Z45 – Encounter for adjustment and management of implanted device

ICD-10-CM 2027 diagnosis code · Encounters for other specific health care

Non-billable header

ICD-10-CM code Z45

Code: Z45 (claims format: Z45)
Description: Encounter for adjustment and management of implanted device
Billable: No – use a more specific code below
Valid for: Dates of service October 1, 2026 – September 30, 2027 (FY2027)
Chapter: 21. Factors influencing health status and contact with health services (Z00-Z99)
Block: Z40-Z53 Encounters for other specific health care

Billable codes under Z45

Z45 is a header code and cannot be used on claims. Choose the most specific code:

Z45.0 – Encounter for adjustment and management of cardiac deviceHeader (more codes below)
Z45.1 – Encounter for adjustment and management of infusion pumpBillable
Z45.2 – Encounter for adjustment and management of vascular access deviceBillable
Z45.3 – Encounter for adjustment and management of implanted devices of the special sensesHeader (more codes below)
Z45.4 – Encounter for adjustment and management of implanted nervous system deviceHeader (more codes below)
Z45.8 – Encounter for adjustment and management of other implanted devicesHeader (more codes below)
Z45.9 – Encounter for adjustment and management of unspecified implanted deviceBillable

Notes for Z45

Includes:

removal or replacement of implanted device

Excludes1 (not coded here):

malfunction or other complications of device - see Alphabetical Index

Excludes2 (not included here):

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

Notes inherited from parent codes

Instructional notes at a category or block level apply to every code below it.

Block Z40-Z53

Applicable to:

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

Excludes2 (not included here):

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

Frequently asked questions

What is ICD-10 code Z45?

Z45 is the ICD-10-CM code for encounter for adjustment and management of implanted device, in the block Z40-Z53 (Encounters for other specific health care).

Is Z45 a billable code?

No. Z45 is a header code with more specific child codes; report one of the billable codes listed above.

Source: CDC/NCHS ICD-10-CM FY2027 code files, tabular list and index. Reference only – code assignment must follow the official ICD-10-CM guidelines and documentation in the medical record.