2019/2020

  1. ICD-10-CM Codes
    2. ›
  2. Z00-Z99 Factors influencing health status and contact with health services
    3. ›
  3. Z77-Z99 Persons with potential health hazards related to family and personal history and certain conditions influencing health status
    4. ›
  4. Z95- Presence of cardiac and vascular implants and grafts
    5. ›

2020 ICD-10-CM Diagnosis Code Z95.0

Presence of cardiac pacemaker

    2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
  • Z95.0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2020 edition of ICD-10-CM Z95.0 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of Z95.0 - other international versions of ICD-10 Z95.0 may differ.
Applicable To
  • Presence of cardiac resynchronization therapy (CRT-P) pacemaker
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 Z95.0. 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.
  • adjustment or management of cardiac device (
    ICD-10-CM Diagnosis Code Z45.0

    Encounter for adjustment and management of cardiac device

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Z45.0-
    )
  • adjustment or management of cardiac pacemaker (
    ICD-10-CM Diagnosis Code Z45.0

    Encounter for adjustment and management of cardiac device

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Z45.0
    )
  • presence of automatic (implantable) cardiac defibrillator with synchronous cardiac pacemaker (
    ICD-10-CM Diagnosis Code Z95.810

    Presence of automatic (implantable) cardiac defibrillator

      2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
    Applicable To
    • Presence of automatic (implantable) cardiac defibrillator with synchronous cardiac pacemaker
    • Presence of cardiac resynchronization therapy defibrillator (CRT-D)
    • Presence of cardioverter-defibrillator (ICD)
    Z95.810
    )
The following code(s) above Z95.0 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 Z95.0:
  • 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
  • Z77-Z99
    2020 ICD-10-CM Range Z77-Z99

    Persons with potential health hazards related to family and personal history and certain conditions influencing health status

    Code Also
    • any follow-up examination (Z08-Z09)
    Persons with potential health hazards related to family and personal history and certain conditions influencing health status
  • Z95
    ICD-10-CM Diagnosis Code Z95

    Presence of cardiac and vascular implants and grafts

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • complications of cardiac and vascular devices, implants and grafts (T82.-)
    Presence of cardiac and vascular implants and grafts
Approximate Synonyms
  • Biventricular cardiac pacemaker normal function
  • Biventricular cardiac pacemaker present
  • Cardiac pacemaker
  • Cardiac pacemaker in situ
  • Normally functioning cardiac pacemaker in situ
  • Normally functioning cardiac pacemaker present
  • Permanent cardiac pacemaker
  • Personal condition cardiac pacemaker, normal function
  • Presence of biventricular implantable cardiac pacemaker
  • Presence of implantable cardiac pacemaker
  • Presence of permanent 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.
  • Z95.0 is considered exempt from POA reporting.
ICD-10-CM Z95.0 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 951 Other factors influencing health status

Convert Z95.0 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
Code annotations containing back-references to Z95.0:
  • Type 1 Excludes: Z45.018
    , Z99
    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
    ICD-10-CM Diagnosis Code Z99

    Dependence on enabling machines and devices, not elsewhere classified

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • cardiac pacemaker status (Z95.0)

Diagnosis Index entries containing back-references to Z95.0:

ICD-10-CM Codes Adjacent To Z95.0
Z94.6 Bone transplant status
Z94.7 Corneal transplant status
Z94.8 Other transplanted organ and tissue status
Z94.81 Bone marrow transplant status
Z94.82 Intestine transplant status
Z94.83 Pancreas transplant status
Z94.84 Stem cells transplant status
Z94.89 Other transplanted organ and tissue status
Z94.9 Transplanted organ and tissue status, unspecified
Z95 Presence of cardiac and vascular implants and grafts
Z95.0 Presence of cardiac pacemaker
Z95.1 Presence of aortocoronary bypass graft
Z95.2 Presence of prosthetic heart valve
Z95.3 Presence of xenogenic heart valve
Z95.4 Presence of other heart-valve replacement
Z95.5 Presence of coronary angioplasty implant and graft
Z95.8 Presence of other cardiac and vascular implants and grafts
Z95.81 Presence of other cardiac implants and grafts
Z95.810 Presence of automatic (implantable) cardiac defibrillator
Z95.811 Presence of heart assist device
Z95.812 Presence of fully implantable artificial heart

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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