Z97.13 — Presence of artificial right leg (complete) (partial)

Billable

Is Z97.13 billable?

Yes — Z97.13 is billable for FY2027. Z97.13 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. Z97.13 may be submitted for encounters from October 1, 2026 through September 30, 2027.

Z97.13 at a glance

Code	Z97.13
Description	Presence of artificial right leg (complete) (partial)
Billable	Yes
Code set	ICD-10-CM FY2027
Valid for encounters	October 1, 2026 – September 30, 2027

What Medicare edits apply to Z97.13?

The Medicare Code Editor screens inpatient claims before they are grouped. These edits name Z97.13 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 Z97.13 group to?

Z97.13 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 Z97.13 listed in the Alphabetic Index?

The Alphabetic Index lists these routes under Z97.1, the nearest indexed parent of Z97.13. Use them to find the family, then select the specific code.

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 Z97.13 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 Z97.13, but a patient may have both at the same time. When documentation supports it, Z97.13 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 Z97.13 is sequenced first depends on the reason for the encounter.

any follow-up examination (Z08-Z09)

How long has Z97.13 existed?

Z97.13 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.