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2025 ICD-10-CM code Z45.3

Encounter for the adjustment and management of implanted devices of the special senses.

A corresponding procedure code must accompany a Z code if a procedure is performed. Use this code only when the encounter is specifically for the adjustment and management of the implanted device and not for the treatment of a disease or injury.

Medical necessity must be established by documenting the patient's need for the adjustment or management of the implanted device.The documentation must support the medical reason for the encounter and show how it contributes to the patient's overall health and well-being.

The clinician is responsible for adjusting and managing the implanted device to ensure its proper functioning and to address any patient concerns or issues. This may involve programming the device, evaluating its performance, and providing patient education on device care and usage.

IMPORTANT:Excludes1: malfunction or other complications of device (refer to the Alphabetical Index)Excludes2: encounter for fitting and adjustment of non-implanted device (Z46.-)

In simple words: This code is used when you visit a healthcare provider to have an implanted device for your senses, such as hearing or vision, adjusted or checked.

This code is used for encounters with healthcare professionals for the adjustment and management of implanted devices related to the special senses, such as hearing or vision.It includes devices like cochlear implants, bone conduction devices, and other implanted devices for the special senses.

Example 1: A patient with a cochlear implant presents for a routine checkup and adjustment of the implant's settings., A patient with a bone-anchored hearing aid (BAHA) experiences discomfort and requires adjustment of the device., A patient with an implanted visual prosthetic device visits their ophthalmologist for device management and optimization.

Documentation should include the type of implanted device, the reason for the encounter, the adjustments made, and any patient education provided.

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