (effective 10/1/2022): No change

Diagnosis Index entries containing back-references to Z45.2:
  • 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 2022 2023 Billable/Specific Code POA Exempt
          • vascular access Z45.2
      • portacath Z45.2 (port-a-cath)
  • Fitting (and adjustment) (of)
    • portacath Z45.2 (port-a-cath)
  • Management (of)
    • vascular access device Z45.2
  • Removal (from) (of)
    • catheter (urinary) (indwelling) Z46.6
      ICD-10-CM Diagnosis Code Z46.6

      Encounter for fitting and adjustment of urinary device

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
      Type 2 Excludes
      • attention to artificial openings of urinary tract (Z43.5, Z43.6)
      • vascular NEC Z45.2
    • vascular access device or catheter Z45.2

ICD-10-CM Codes Adjacent To Z45.2
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
Z45.328 Encounter for adjustment and management of other implanted hearing device
Z45.4 Encounter for adjustment and management of implanted nervous system device
Z45.41 Encounter for adjustment and management of cerebrospinal fluid drainage device
Z45.42 Encounter for adjustment and management of neurostimulator
Z45.49 Encounter for adjustment and management of other implanted nervous system 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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