2025 ICD-10-CM code Z45
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Encounter - Encounters for other specific health care Factors influencing health status and contact with health services Feed
Encounter for adjustment and management of an implanted device.
Modifiers may be applicable depending on the circumstances of the service provided. Consult the current CPT and HCPCS modifier guidelines for more details.
Medical necessity for the encounter is established when a physician deems a check-up or adjustment necessary for the proper functioning and safety of the implanted device. The frequency of these encounters would depend on the specific device and individual patient needs.
The clinical responsibility will depend on the specialty of the physician managing the device and the specific services provided during the encounter.Examples could include a cardiologist adjusting a pacemaker, an orthopedic surgeon checking on an artificial joint, or an ophthalmologist managing an intraocular lens.
- Factors influencing health status and contact with health services
- Z40-Z53 (Encounters for other specific health care)
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, such as a pacemaker or artificial joint.This visit is for maintenance or minor adjustments and not for treatment of a problem with the device.
This ICD-10-CM code classifies an encounter for the adjustment and management of an implanted device.This includes procedures such as removal or replacement of the device.It excludes malfunctions or complications of the device, which should be coded separately.It also excludes encounters for fitting and adjusting non-implanted devices.
Example 1: A patient with a pacemaker scheduled for routine follow-up and device check by a cardiologist. The cardiologist performs an adjustment to the pacemaker settings., A patient with an implanted joint who is experiencing minor discomfort. The orthopedic surgeon assesses the joint and makes minor adjustments, providing post-operative care and management of the device., A patient with an implanted cochlear implant visits the audiologist for programming adjustments and a check-up to ensure proper device function.
Documentation should include the type of implanted device, the reason for the encounter (e.g., routine check-up, adjustment of settings, minor repair), details of the procedure performed (if any), and the physician's assessment of the patient's condition.
** Always ensure that the documentation supports the medical necessity for the encounter and that the appropriate Z45 subcode is used to specify the type of implanted device, if known.Remember that a procedure code must accompany a Z code if a procedure was performed.
- Revenue Code: Revenue codes will vary depending on the specific services provided and payer.
- RVU: RVUs will vary widely based on the specific procedure performed, location of service, and other factors.Consult your local Medicare Physician Fee Schedule or other payer's fee schedule for the most accurate RVU values.
- Global Days: Not applicable.This code represents an encounter, not a surgical procedure with a global period.
- Payment Status: Active
- Modifier TC rule: Not applicable. This is a diagnosis code, not a procedure code.
- Fee Schedule: Not applicable.This is a diagnosis code, and therefore doesn't have associated fee schedules.
- Specialties:Cardiology, Orthopedics, Ophthalmology, Otolaryngology, Neurosurgery
- Place of Service:Office, Hospital (Inpatient and Outpatient), Ambulatory Surgical Center