Z97.1 — Presence of artificial limb (complete) (partial)

Not billable

Is Z97.1 billable?

No — Z97.1 is a non-billable header code. Z97.1 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 7 billable codes beneath Z97.1.

Billable codes under this header

Z97.1 at a glance

Code	Z97.1
Description	Presence of artificial limb (complete) (partial)
Billable	No — header code
Code set	ICD-10-CM FY2027
Valid for encounters	October 1, 2026 – September 30, 2027

How is Z97.1 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to Z97.1. They show the wording a clinician may have documented, which often differs from the Tabular description.

Presence › artificial › limb (of)
Presence › artificial › limb › arm (of)
Presence › artificial › limb › leg (of)

Excludes1 — never code together — inherited from Z97

The conditions below can never be reported together with Z97.1 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

complications of internal prosthetic devices, implants and grafts (T82-T85)

Excludes2 — not included here — inherited from Z97

The conditions below are not part of Z97.1, but a patient may have both at the same time. When documentation supports it, Z97.1 and the excluded code may both be reported.

fitting and adjustment of prosthetic and other devices (Z44-Z46)
presence of cerebrospinal fluid drainage device (Z98.2)

Code also — inherited from Z77-Z99

Two codes may be needed to describe the condition fully. Whether Z97.1 is sequenced first depends on the reason for the encounter.

any follow-up examination (Z08-Z09)

What codes fall under Z97.1? (7)

How long has Z97.1 existed?

Z97.1 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.