2025 ICD-10-CM code Z46
Encounter for fitting and adjustment of other devices. Includes removal or replacement of other device.
Medical necessity must be established for the fitting or adjustment of the device. This typically involves documentation of the patient's condition and the need for the device to improve function, alleviate symptoms, or prevent further complications.
The clinician is responsible for ensuring the proper fitting and adjustment of the device, assessing the patient's needs, providing instructions on device use and care, and documenting the encounter.
- Factors influencing health status and contact with health services (Z00-Z99)
- Encounters for other specific health care (Z40-Z53)
In simple words: This code is used when a person visits a healthcare provider to have a medical device fitted or adjusted, such as eyeglasses, contact lenses, a hearing aid, dentures, or an orthopedic brace. It also includes the removal or replacement of these devices. It does not include situations where the device is malfunctioning or causing complications, which would be coded differently.It also excludes implanted devices.
Encounter for fitting and adjustment of other devices. Includes: removal or replacement of other device. Excludes1: malfunction or other complications of device - see Alphabetical Index. Excludes2: encounter for fitting and management of implanted devices (Z45.-) issue of repeat prescription only (Z76.0) presence of prosthetic and other devices (Z95-Z97)
Example 1: A patient visits their ophthalmologist to have their eyeglasses adjusted., A patient visits their audiologist to have their hearing aid fitted and adjusted after a hearing test indicates hearing loss., A patient visits their prosthetist to have their prosthetic leg adjusted after experiencing discomfort.
Documentation should include the type of device, the reason for the fitting/adjustment, the procedures performed, any adjustments made, instructions given to the patient, and any relevant measurements or test results (e.g., hearing test for hearing aid fitting).
** This code is used for a wide variety of devices, so it is essential to document the specific device being fitted or adjusted accurately.Remember to consult iFrameAI for the most up-to-date information and coding guidelines.
- Specialties:Ophthalmology, audiology, prosthetics, orthotics, dentistry, and other specialties depending on the specific device being fitted or adjusted.
- Place of Service:Office, Outpatient Hospital, or other outpatient settings.