Z95.2 Presence of prosthetic heart valve

✓ Billable ICD-10-CM 2026
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The ICD-10-CM code for Presence of prosthetic heart valve is Z95.2 (FY2026). It is a billable, claim-ready diagnosis code.

Classification

Section
Z77-Z99: Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99)
Category Z95
17 codes (13 billable)
FY2026 Status
Stable since FY2024

Also Known As

ICD-10-CM Alphabetic Index entries that lead to Z95.2:

  • Presence (of) › heart valve implant (functional)
  • Transplant (ed) (status) › heart › valve
  • Presence (of) › implanted device (artificial) (functional) (prosthetic) › heart valve
  • Replacement by artificial or mechanical device or prosthesis of › heart › valve
  • Presence (of) › heart valve implant (functional) › prosthetic
  • Presence (of) › artificial › heart (fully implantable) (mechanical) › valve
  • Replacement by artificial or mechanical device or prosthesis of › heart › valve › prosthetic
  • Presence (of) › implanted device (artificial) (functional) (prosthetic) › heart valve › prosthetic

Inclusion Terms

  • Presence of heart valve NOS

U.S. Hospital Utilization

  • An estimated 360,645 U.S. inpatient stays in 2023 included Z95.2 among the documented diagnoses.

Source: National Inpatient Sample (NIS), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, 2016–2023. National survey-weighted estimates.

Official Coding Guidelines

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
Additional codes with observation code (fragment)

observation code, but only if they are unrelated to the suspected condition being observed.

— ICD-10-CM Official Guidelines for Coding and Reporting, FY2026, Section I.C.21.c.6

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

References

Related Codes

Parent Code

Z95 Presence of cardiac and vascular implants and grafts

Related Codes in Z95

Z95 Presence of cardiac and vascular implants and grafts Z95.0 Presence of cardiac pacemaker Z95.1 Presence of aortocoronary bypass graft 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 Z95.9 Presence of cardiac and vascular implant and graft, unspecified
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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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