2025 ICD-10-CM code Z45.8
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Encounters for other specific health care - Encounter for adjustment and management of other implanted devices Factors influencing health status and contact with health services Feed
This code signifies an encounter for the adjustment and management of implanted devices not otherwise specified.
Modifiers may be applicable depending on the circumstances of the service and the procedure performed. Consult the appropriate payer guidelines.
Medical necessity for this code depends entirely on the specific situation and the nature of the implanted device.For example, if a device malfunctions or requires adjustments for optimal patient safety or well-being, it may be considered medically necessary.Routine checks and adjustments may also be covered by some insurance providers if deemed clinically necessary.
The clinical responsibility involves the physician's assessment of the implanted device, performing any necessary adjustments or replacements, and ensuring the device functions correctly and safely.This may involve imaging studies, device programming changes, or surgical intervention. Post-procedure monitoring and patient education are also part of the clinical responsibility.
- Factors influencing health status and contact with health services
- Z45- Encounter for adjustment and management of implanted device
In simple words: This code is used when someone goes to the doctor to have a device that's already inside their body checked, adjusted, or removed. This might include things like breast implants or other devices not specifically listed in other codes.
ICD-10-CM code Z45.8, "Encounter for adjustment and management of other implanted devices," is used to classify a patient encounter for the purpose of adjusting, managing, removing, or replacing implanted devices that do not fall under the more specific categories within the Z45 code range (Z45.0-Z45.4, Z45.9).This encompasses a wide variety of implanted devices, excluding those related to cardiac, infusion pumps, vascular access, special senses, or the nervous system.The code should only be used when a procedure is performed; a corresponding procedure code must be included in the claim.
Example 1: A patient presents for the removal of a breast implant due to complications.The physician performs the removal procedure and provides post-operative care. Code Z45.81 would be more appropriate in this specific case., A patient with a previously implanted device (e.g., a drug delivery system) returns for a routine check-up and adjustment of the device settings. The physician reviews the device functionality and makes necessary adjustments., A patient experiences malfunction of a non-specified implanted device, necessitating a visit for repair and adjustment of the device components.
Detailed documentation is required for all procedures performed relating to implanted devices. This documentation must include a pre-procedure assessment of the device functionality, clear documentation of the procedure performed (including device specifics), and post-procedure assessment of the device's functionality. Any imaging or testing performed should also be documented.Complete patient history regarding the implantation of the device should also be present in the patient's record.
** This code should not be used to describe the initial implantation of the device, only for subsequent adjustments, management, or removal.
- Payment Status: Active
- Modifier TC rule: The applicability of a technical component (TC) modifier depends on the specific procedure performed. Consult payer guidelines.
- Specialties:General Surgery, Plastic Surgery, Neurosurgery, Cardiology, Ophthalmology, Otolaryngology
- Place of Service:Office, Hospital (Inpatient/Outpatient), Ambulatory Surgical Center