2020 ICD-10-CM Diagnosis Code Z95.4

Presence of other heart-valve replacement

    2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
  • Z95.4 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 Z95.4 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of Z95.4 - other international versions of ICD-10 Z95.4 may differ.
The following code(s) above Z95.4 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 Z95.4:
  • 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
  • History of repair of aortic valve using ross procedure
  • History of ross procedure
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.
  • Z95.4 is considered exempt from POA reporting.
ICD-10-CM Z95.4 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 314 Other circulatory system diagnoses with mcc
  • 315 Other circulatory system diagnoses with cc
  • 316 Other circulatory system diagnoses without cc/mcc

Convert Z95.4 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 Z95.4:
  • Type 1 Excludes: Z94.1
    ICD-10-CM Diagnosis Code Z94.1

    Heart transplant status

      2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
    Type 1 Excludes

Diagnosis Index entries containing back-references to Z95.4:
  • Presence (of)
    • heart valve implant (functional) Z95.2
      ICD-10-CM Diagnosis Code Z95.2

      Presence of prosthetic heart valve

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Presence of heart valve NOS
      • specified type NEC Z95.4
    • implanted device (artificial) (functional) (prosthetic) Z96.9
      ICD-10-CM Diagnosis Code Z96.9

      Presence of functional implant, unspecified

        2016 2017 2018 2019 2020 Billable/Specific Code
      • heart valve Z95.2
        ICD-10-CM Diagnosis Code Z95.2

        Presence of prosthetic heart valve

          2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
        Applicable To
        • Presence of heart valve NOS
        • specified NEC Z95.4
  • Replacement by artificial or mechanical device or prosthesis of
    • heart Z95.812
      ICD-10-CM Diagnosis Code Z95.812

      Presence of fully implantable artificial heart

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      • valve Z95.2
        ICD-10-CM Diagnosis Code Z95.2

        Presence of prosthetic heart valve

          2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
        Applicable To
        • Presence of heart valve NOS
        • specified NEC Z95.4
  • Transplant (ed) (status) Z94.9
    ICD-10-CM Diagnosis Code Z94.9

    Transplanted organ and tissue status, unspecified

      2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
    • heart Z94.1
      ICD-10-CM Diagnosis Code Z94.1

      Heart transplant status

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Type 1 Excludes
      • valve Z95.2
        ICD-10-CM Diagnosis Code Z95.2

        Presence of prosthetic heart valve

          2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
        Applicable To
        • Presence of heart valve NOS
        • specified NEC Z95.4

ICD-10-CM Codes Adjacent To Z95.4
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
Z95.818 Presence of other cardiac implants and grafts
Z95.82 Presence of other vascular implants and grafts
Z95.820 Peripheral vascular angioplasty status with implants and grafts
Z95.828 Presence of other vascular implants and grafts

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