2020 ICD-10-CM Diagnosis Code Z45.42

Encounter for adjustment and management of neurostimulator

    2016 2017 2018 2019 2020 - Revised Code Billable/Specific Code POA Exempt
  • Z45.42 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • ICD-10-CM Z45.42 is a revised 2020 ICD-10-CM code that became effective on October 1, 2019.
  • This is the American ICD-10-CM version of Z45.42 - other international versions of ICD-10 Z45.42 may differ.
Applicable To
  • Encounter for adjustment and management of brain neurostimulator
  • Encounter for adjustment and management of gastric neurostimulator
  • Encounter for adjustment and management of peripheral nerve neurostimulator
  • Encounter for adjustment and management of sacral nerve neurostimulator
  • Encounter for adjustment and management of spinal cord neurostimulator
  • Encounter for adjustment and management of vagus nerve neurostimulator
The following code(s) above Z45.42 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 Z45.42:
  • Z00-Z99
    2020 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
    2020 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 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
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.
  • Z45.42 is considered exempt from POA reporting.
ICD-10-CM Z45.42 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 091 Other disorders of nervous system with mcc
  • 092 Other disorders of nervous system with cc
  • 093 Other disorders of nervous system without cc/mcc

Convert Z45.42 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): Revised code
    • New description: Encounter for adjustment and management of neurostimulator
    • 2019 description: Encounter for adjustment and management of neuropacemaker (brain) (peripheral nerve) (spinal cord)

Diagnosis Index entries containing back-references to Z45.42:
  • Admission (for) - see also Encounter (for)
    • adjustment (of)
      • brain neuropacemaker Z46.2
        ICD-10-CM Diagnosis Code Z46.2

        Encounter for fitting and adjustment of other devices related to nervous system and special senses

          2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
        Type 2 Excludes
        • encounter for adjustment and management of implanted nervous system device (Z45.4-)
        • encounter for adjustment and management of implanted visual substitution device (Z45.31)
        • implanted Z45.42
      • 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 Billable/Specific Code POA Exempt
          • nervous system Z45.49
            ICD-10-CM Diagnosis Code Z45.49

            Encounter for adjustment and management of other implanted nervous system device

              2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
            • neuropacemaker Z45.42
      • neuropacemaker (brain) (peripheral nerve) (spinal cord) Z46.2
        ICD-10-CM Diagnosis Code Z46.2

        Encounter for fitting and adjustment of other devices related to nervous system and special senses

          2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
        Type 2 Excludes
        • encounter for adjustment and management of implanted nervous system device (Z45.4-)
        • encounter for adjustment and management of implanted visual substitution device (Z45.31)
        • implanted Z45.42
      • pacemaker (cardiac resynchronization therapy (CRT-P))
        • nervous system Z46.2
          ICD-10-CM Diagnosis Code Z46.2

          Encounter for fitting and adjustment of other devices related to nervous system and special senses

            2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
          Type 2 Excludes
          • encounter for adjustment and management of implanted nervous system device (Z45.4-)
          • encounter for adjustment and management of implanted visual substitution device (Z45.31)
          • implanted Z45.42
    • change of
      • neuropacemaker device (brain) (peripheral nerve) (spinal cord) Z46.2
        ICD-10-CM Diagnosis Code Z46.2

        Encounter for fitting and adjustment of other devices related to nervous system and special senses

          2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
        Type 2 Excludes
        • encounter for adjustment and management of implanted nervous system device (Z45.4-)
        • encounter for adjustment and management of implanted visual substitution device (Z45.31)
        • implanted Z45.42
    • fitting (of)
      • brain neuropacemaker Z46.2
        ICD-10-CM Diagnosis Code Z46.2

        Encounter for fitting and adjustment of other devices related to nervous system and special senses

          2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
        Type 2 Excludes
        • encounter for adjustment and management of implanted nervous system device (Z45.4-)
        • encounter for adjustment and management of implanted visual substitution device (Z45.31)
        • implanted Z45.42
      • neuropacemaker (brain) (peripheral nerve) (spinal cord) Z46.2
        ICD-10-CM Diagnosis Code Z46.2

        Encounter for fitting and adjustment of other devices related to nervous system and special senses

          2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
        Type 2 Excludes
        • encounter for adjustment and management of implanted nervous system device (Z45.4-)
        • encounter for adjustment and management of implanted visual substitution device (Z45.31)
        • implanted Z45.42
    • removal of
      • neuropacemaker (brain) (peripheral nerve) (spinal cord) Z46.2
        ICD-10-CM Diagnosis Code Z46.2

        Encounter for fitting and adjustment of other devices related to nervous system and special senses

          2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
        Type 2 Excludes
        • encounter for adjustment and management of implanted nervous system device (Z45.4-)
        • encounter for adjustment and management of implanted visual substitution device (Z45.31)
        • implanted Z45.42
  • Aftercare Z51.89
    - see also Care
    ICD-10-CM Diagnosis Code Z51.89

    Encounter for other specified aftercare

      2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
    • neuropacemaker (brain) (peripheral nerve) (spinal cord) Z46.2
      ICD-10-CM Diagnosis Code Z46.2

      Encounter for fitting and adjustment of other devices related to nervous system and special senses

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Type 2 Excludes
      • encounter for adjustment and management of implanted nervous system device (Z45.4-)
      • encounter for adjustment and management of implanted visual substitution device (Z45.31)
      • implanted Z45.42
  • Encounter (with health service) (for) Z76.89
    ICD-10-CM Diagnosis Code Z76.89

    Persons encountering health services in other specified circumstances

      2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
    Applicable To
    • Persons encountering health services NOS
    • adjustment and management (of)
      • neurostimulator Z45.42 (brain) (gastric) (peripheral nerve) (sacral nerve) (spinal cord) (vagus nerve)
  • Fitting (and adjustment) (of)
    • brain neuropacemaker Z46.2
      ICD-10-CM Diagnosis Code Z46.2

      Encounter for fitting and adjustment of other devices related to nervous system and special senses

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Type 2 Excludes
      • encounter for adjustment and management of implanted nervous system device (Z45.4-)
      • encounter for adjustment and management of implanted visual substitution device (Z45.31)
      • implanted Z45.42
    • neuropacemaker Z46.2
      ICD-10-CM Diagnosis Code Z46.2

      Encounter for fitting and adjustment of other devices related to nervous system and special senses

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Type 2 Excludes
      • encounter for adjustment and management of implanted nervous system device (Z45.4-)
      • encounter for adjustment and management of implanted visual substitution device (Z45.31)
      • implanted Z45.42
    • 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 Billable/Specific Code POA Exempt Questionable As Admission Dx
      Type 1 Excludes
      • presence of other part of cardiac pacemaker (Z95.0)
      Type 2 Excludes
      • nervous system (brain) (peripheral nerve) (spinal cord) Z46.2
        ICD-10-CM Diagnosis Code Z46.2

        Encounter for fitting and adjustment of other devices related to nervous system and special senses

          2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
        Type 2 Excludes
        • encounter for adjustment and management of implanted nervous system device (Z45.4-)
        • encounter for adjustment and management of implanted visual substitution device (Z45.31)
        • implanted Z45.42

ICD-10-CM Codes Adjacent To Z45.42
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
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

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