ICD-10-CM Book 2024 Edition

Chapters  /  Chapter 21  /  Z40-Z53  /  Z45
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
invalidAdmission Yes
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 aide (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)
nonPrimary Yes
Z45.89 Encounter for adjustment and management of other implanted devices
nonPrimary Yes
Z45.9 Encounter for adjustment and management of unspecified implanted device
nonPrimary Yes