2025 ICD-10-CM code Z96.64
(Active) Effective Date: N/A Factors influencing health status and contact with health services - Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99) 21. Factors influencing health status and contact with health services (Z00-Z99) Feed
Presence of artificial hip joint.
This code is used to document a pre-existing condition (artificial hip joint) that may impact the patient's health status and influence current treatment decisions.It is not generally used for reimbursement purposes on its own, but provides important clinical context.
Clinicians use this code to document the presence of an artificial hip joint, which may influence treatment decisions and overall patient care. A corresponding procedure code should be used if a procedure is performed related to the artificial joint.
- 21. Factors influencing health status and contact with health services (Z00-Z99)
- Z96 Presence of other functional implantsZ96.6 Presence of orthopedic joint implants
In simple words: This code indicates that the patient has an artificial hip joint.
The patient has an artificial hip joint, which may be a partial or total replacement.This code indicates the presence of the implant and is not used to report complications or fitting/adjustments.
Example 1: A patient with a history of hip replacement presents for a routine check-up. The code Z96.64 is used to indicate the presence of the artificial joint., A patient with an artificial hip joint experiences knee pain. Z96.64 is used to document the hip implant, along with the appropriate code for the knee pain., A patient undergoes surgery for a femoral fracture.The surgeon notes the presence of a pre-existing artificial hip joint, documented with Z96.64, which may affect surgical planning and approach.
Documentation should clearly specify the presence of the artificial hip joint, including whether it is a total or partial replacement, and the side (right, left, or bilateral).Any related complications or procedures should be documented separately.
** Excludes2: complications of internal prosthetic devices, implants and grafts (T82-T85) and fitting and adjustment of prosthetic and other devices (Z44-Z46). A corresponding procedure code must accompany a Z code if a procedure is performed.
- Specialties:Orthopedic surgery, General practice, Internal medicine, Physical medicine and rehabilitation
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Off Campus-Outpatient Hospital, Office, Independent Clinic, Federally Qualified Health Center,Ambulatory Surgical Center