Z96.698 — Presence of other orthopedic joint implants
Is Z96.698 billable?
Yes — Z96.698 is billable for FY2027. Z96.698 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. Z96.698 may be submitted for encounters from October 1, 2026 through September 30, 2027.
Z96.698 at a glance
| Code | Z96.698 |
|---|---|
| Description | Presence of other orthopedic joint implants |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
What Medicare edits apply to Z96.698?
The Medicare Code Editor screens inpatient claims before they are grouped. These edits name Z96.698 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 Z96.698 group to?
Z96.698 sits in MDC 08 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.
- 564Other Musculoskeletal System and Connective Tissue Diagnoses with MCCmedical
- 565Other Musculoskeletal System and Connective Tissue Diagnoses with CCmedical
- 566Other Musculoskeletal System and Connective Tissue Diagnoses without CC/MCCmedical
How is Z96.698 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to Z96.698. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Presence › joint implant › specified joint NEC (of)
- Replacement by artificial or mechanical device or prosthesis of › joint › specified site NEC
- Presence › implanted device › joint › specified NEC (of)
- Status › organ replacement › by artificial or mechanical device or prosthesis of › joint › specified site NEC (post)
Excludes2 — not included here — inherited from Z96
The conditions below are not part of Z96.698, but a patient may have both at the same time. When documentation supports it, Z96.698 and the excluded code may both be reported.
Code also — inherited from Z77-Z99
Two codes may be needed to describe the condition fully. Whether Z96.698 is sequenced first depends on the reason for the encounter.
- any follow-up examination (Z08-Z09)
How long has Z96.698 existed?
Z96.698 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.