Z45

Non-Billable
ChapterZ00–Z99
Rankcategory
Official Description

Encounter for adjustment and management of implanted device

Metadata & Insights
  • Non-billable category (requires more specific sub-code).
  • Chapter 21: Factors Influencing Health Status and Contact with Health Services (Z00-Z99).

Z40-Z53 Parent Instructions

Includes
  • 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
Excludes2(Not included here. Code separately if applicable.)
  • follow-up examination for medical surveillance after treatment (Z08-Z09)

Instructional Notes

Includes
  • removal or replacement of implanted device
Excludes1(Not coded here. Use a different code.)
  • malfunction or other complications of device - see Alphabetical Index
Excludes2(Not included here. Code separately if applicable.)
  • encounter for fitting and adjustment of non-implanted device (Z46.-)

Clinical Hierarchy

BillableHas subcodes
CH21Factors influencing health status and contact with health services (Z00-Z99)
Z40-Z53Encounters for other specific health care (Z40-Z53)
Z45Encounter for adjustment and management of implanted deviceNot billable
Z45.0Encounter for adjustment and management of cardiac deviceSubcodes
Z45.1Encounter for adjustment and management of infusion pumpBillable
Z45.2Encounter for adjustment and management of vascular access deviceBillable
Z45.3Encounter for adjustment and management of implanted devices of the special sensesSubcodes
Z45.4Encounter for adjustment and management of implanted nervous system deviceSubcodes
Z45.8Encounter for adjustment and management of other implanted devicesSubcodes
Z45.9Encounter for adjustment and management of unspecified implanted deviceBillable

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to Z45:

blockZ40-Z53
Encounters for other specific health care (Z40-Z53)
View context instructions

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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