2025 ICD-10-CM code Z96.8
(Active) Effective Date: N/A Factors influencing health status and contact with health services - Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99) 21. Factors influencing health status and contact with health services (Z00-Z99) Feed
Presence of other specified functional implants. This code is used to document the presence of a functional implant in a patient that is not otherwise specified.
The medical necessity for the encounter must be documented separately. The presence of the implant itself does not justify the encounter.
The provider is responsible for accurately documenting the presence of the specific functional implant and selecting the appropriate code.
- 21. Factors influencing health status and contact with health services (Z00-Z99)
- Z96 - Presence of other functional implants
In simple words: This code indicates that the patient has a specific type of functional implant, other than those listed separately.
Presence of other specified functional implants. This code is used to document the presence of a functional implant in a patient, excluding urogenital implants, bone and tendon implants, and unspecified functional implants.It is important to note that Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed.
Example 1: A patient with a cochlear implant presents for a routine checkup. The code Z96.8 would be used to document the presence of the cochlear implant., A patient with a vagus nerve stimulator for epilepsy presents for medication management. The code Z96.8 would be used to document the presence of the vagus nerve stimulator., A patient with a spinal cord stimulator for chronic pain management presents for a follow-up appointment. The code Z96.8 is used to indicate the presence of the spinal cord stimulator.
Documentation should specify the type of functional implant present.
** For aftercare related to the implant, use the appropriate aftercare code (e.g., Z45 series).For complications related to the implant, assign a code from the T82-T85 series.For fitting and adjustment of the implant, assign a code from the Z44-Z46 series.Code also any follow-up examination (Z08-Z09).
- Specialties:The specialties associated with this code will vary depending on the specific type of implant. This may include specialties like cardiology, neurology, otolaryngology, and others.
- Place of Service:This code can be used in various places of service, including "Inpatient Hospital," "On Campus-Outpatient Hospital," "Off Campus-Outpatient Hospital", "Office", "Independent Clinic", etc., depending on the reason for the encounter.