Z45
⚠ Non-billable
Encounter for adjustment and management of implanted device
ICD-10-CM · FY2026 · Factors Influencing Health Status
Code
Z45
System
ICD-10-CM
Billable
No — use specific code
Effective
FY2026
Chapter
Factors Influencing Health Status
Source
CMS / CDC NCHS
⚠ Verify before billing. Confirm against the current CMS/NCHS ICD-10-CM files and your payer's rules before claims submission.
Official coding notes
From CMS's ICD-10-CM Tabular List.
Includes
- removal or replacement of implanted device
Excludes1 — never code together
- malfunction or other complications of device - see Alphabetical Index
Excludes2 — not included here, but may code together
- encounter for fitting and adjustment of non-implanted device (Z46.-)
Frequently asked questions
What is ICD-10 code Z45?
ICD-10-CM code Z45 represents Encounter for adjustment and management of implanted device. It is a non-billable header code requiring a more specific subcategory in the Factors Influencing Health Status chapter, effective October 1, 2025 – September 30, 2026.
Is Z45 billable?
No. Z45 is a non-billable header. Select a more specific subcategory for claims submission.
What chapter is Z45 in?
Z45 belongs to the Factors Influencing Health Status chapter (Z00–Z99) of ICD-10-CM.
Related codes in the Z45 category
Z45.0
Encounter for adjustment and management of cardiac device
Non-billable
Z45.1
Encounter for adjustment and management of infusion pump
Billable
Z45.2
Encounter for adjustment and management of vascular access device
Billable
Z45.3
Encounter for adjustment and management of implanted devices of the special senses
Non-billable
Z45.4
Encounter for adjustment and management of implanted nervous system device
Non-billable
Z45.8
Encounter for adjustment and management of other implanted devices
Non-billable
Z45.9
Encounter for adjustment and management of unspecified implanted device
Billable
Z45.01
Encounter for adjustment and management of cardiac pacemaker
Non-billable
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