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2025 ICD-10-CM code Z96.2

Presence of otological and audiological implants. This code indicates the presence of implants related to the ear and hearing.

Use this code when the presence of the implant is a relevant factor influencing the patient's health status or reason for encounter.Do not use this code for complications related to the implant (T82-T85) or for fitting and adjustment of the device (Z44-Z46). A procedure code should accompany Z96.2 if a procedure is performed.

The medical necessity for the implant should be documented in the patient's medical record, along with the rationale for its continued presence.

Clinicians use this code to document the presence of otological and audiological implants, which can influence patient care and management. It's crucial for tracking implanted devices, planning future interventions, and understanding potential complications.

In simple words: This code indicates that the patient has an implant in their ear to help them hear better or to address another ear-related problem.

This code signifies the presence of various otological (ear-related) and audiological (hearing-related) implants.These may include, but are not limited to, cochlear implants, bone-anchored hearing aids (BAHAs), middle ear implants, and other devices designed to improve hearing or address ear-related conditions.It is used to document the presence of these implants, which may influence a patient's current health status or reason for encountering healthcare services.

Example 1: A patient with a cochlear implant presents for routine device maintenance and programming., A patient with a history of chronic ear infections and a BAHA presents with new-onset ear pain., A patient undergoes surgery for a middle ear implant and the code is used to document the presence of the new device.

Documentation should specify the type of otological and audiological implant present, the date of implantation (if known), and any relevant history or complications related to the device.

** This code is used to indicate the presence of an otological or audiological implant, not the reason for its initial implantation.For encounters related to complications, revisions, or adjustments of the implant, other codes may be more appropriate. It's important to ensure proper documentation to avoid NCCI edits and potential denials. This is especially true if other codes used during the encounter also relate to the same implant.Always consider additional Z codes to capture all associated conditions influencing the patient's health status.

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