Z95.812 — Presence of fully implantable artificial heart
Is Z95.812 billable?
Yes — Z95.812 is billable for FY2027. Z95.812 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. Z95.812 may be submitted for encounters from October 1, 2026 through September 30, 2027.
Z95.812 at a glance
| Code | Z95.812 |
|---|---|
| Description | Presence of fully implantable artificial heart |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
What Medicare edits apply to Z95.812?
The Medicare Code Editor screens inpatient claims before they are grouped. These edits name Z95.812 directly.
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 Z95.812 group to?
Z95.812 sits in MDC 05 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 314Other Circulatory System Diagnoses with MCCmedical
- 315Other Circulatory System Diagnoses with CCmedical
- 316Other Circulatory System Diagnoses without CC/MCCmedical
As a secondary diagnosis, Z95.812 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.
How is Z95.812 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to Z95.812. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Replacement by artificial or mechanical device or prosthesis of › heart
- Dependence › on › artificial heart (on) (syndrome)
- Presence › artificial › heart (of)
- Presence › implanted device › heart (of)
- Status › organ replacement › by artificial or mechanical device or prosthesis of › heart (post)
Excludes2 — not included here — inherited from Z95
The conditions below are not part of Z95.812, but a patient may have both at the same time. When documentation supports it, Z95.812 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 Z95.812 is sequenced first depends on the reason for the encounter.
- any follow-up examination (Z08-Z09)
How long has Z95.812 existed?
Z95.812 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.