Z45.2 — Encounter for adjustment and management of vascular access device
Is Z45.2 billable?
Yes — Z45.2 is billable for FY2027. Z45.2 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. Z45.2 may be submitted for encounters from October 1, 2026 through September 30, 2027.
Z45.2 at a glance
| Code | Z45.2 |
|---|---|
| Description | Encounter for adjustment and management of vascular access device |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does Z45.2 group to?
Z45.2 sits in MDC 23 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 949Aftercare with CC/MCCmedical
- 950Aftercare without CC/MCCmedical
How is Z45.2 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to Z45.2. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Fitting › portacath (and adjustment) (of)
- Management › vascular access device (of)
- Removal › vascular access device or catheter (from) (of)
- Admission › adjustment › portacath (for)
- Removal › catheter › vascular NEC (from) (of)
- Admission › adjustment › device NEC › implanted › vascular access (for)
Excludes1 — never code together
The conditions below can never be reported together with Z45.2 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- encounter for adjustment and management of renal dialysis catheter (Z49.01)
Inclusion terms
Alternative wording in documentation that is classified to Z45.2.
- Encounter for adjustment and management of vascular catheters
Excludes1 — never code together — inherited from Z45
The conditions below can never be reported together with Z45.2 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 — inherited from Z40-Z53
The conditions below are not part of Z45.2, but a patient may have both at the same time. When documentation supports it, Z45.2 and the excluded code may both be reported.
- follow-up examination for medical surveillance after treatment (Z08-Z09)
Excludes2 — not included here — inherited from Z45
The conditions below are not part of Z45.2, but a patient may have both at the same time. When documentation supports it, Z45.2 and the excluded code may both be reported.
- encounter for fitting and adjustment of non-implanted device (Z46.-)
How long has Z45.2 existed?
Z45.2 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.
What other codes are in the Z45 family? (6)
- Z45.0Encounter for adjustment and management of cardiac devicenot billable
- Z45.1Encounter for adjustment and management of infusion pump
- Z45.3Encounter for adjustment and management of implanted devices of the special sensesnot billable
- Z45.4Encounter for adjustment and management of implanted nervous system devicenot billable
- Z45.8Encounter for adjustment and management of other implanted devicesnot billable
- Z45.9Encounter for adjustment and management of unspecified implanted device