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ICD-10-CM Codes
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Z00-Z99
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Z40-Z53
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Z46-
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2023 ICD-10-CM Diagnosis Code Z46.81
2023 ICD-10-CM Diagnosis Code Z46.81
Encounter for fitting and adjustment of insulin pump
2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
- Z46.81 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
- The 2023 edition of ICD-10-CM Z46.81 became effective on October 1, 2022.
- This is the American ICD-10-CM version of Z46.81 - other international versions of ICD-10 Z46.81 may differ.
Applicable To- Encounter for insulin pump instruction and training
- Encounter for insulin pump titration
The following code(s) above
Z46.81 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
Z46.81:
- Z00-Z99
2023 ICD-10-CM Range Z00-Z99
Factors influencing health status and contact with health servicesNote- 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.
- Z40-Z53
2023 ICD-10-CM Range Z40-Z53
Encounters for other specific health careApplicable 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)
- Z46
ICD-10-CM Diagnosis Code Z46
Encounter for fitting and adjustment of other devices
2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
Includes- removal or replacement of other device
Type 1 Excludes- malfunction or other complications of device - see Alphabetical Index
Type 2 Excludes- encounter for fitting and management of implanted devices (Z45.-)
- issue of repeat prescription only (Z76.0)
- presence of prosthetic and other devices (Z95-Z97)
- Fitting or adjustment of insulin pump
- Fitting or adjustment of insulin pump done
- Insulin pump counseling
- Insulin pump educational counseling educational counseling done
Present On AdmissionPOA 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.
- Z46.81 is considered exempt from POA reporting.
ICD-10-CM Z46.81 is grouped within Diagnostic Related Group(s) (MS-DRG v40.0):
- 951 Other factors influencing health status
Convert Z46.81 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
- Counseling (for) Z71.9
ICD-10-CM Diagnosis Code Z71.9
Counseling, unspecified
2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
Applicable To- Encounter for medical advice NOS
- use (of)
- insulin pump use Z46.81
- 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 2021 2022 2023 Billable/Specific Code POA Exempt
Applicable To- Persons encountering health services NOS
- Fitting (and adjustment) (of)
- Removal (from) (of)
ICD-10-CM Codes Adjacent To Z46.81
Z46.0 Encounter for fitting and adjustment of spectacles and contact lenses
Z46.1 Encounter for fitting and adjustment of hearing aid
Z46.2 Encounter for fitting and adjustment of other devices related to nervous system and special senses
Z46.3 Encounter for fitting and adjustment of dental prosthetic device
Z46.4 Encounter for fitting and adjustment of orthodontic device
Z46.5 Encounter for fitting and adjustment of other gastrointestinal appliance and device
Z46.51 Encounter for fitting and adjustment of gastric lap band
Z46.59 Encounter for fitting and adjustment of other gastrointestinal appliance and device
Z46.6 Encounter for fitting and adjustment of urinary device
Z46.8 Encounter for fitting and adjustment of other specified devices
Z46.81
Encounter for fitting and adjustment of insulin pump
Z46.82 Encounter for fitting and adjustment of non-vascular catheter
Z46.89 Encounter for fitting and adjustment of other specified devices
Z46.9 Encounter for fitting and adjustment of unspecified device
Z47.1 Aftercare following joint replacement surgery
Z47.2 Encounter for removal of internal fixation device
Z47.3 Aftercare following explantation of joint prosthesis
Z47.31 Aftercare following explantation of shoulder joint prosthesis
Z47.32 Aftercare following explantation of hip joint prosthesis
Z47.33 Aftercare following explantation of knee joint prosthesis
Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.
