Z45.42UpcomingBillable / specificExempt from present-on-admission reporting

Encounter for adjustment and management of neurostimulator

Z45 · Inherited instructions

Excludes 1

malfunction or other complications of device - see Alphabetical Index

Excludes 2 · 2

Z40-Z53 · Encounters for other specific health care (Z40-Z53)

Excludes 2

follow-up examination for medical surveillance after treatment (Z08-Z09)

Z45 · Encounter for adjustment and management of implanted device

Excludes 2

encounter for fitting and adjustment of non-implanted device (Z46.-)

Claims & coverage

Coverage depends on the payer, service and applicable policy. A billable code does not guarantee payment.

When ICD-10-CM is required

For US diagnosis claims covered by HIPAA, ICD-10-CM is required from October 1, 2015.

Use the service date for outpatient/professional claims and the discharge date for hospital inpatient claims. Earlier encounters use ICD-9-CM; each individual code must also be valid for the applicable date.

Official coding guidelines → · CMS ↗

Check Medicare coverage ↗

First observed · 2015-10-01

Code history

Latest recorded change · FY2020

ChangedUnchanged

FY2020

Effective from 2019-10-01

Title changed
Code-level rules changed

Encounter for adjustment and management of neurostimulator

Previous title: Encounter for adjustment and management of neuropacemaker (brain) (peripheral nerve) (spinal cord)

Billable diagnosis code

CDC/NCHS · FY2020

All editions (19)

All editions	Effective from	Code history
FY2016	2015-10-01	First observed
FY2017	2016-10-01	No tabular change
FY2018	2017-10-01	Inherited rules changed
FY2019	2018-10-01	No tabular change
FY2020	2019-10-01	Title changed · Code-level rules changed
FY2020 · April	2020-04-01	No tabular change
FY2021	2020-10-01	No tabular change
FY2021 · 01-01	2021-01-01	No tabular change
FY2022	2021-10-01	No tabular change
FY2022 · 04-01	2022-04-01	No tabular change
FY2023	2022-10-01	No tabular change
FY2023 · 04-01	2023-04-01	No tabular change
FY2024	2023-10-01	No tabular change
FY2024 · 04-01	2024-04-01	No tabular change
FY2025	2024-10-01	No tabular change
FY2025 · 04-01	2025-04-01	No tabular change
FY2026	2025-10-01	No tabular change
FY2026 · April	2026-04-01	No tabular change
FY2027	2026-10-01	No tabular change

Historical ICD-9 mappings · 2018

Historical mapping only; not an automatic code substitution.

V53.02

CDC/NCHS · GEM 2018

Code-level instructions

Inclusion terms

Encounter for adjustment and management of brain neurostimulator
Encounter for adjustment and management of gastric neurostimulator
Encounter for adjustment and management of peripheral nerve neurostimulator
Encounter for adjustment and management of sacral nerve neurostimulator
Encounter for adjustment and management of spinal cord neurostimulator
Encounter for adjustment and management of vagus nerve neurostimulator

Inherited instructions

Chapters 21 · Factors influencing health status and contact with health services (Z00-Z99)

Note

Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
(a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
(b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.

Z40-Z53 · Encounters for other specific health care (Z40-Z53)

Inclusion terms

Categories Z40-Z53 are intended for use to indicate a reason for care. They may be used for patients who have already been treated for a disease or injury, but who are receiving aftercare or prophylactic care, or care to consolidate the treatment, or to deal with a residual state

Excludes 2

follow-up examination for medical surveillance after treatment (Z08-Z09)

Z45 · Encounter for adjustment and management of implanted device

Includes

removal or replacement of implanted device

Excludes 1

malfunction or other complications of device - see Alphabetical Index

Excludes 2

encounter for fitting and adjustment of non-implanted device (Z46.-)

Official index references (13)

Admission(for) (8)

Aftercare (1)

Aftercare › neuropacemaker(brain) (peripheral nerve) (spinal cord) › implantedDisease index

Encounter(with health service) (for) (1)

Encounter(with health service) (for) › adjustment and management(of) › neurostimulator(brain) (gastric) (peripheral nerve) (sacral nerve) (spinal cord) (vagus nerve)Disease index

Fitting(and adjustment) (of) (3)

Related codes

Other entries in the same category; these are not automatic substitutes.

Code	Description	Category · further specificity required
Z45.41	Encounter for adjustment and management of cerebrospinal fluid drainage device	Billable / specific
Z45.49	Encounter for adjustment and management of other implanted nervous system device	Billable / specific

Official titles and instructions are preserved in their source language. Official sources ↗