Z45 | 
		  | 
		Encounter for adjustment and management of implanted device   | 
	
	
		 |  | 
		
	
		| Includes | 
		removal or replacement of implanted device
  | 
	 
	
		| Excludes1 | 
		malfunction or other complications of device - see Alphabetical Index
  | 
	 
	
		| Excludes2 | 
		encounter for fitting and adjustment of non-implanted device (Z46.-)
  | 
	 
 
 | 
	
 |  | 
	
		 Z45.0 | 
		 | 
		Encounter for adjustment and management of cardiac device | 
	 
 |  | 
	
		 Z45.01 | 
		  | 
		Encounter for adjustment and management of cardiac pacemaker | 
	 
	
		 |  | 
		
| Encounter for adjustment and management of cardiac resynchronization therapy pacemaker (CRT-P) |  	
		| Excludes1 | 
		encounter for adjustment and management of automatic implantable cardiac defibrillator with synchronous cardiac pacemaker (Z45.02)
  | 
	 
 
 | 
	  |  | 
	
		 Z45.010 | 
		  | 
		Encounter for checking and testing of cardiac pacemaker pulse generator [battery] | 
	 
	
		 |  | 
		
| Encounter for replacing cardiac pacemaker pulse generator [battery] |  	
		| invalidAdmission | 
		Yes
  | 
	 
 
 | 
	   |   |  | 
	
		 Z45.018 | 
		  | 
		Encounter for adjustment and management of other part of cardiac pacemaker | 
	 
	
		 |  | 
		
	
		| Excludes1 | 
		presence of other part of cardiac pacemaker (Z95.0)
  | 
	 
	
		| Excludes2 | 
		presence of prosthetic and other devices (Z95.1-Z95.5, Z95.811-Z97)
  | 
	 
	
		| invalidAdmission | 
		Yes
  | 
	 
 
 | 
	   |    |   |  | 
	
		 Z45.02 | 
		  | 
		Encounter for adjustment and management of automatic implantable cardiac defibrillator | 
	 
	
		 |  | 
		
| Encounter for adjustment and management of automatic implantable cardiac defibrillator with synchronous cardiac pacemaker |  | Encounter for adjustment and management of cardiac resynchronization therapy defibrillator (CRT-D) |  	
		| invalidAdmission | 
		Yes
  | 
	 
 
 | 
	   |   |  | 
	
		 Z45.09 | 
		  | 
		Encounter for adjustment and management of other cardiac device | 
	 
	
		 |  | 
		
 | 
	   |    | 
 |  | 
	
		 Z45.1 | 
		 | 
		Encounter for adjustment and management of infusion pump | 
	 
  | 
 |  | 
	
		 Z45.2 | 
		  | 
		Encounter for adjustment and management of vascular access device | 
	 
	
		 |  | 
		
| Encounter for adjustment and management of vascular catheters |  	
		| Excludes1 | 
		encounter for adjustment and management of renal dialysis catheter (Z49.01)
  | 
	 
 
 | 
	   | 
 |  | 
	
		 Z45.3 | 
		 | 
		Encounter for adjustment and management of implanted devices of the special senses | 
	 
 |  | 
	
		 Z45.31 | 
		 | 
		Encounter for adjustment and management of implanted visual substitution device | 
	 
  |   |  | 
	
		 Z45.32 | 
		  | 
		Encounter for adjustment and management of implanted hearing device | 
	 
	
		 |  | 
		
	
		| Excludes1 | 
		Encounter for fitting and adjustment of hearing aid (Z46.1)
  | 
	 
 
 | 
	  |  | 
	
		 Z45.320 | 
		 | 
		Encounter for adjustment and management of bone conduction device | 
	 
  |   |  | 
	
		 Z45.321 | 
		 | 
		Encounter for adjustment and management of cochlear device | 
	 
  |   |  | 
	
		 Z45.328 | 
		 | 
		Encounter for adjustment and management of other implanted hearing device | 
	 
  |    |    | 
 |  | 
	
		 Z45.4 | 
		 | 
		Encounter for adjustment and management of implanted nervous system device | 
	 
 |  | 
	
		 Z45.41 | 
		  | 
		Encounter for adjustment and management of cerebrospinal fluid drainage device | 
	 
	
		 |  | 
		
| Encounter for adjustment and management of cerebral ventricular (communicating) shunt |   
 | 
	   |   |  | 
	
		 Z45.42 | 
		  | 
		Encounter for adjustment and management of neurostimulator | 
	 
	
		 |  | 
		
| 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 |   
 | 
	   |   |  | 
	
		 Z45.49 | 
		 | 
		Encounter for adjustment and management of other implanted nervous system device | 
	 
  |    | 
 |  | 
	
		 Z45.8 | 
		 | 
		Encounter for adjustment and management of other implanted devices | 
	 
 |  | 
	
		 Z45.81 | 
		  | 
		Encounter for adjustment or removal of breast implant | 
	 
	
		 |  | 
		
| Encounter for elective implant exchange (different material) (different size) |  | Encounter for removal of tissue expander with or without synchronous insertion of permanent implant |  	
		| Excludes1 | 
		complications of breast implant (T85.4-) encounter for initial breast implant insertion for cosmetic breast augmentation (Z41.1) encounter for breast reconstruction following mastectomy (Z42.1)
  | 
	 
 
 | 
	  |  | 
	
		 Z45.811 | 
		 | 
		Encounter for adjustment or removal of right breast implant | 
	 
  |   |  | 
	
		 Z45.812 | 
		 | 
		Encounter for adjustment or removal of left breast implant | 
	 
  |   |  | 
	
		 Z45.819 | 
		 | 
		Encounter for adjustment or removal of unspecified breast implant | 
	 
  |    |   |  | 
	
		 Z45.82 | 
		  | 
		Encounter for adjustment or removal of myringotomy device (stent) (tube) | 
	 
	
		 |  | 
		
 | 
	   |   |  | 
	
		 Z45.89 | 
		  | 
		Encounter for adjustment and management of other implanted devices | 
	 
	
		 |  | 
		
 | 
	   |    | 
 |  | 
	
		 Z45.9 | 
		  | 
		Encounter for adjustment and management of unspecified implanted device | 
	 
	
		 |  | 
		
 | 
	   |