Z45 — Encounter for adjustment and management of implanted device

Not billable

Is Z45 billable?

No — Z45 is a non-billable header code. Z45 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 19 billable codes beneath Z45.

Billable codes under this header

Z45 at a glance

Code	Z45
Description	Encounter for adjustment and management of implanted device
Billable	No — header code
Code set	ICD-10-CM FY2027
Valid for encounters	October 1, 2026 – September 30, 2027

Excludes1 — never code together

The conditions below can never be reported together with Z45 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

malfunction or other complications of device - see Alphabetical Index

Excludes2 — not included here

The conditions below are not part of Z45, but a patient may have both at the same time. When documentation supports it, Z45 and the excluded code may both be reported.

encounter for fitting and adjustment of non-implanted device (Z46.-)

Includes

Conditions classified to Z45.

removal or replacement of implanted device

Excludes2 — not included here — inherited from Z40-Z53

The conditions below are not part of Z45, but a patient may have both at the same time. When documentation supports it, Z45 and the excluded code may both be reported.

follow-up examination for medical surveillance after treatment (Z08-Z09)

What codes fall under Z45? (7)

How long has Z45 existed?

Z45 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.

Which codes are confused with Z45?

ICD-10-CM declares these codes mutually exclusive with Z45 — exactly one of each pair can be correct for a given encounter.