Z45
Encounter for adjustment and management of implanted device
Choose the additional character
Z45 needs more characters to be billable. Pick the specific code below.
- Z45.0Encounter for adjustment and management of cardiac deviceMore levels
- Z45.1Encounter for adjustment and management of infusion pumpBillable
- Z45.2Encounter for adjustment and management of vascular access deviceBillable
- Z45.3Encounter for adjustment and management of implanted devices of the special sensesMore levels
- Z45.4Encounter for adjustment and management of implanted nervous system deviceMore levels
- Z45.8Encounter for adjustment and management of other implanted devicesMore levels
- Z45.9Encounter for adjustment and management of unspecified implanted deviceBillable
This code does not map to a risk-adjusting HCC in the loaded models.
Coding notes
Excludes 1 never coded together · Excludes 2 may co-exist
removal or replacement of implanted device
malfunction or other complications of device - see Alphabetical Index
encounter for fitting and adjustment of non-implanted device (Z46.-)
follow-up examination for medical surveillance after treatment (Z08-Z09)
Categories Z40-Z53 are intended for use to indicate a reason for care. They may be used for patients who have already been treated for a disease or injury, but who are receiving aftercare or prophylactic care, or care to consolidate the treatment, or to deal with a residual state
Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways: (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury. (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.
Official Guidelines for Z45
FY 2026 ›Sections that reference Z45
- I.C.21.c.7)Aftercare
… Z43 Encounter for attention to artificial openings Z44 Encounter for fitting and adjustment of external prosthetic device Z45 Encounter for adjustment and management of implanted device Z46 Encounter for fitting and adjustment of other devices Z47 …
- I.B.3Code or codes from A00.0 through T88.9, Z00-Z99.8, U00-U85Conventions & general rules
The appropriate code or codes from A00.0 through T88.9, Z00-Z99.8, and U00-U85 must be used to identify diagnoses, symptoms, conditions, problems, complaints or other reason(s) for the …
- I.C.20.a.1)Used with any code in the range of A00.0-T88.9, Z00-Z99Chapter 20
An external cause code may be used with any code in the range of A00.0-T88.9, Z00-Z99, classification that represents a health condition due to an external cause. …
- IV.BCodes from A00.0 through T88.9, Z00-Z99, U00-U85Outpatient services
The appropriate code(s) from A00.0 through T88.9, Z00-Z99 and U00-U85 must be used to identify diagnoses, symptoms, conditions, problems, complaints, or other reason(s) for the …
- IV.EEncounters for circumstances other than a disease or injuryOutpatient services
… The Factors Influencing Health Status and Contact with Health Services codes (Z00- Z99) are provided to deal with occasions when circumstances other than a disease or injury are recorded as diagnosis or problems. …
Sections whose FY 2026 text names Z45, its Z45 category, or a range containing it — the chapter guidance above is the authoritative source.