Z46

Non-Billable
ChapterZ00–Z99
Rankcategory
Official Description

Encounter for fitting and adjustment of other devices

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 other 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 management of implanted devices (Z45.-)
  • issue of repeat prescription only (Z76.0)
  • presence of prosthetic and other devices (Z95-Z97)

Clinical Hierarchy

BillableHas subcodes
CH21Factors influencing health status and contact with health services (Z00-Z99)
Z40-Z53Encounters for other specific health care (Z40-Z53)
Z46Encounter for fitting and adjustment of other devicesNot billable
Z46.0Encounter for fitting and adjustment of spectacles and contact lensesBillable
Z46.1Encounter for fitting and adjustment of hearing aidBillable
Z46.2Encounter for fitting and adjustment of other devices related to nervous system and special sensesBillable
Z46.3Encounter for fitting and adjustment of dental prosthetic deviceBillable
Z46.4Encounter for fitting and adjustment of orthodontic deviceBillable
Z46.5Encounter for fitting and adjustment of other gastrointestinal appliance and deviceSubcodes
Z46.6Encounter for fitting and adjustment of urinary deviceBillable
Z46.8Encounter for fitting and adjustment of other specified devicesSubcodes
Z46.9Encounter for fitting and adjustment of unspecified deviceBillable

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to Z46:

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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