2025 ICD-10-CM code Z45.89
(Active) Effective Date: N/A Revision 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 other implanted devices.
Modifiers may be applicable depending on the specific circumstances of the encounter and the procedure performed.Consult the appropriate modifier guidelines for further information.
Medical necessity is established when the encounter is for the routine maintenance, adjustment, or replacement of an implanted device to ensure its proper function and the patient's safety and well-being.This may be necessary to prevent complications or improve the patient's quality of life.
The clinical responsibility rests with the physician or qualified healthcare professional managing the implanted device.This includes assessing the device's function, making necessary adjustments, and addressing any related patient concerns.
In simple words: This code is used when someone goes to the doctor for a check-up or adjustment of an implanted medical device (like a pacemaker or a joint replacement). It doesn't cover problems with the device, just routine maintenance or adjustments.
This ICD-10-CM code classifies an encounter for the adjustment and management of implanted devices not specified elsewhere.It includes procedures such as the removal or replacement of an implanted device.It excludes encounters for fitting and adjustment of non-implanted devices (Z46.-) and malfunctions or complications of the device itself.
Example 1: A patient with a pacemaker undergoes a routine check-up to ensure its proper function and make any necessary adjustments to the settings., A patient who had a joint replacement requires an adjustment of the implant due to discomfort or limited range of motion. The physician performs the necessary adjustments during an office visit., A patient with an implanted drug delivery system needs a refill and the implanted system is checked and the medication cartridge replaced.
Documentation should include the type of implanted device, reason for the encounter (e.g., routine check-up, adjustment, replacement), details of the procedure performed, and the patient's response to the intervention.Any relevant imaging studies or diagnostic tests should also be documented.
** This code is used for encounters specifically related to the adjustment and management of the implanted device, not for treatment of conditions related to the implanted device itself.
- Payment Status: Active
- Specialties:Cardiology, Orthopedics, Neurosurgery, and other specialties involved in implanting and managing medical devices.
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center