ICD-10-CM · Chapter 21 · Z00-Z99
Z45 Encounter for adjustment and management of implanted device
Includes
- removal or replacement of implanted device
Excludes 1 (cannot be coded together)
- malfunction or other complications of device - see Alphabetical Index
Excludes 2 (not included here)
- encounter for fitting and adjustment of non-implanted device (Z46.-)
Subcodes
Subcodes are listed below for reference. Detail pages are not available for chapters 11–22.
| Code | Description | Billable |
|---|---|---|
| Z45..0 | Encounter for adjustment and management of cardiac device | No |
| Z45..01 | Encounter for adjustment and management of cardiac pacemaker | No |
| Z45..010 | Encounter for checking and testing of cardiac pacemaker pulse generator [battery] | Yes |
| Z45..018 | Encounter for adjustment and management of other part of cardiac pacemaker | Yes |
| Z45..02 | Encounter for adjustment and management of automatic implantable cardiac defibrillator | Yes |
| Z45..09 | Encounter for adjustment and management of other cardiac device | Yes |
| Z45..1 | Encounter for adjustment and management of infusion pump | Yes |
| Z45..2 | Encounter for adjustment and management of vascular access device | Yes |
| Z45..3 | Encounter for adjustment and management of implanted devices of the special senses | No |
| Z45..31 | Encounter for adjustment and management of implanted visual substitution device | Yes |
| Z45..32 | Encounter for adjustment and management of implanted hearing device | No |
| Z45..320 | Encounter for adjustment and management of bone conduction device | Yes |
| Z45..321 | Encounter for adjustment and management of cochlear device | Yes |
| Z45..328 | Encounter for adjustment and management of other implanted hearing device | Yes |
| Z45..4 | Encounter for adjustment and management of implanted nervous system device | No |
| Z45..41 | Encounter for adjustment and management of cerebrospinal fluid drainage device | Yes |
| Z45..42 | Encounter for adjustment and management of neurostimulator | Yes |
| Z45..49 | Encounter for adjustment and management of other implanted nervous system device | Yes |
| Z45..8 | Encounter for adjustment and management of other implanted devices | No |
| Z45..81 | Encounter for adjustment or removal of breast implant | No |
| Z45..811 | Encounter for adjustment or removal of right breast implant | Yes |
| Z45..812 | Encounter for adjustment or removal of left breast implant | Yes |
| Z45..819 | Encounter for adjustment or removal of unspecified breast implant | Yes |
| Z45..82 | Encounter for adjustment or removal of myringotomy device (stent) (tube) | Yes |
| Z45..89 | Encounter for adjustment and management of other implanted devices | Yes |
| Z45..9 | Encounter for adjustment and management of unspecified implanted device | Yes |
Last reviewed: September 2026