2025 ICD-10-CM code Z45.9
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Factors influencing health status and contact with health services - Encounters for other specific health care Chapter 21: Factors influencing health status and contact with health services Feed
Encounter for adjustment and management of unspecified implanted device.
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.
- Chapter 21: 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 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.
- Revenue Code: Revenue codes will vary depending on the specific services provided and the payer.
- RVU: RVUs are not directly associated with ICD-10 codes.Reimbursement is determined by the procedures performed, using CPT or HCPCS codes, along with other factors.
- Global Days: Not applicable to ICD-10 codes.Global periods are associated with surgical procedures and are coded using CPT or HCPCS.
- Payment Status: Active
- Modifier TC rule: Not applicable to ICD-10 codes.
- Fee Schedule: Not applicable to ICD-10 codes. Fee schedules are associated with procedures coded using CPT or HCPCS.
- Specialties:Cardiology, surgery, and other specialties depending on the type of implanted device.
- Place of Service:Office, hospital outpatient department, or other applicable settings.