Z45 Encounter for adjustment and management of implanted device

⚠ Non-Billable ICD-10-CM 2026
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The ICD-10-CM code for Encounter for adjustment and management of implanted device is Z45 (FY2026). It is a non-billable category code — select a more specific code below for claims.

Classification

Section
Z40-Z53: Encounters for other specific health care (Z40-Z53)
Category Z45
27 codes (19 billable)
FY2026 Status
Stable since FY2024
Includes
  • removal or replacement of implanted device
Excludes1
Not coded here. These conditions should NOT be coded together with Z45.
  • malfunction or other complications of device - see Alphabetical Index
Excludes2
Not included here. These conditions are coded elsewhere but may be coded together if applicable.
  • encounter for fitting and adjustment of non-implanted device (Z46.-)

Official Coding Guidelines

Aftercare: Z code categories generally used for aftercare

The aftercare codes are generally found in the following categories: Z42 Encounter for plastic and reconstructive surgery following medical procedure or healed injury Z43 Encounter for attention to artificial openings Z44 Encounter for fitting and adjustment of external prosthetic device Z45 Encounter for adjustment and management of implanted device Z46 Encounter for fitting and adjustment of other devices Z47 Orthopedic aftercare Z48 Encounter for other postprocedural aftercare Z49 Encounter for care involving renal dialysis Z51 Encounter for other aftercare and medical care

— ICD-10-CM Official Guidelines for Coding and Reporting, FY2026, Section I.B.7
Used with any code in range A00.0-T88.9, Z00-Z99

1) Used with any code in the range of A00.0-T88.9, Z00-Z99 An external cause code may be used with any code in the range of A00.0-T88.9, Z00-Z99, classification that represents a health condition due to an external cause. Though they are most applicable to injuries, they are also valid for use with such things as infections or diseases due to an external source, and other health conditions, such as a heart attack that occurs during strenuous physical activity.

— ICD-10-CM Official Guidelines for Coding and Reporting, FY2026, Section I.C.20.a.1

Source: CMS — ICD-10-CM Official Guidelines for Coding and Reporting, FY2026

References

Related Codes

More Specific Codes

Z45.0 Encounter for adjustment and management of cardiac device Z45.01 Encounter for adjustment and management of cardiac pacemaker Z45.010 Encounter for checking and testing of cardiac pacemaker pulse generator [battery] Z45.018 Encounter for adjustment and management of other part of cardiac pacemaker Z45.02 Encounter for adjustment and management of automatic implantable cardiac defibrillator Z45.09 Encounter for adjustment and management of other cardiac device Z45.1 Encounter for adjustment and management of infusion pump Z45.2 Encounter for adjustment and management of vascular access device Z45.3 Encounter for adjustment and management of implanted devices of the special senses Z45.31 Encounter for adjustment and management of implanted visual substitution device Z45.32 Encounter for adjustment and management of implanted hearing device Z45.320 Encounter for adjustment and management of bone conduction device Z45.321 Encounter for adjustment and management of cochlear device Z45.328 Encounter for adjustment and management of other implanted hearing device Z45.4 Encounter for adjustment and management of implanted nervous system device Z45.41 Encounter for adjustment and management of cerebrospinal fluid drainage device Z45.42 Encounter for adjustment and management of neurostimulator Z45.49 Encounter for adjustment and management of other implanted nervous system device Z45.8 Encounter for adjustment and management of other implanted devices Z45.81 Encounter for adjustment or removal of breast implant Z45.811 Encounter for adjustment or removal of right breast implant Z45.812 Encounter for adjustment or removal of left breast implant Z45.819 Encounter for adjustment or removal of unspecified breast implant Z45.82 Encounter for adjustment or removal of myringotomy device (stent) (tube) Z45.89 Encounter for adjustment and management of other implanted devices Z45.9 Encounter for adjustment and management of unspecified implanted device

Related Codes in Z45

Z45.0 Encounter for adjustment and management of cardiac device Z45.01 Encounter for adjustment and management of cardiac pacemaker Z45.010 Encounter for checking and testing of cardiac pacemaker pulse generator [battery] Z45.018 Encounter for adjustment and management of other part of cardiac pacemaker Z45.02 Encounter for adjustment and management of automatic implantable cardiac defibrillator Z45.09 Encounter for adjustment and management of other cardiac device Z45.1 Encounter for adjustment and management of infusion pump Z45.2 Encounter for adjustment and management of vascular access device Z45.3 Encounter for adjustment and management of implanted devices of the special senses Z45.31 Encounter for adjustment and management of implanted visual substitution device Z45.32 Encounter for adjustment and management of implanted hearing device Z45.320 Encounter for adjustment and management of bone conduction device Z45.321 Encounter for adjustment and management of cochlear device Z45.328 Encounter for adjustment and management of other implanted hearing device Z45.4 Encounter for adjustment and management of implanted nervous system device Z45.41 Encounter for adjustment and management of cerebrospinal fluid drainage device Z45.42 Encounter for adjustment and management of neurostimulator Z45.49 Encounter for adjustment and management of other implanted nervous system device Z45.8 Encounter for adjustment and management of other implanted devices Z45.81 Encounter for adjustment or removal of breast implant
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Reviewed by Prajwal Shrestha, CPC, CRC
Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC) · AAPC Member ID 01997614 · About · Editorial policy · Content last reviewed: 2025-10-01

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