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2025 ICD-10-CM code Z45.9

Encounter for adjustment and management of unspecified implanted device.

Always use the most specific code possible. If the type of implanted device is known, use the more specific Z45 code.A procedural code is required if a procedure was performed during the encounter. The 7th character is not applicable.

ICD-10 codes do not utilize modifiers. Modifiers are associated with CPT and HCPCS codes.

Medical necessity is established by the clinical need for the adjustment or management of the implanted device.This may be based on the manufacturer's recommendations, the patient's symptoms, or other clinical factors.

The clinical responsibility depends on the type of implanted device and the services performed. It might involve a cardiologist, surgeon, or other specialists.

IMPORTANT:Z45.89 should be used if the specific implanted device is known and classified under that category.Z46.- codes should be used for encounters related to the fitting and adjustment of non-implanted devices.

In simple words: This code is used when someone goes to the doctor for a check-up or adjustment of a device that's been implanted in their body.This could include things like checking or replacing a pacemaker, or other similar medical devices. It does not include instances of malfunction or other complications.

This code signifies an encounter for the adjustment and management of an unspecified implanted device.It encompasses procedures such as the removal, replacement, or routine maintenance of an implanted device where no malfunction or complication is present.The specific type of implanted device is not specified.

Example 1: A patient with a pacemaker undergoes a routine check-up and adjustment of the device. The physician assesses the device's functionality and makes necessary adjustments to ensure optimal performance. Z45.9 is used to code this encounter., A patient who had a previous surgery requiring a cardiac implantable electronic device returns for a follow up appointment which includes device check-up. No malfunction is present. Z45.9 is used., A patient with an implanted drug delivery device returns for a refill and the physician performs maintenance check up of the device. No malfunction is noted. Z45.9 is used.

Documentation should include the type of implanted device (if specified), the reason for the encounter (routine check-up, adjustment, replacement, etc.), the procedures performed, and the findings of the examination.

** This code is used solely to indicate the reason for the encounter.It does not describe any specific diagnosis or procedure. Appropriate procedural codes must accompany the code if a procedure was performed.

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