2023

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  5. 2023 ICD-10-CM Diagnosis Code Z96

2023 ICD-10-CM Diagnosis Code Z96

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Presence of other functional implants

    2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
  • Z96 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2023 edition of ICD-10-CM Z96 became effective on October 1, 2022.
  • This is the American ICD-10-CM version of Z96 - other international versions of ICD-10 Z96 may differ.
Type 2 Excludes
Type 2 Excludes Help
A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (Z96) and the excluded code together.
  • complications of internal prosthetic devices, implants and grafts (
    ICD-10-CM Diagnosis Code T82

    Complications of cardiac and vascular prosthetic devices, implants and grafts

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • failure and rejection of transplanted organs and tissue (T86.-)
    T82
    -
    ICD-10-CM Diagnosis Code T85

    Complications of other internal prosthetic devices, implants and grafts

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • failure and rejection of transplanted organs and tissue (T86.-)
    T85
    )
  • fitting and adjustment of prosthetic and other devices (
    ICD-10-CM Diagnosis Code Z44

    Encounter for fitting and adjustment of external prosthetic device

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Includes
    • removal or replacement of external prosthetic device
    Type 1 Excludes
    • malfunction or other complications of device - see Alphabetical Index
    • presence of prosthetic device (Z97.-)
    Z44
    -
    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)
    Z46
    )
The following code(s) above Z96 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 Z96:
  • 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
  • Z77-Z99
    2023 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
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
Code annotations containing back-references to Z96:
  • Type 1 Excludes: Z18
    ICD-10-CM Diagnosis Code Z18

    Retained foreign body fragments

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Includes
    • embedded fragment (status)
    • embedded splinter (status)
    • retained foreign body status
    Type 1 Excludes
    • artificial joint prosthesis status (Z96.6-)
    • foreign body accidentally left during a procedure (T81.5-)
    • foreign body entering through orifice (T15-T19)
    • in situ cardiac device (Z95.-)
    • organ or tissue replaced by means other than transplant (Z96.-, Z97.-)
    • organ or tissue replaced by transplant (Z94.-)
    • personal history of retained foreign body fully removed Z87.821
    • superficial foreign body (non-embedded splinter) - code to superficial foreign body, by site
  • Type 2 Excludes: Z87.7
    ICD-10-CM Diagnosis Code Z87.7

    Personal history of (corrected) congenital malformations

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Applicable To
    • Conditions classifiable to Q00-Q89 that have been repaired or corrected
    Type 2 Excludes
    • congenital malformations that have been partially corrected or repaired but which still require medical treatment - code to condition
    • other postprocedural states (Z98.-)
    • personal history of medical treatment (Z92.-)
    • presence of cardiac and vascular implants and grafts (Z95.-)
    • presence of other devices (Z97.-)
    • presence of other functional implants (Z96.-)
    • transplanted organ and tissue status (Z94.-)
ICD-10-CM Codes Adjacent To Z96
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
Z95.9 Presence of cardiac and vascular implant and graft, unspecified
Z96 Presence of other functional implants
Z96.0 Presence of urogenital implants
Z96.1 Presence of intraocular lens
Z96.2 Presence of otological and audiological implants
Z96.20 Presence of otological and audiological implant, unspecified
Z96.21 Cochlear implant status
Z96.22 Myringotomy tube(s) status
Z96.29 Presence of other otological and audiological implants
Z96.3 Presence of artificial larynx
Z96.4 Presence of endocrine implants
Z96.41 Presence of insulin pump (external) (internal)

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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