ICDcodes.org
FY2027

Z95.0 — Presence of cardiac pacemaker

Billable

Is Z95.0 billable?

Yes — Z95.0 is billable for FY2027. Z95.0 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. Z95.0 may be submitted for encounters from October 1, 2026 through September 30, 2027.

Z95.0 at a glance

CodeZ95.0
DescriptionPresence of cardiac pacemaker
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

What Medicare edits apply to Z95.0?

The Medicare Code Editor screens inpatient claims before they are grouped. These edits name Z95.0 directly.

Cannot be a principal diagnosis — MCE edit 9

CMS will reject this code as the principal diagnosis on an inpatient claim. It describes something other than the condition chiefly responsible for the admission.

Which MS-DRGs does Z95.0 group to?

Z95.0 sits in MDC 23 and helps define the logic of 1 MS-DRG (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 951Other Factors Influencing Health Statusmedical

How is Z95.0 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to Z95.0. They show the wording a clinician may have documented, which often differs from the Tabular description.

  • Presence › CRT-P (of)
  • Cardiac › pacemaker › in situ
  • Presence › cardiac › pacemaker (of)
  • Presence › implanted device › cardiac pacemaker (of)
  • Status › pacemaker › cardiac (post)
  • Presence › cardiac › resynchronization therapy › pacemaker (of)

Excludes1 — never code together

The conditions below can never be reported together with Z95.0 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

  • adjustment or management of cardiac device (Z45.0-)
  • adjustment or management of cardiac pacemaker (Z45.0)
  • presence of automatic (implantable) cardiac defibrillator with synchronous cardiac pacemaker (Z95.810)

Inclusion terms

Alternative wording in documentation that is classified to Z95.0.

  • Presence of cardiac resynchronization therapy (CRT-P) pacemaker

Excludes2 — not included here — inherited from Z95

The conditions below are not part of Z95.0, but a patient may have both at the same time. When documentation supports it, Z95.0 and the excluded code may both be reported.

  • complications of cardiac and vascular devices, implants and grafts (T82.-)

Code also — inherited from Z77-Z99

Two codes may be needed to describe the condition fully. Whether Z95.0 is sequenced first depends on the reason for the encounter.

  • any follow-up examination (Z08-Z09)

How long has Z95.0 existed?

Z95.0 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 Z95.0?

ICD-10-CM declares these codes mutually exclusive with Z95.0 — exactly one of each pair can be correct for a given encounter.

What other codes are in the Z95 family? (7)