Z96UpcomingCategory · further specificity required

Presence of other functional implants

Z77-Z99 · Inherited instructions

Code also

any follow-up examination (Z08-Z09)

Excludes 2 · 2

Z96

Excludes 2

complications of internal prosthetic devices, implants and grafts (T82-T85)
fitting and adjustment of prosthetic and other devices (Z44-Z46)

More specific codes

Z96.0Presence of urogenital implants Z96.1Presence of intraocular lens Z96.2Presence of otological and audiological implants Z96.3Presence of artificial larynx Z96.4Presence of endocrine implants Z96.5Presence of tooth-root and mandibular implants Z96.6Presence of orthopedic joint implants Z96.7Presence of other bone and tendon implants Z96.8Presence of other specified functional implants Z96.9Presence of functional implant, unspecified

Claims & coverage

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 ↗

First observed · 2015-10-01

Code history

No recorded change since first observation

ChangedUnchanged

FY2016

Effective from 2015-10-01

First observed

Presence of other functional implants

Category — select a more specific code

CDC/NCHS · FY2016

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	No tabular change
FY2019	2018-10-01	No tabular change
FY2020	2019-10-01	No tabular change
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

Code-level instructions

Excludes 2

complications of internal prosthetic devices, implants and grafts (T82-T85)
fitting and adjustment of prosthetic and other devices (Z44-Z46)

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.

Z77-Z99 · Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99)

Code also

any follow-up examination (Z08-Z09)

More specific codes

Z96.0Presence of urogenital implantsBillable / specific Z96.1Presence of intraocular lensBillable / specific Z96.2Presence of otological and audiological implantsCategory · further specificity required Z96.3Presence of artificial larynxBillable / specific Z96.4Presence of endocrine implantsCategory · further specificity required Z96.5Presence of tooth-root and mandibular implantsBillable / specific Z96.6Presence of orthopedic joint implantsCategory · further specificity required Z96.7Presence of other bone and tendon implantsBillable / specific Z96.8Presence of other specified functional implantsCategory · further specificity required Z96.9Presence of functional implant, unspecifiedBillable / specific

Related codes

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

References from other codes (3)

M96 · Intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified

Excludes 2 · presence of functional implants and other devices (Z96-Z97)

Z18 · Retained foreign body fragments

Excludes 1 · organ or tissue replaced by means other than transplant (Z96.-, Z97.-)

Z87.7 · Personal history of (corrected) congenital malformations

Excludes 2 · presence of other functional implants (Z96.-)