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    v1.0.28
    OpenPayerBilling CodesEncounters for other specific health careICD-10-CM z45-encounter-for-implanted-device
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    ICD-10-CM Code For Encounter For Adjustment And Management Of Implanted Device: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group Z45 includes encounters for adjustment and management of implanted devices, covering visits for programming, interrogation, adjustment, or routine follow-up of implanted therapeutic and diagnostic devices. These ICD-10-CM diagnosis codes are used to document device-related follow-up care, capturing the nature of the device interaction and clinical complexity related to device function or programming. Accurate coding within the ICD-10-CM Z45 group supports proper claim adjudication and complete clinical documentation for device management services.

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    ICD-10-CM Z45: Encounter For Adjustment And Management Of Implanted Device Overview

    The ICD-10-CM Z45 code group represents encounters for the adjustment and management of implanted medical devices, such as pacemakers, neurostimulators, infusion pumps, and other long-term implants that require programming or maintenance. These codes target device-related follow-up care rather than treatment of an active disease process. Accurate coding ensures the clinical purpose of the visit is clear and supports appropriate reimbursement for device management services.

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    When to Use

    Use a code from this group when the primary reason for the encounter is device management, such as programming a pacemaker, interrogating a cardiac device, or adjusting a neurostimulator. Do not use these codes when the visit is primarily for treatment of an infection, device malfunction requiring surgical intervention, or other unrelated acute conditions.

    ICD-10-CM Codes

    19 rows

    ICD-10-CM CodeDescription
    Z45.010Encounter for checking and testing of cardiac pacemaker pulse generator [battery]
    Z45.018Encounter for adjustment and management of other part of cardiac pacemaker
    Z45.02Encounter for adjustment and management of automatic implantable cardiac defibrillator
    Z45.09Encounter for adjustment and management of other cardiac device
    Z45.1Encounter for adjustment and management of infusion pump
    Z45.2Encounter for adjustment and management of vascular access device
    Z45.31Encounter for adjustment and management of implanted visual substitution device
    Z45.320Encounter for adjustment and management of bone conduction device
    Z45.321Encounter for adjustment and management of cochlear device
    Z45.328Encounter for adjustment and management of other implanted hearing device
    Z45.41Encounter for adjustment and management of cerebrospinal fluid drainage device
    Z45.42Encounter for adjustment and management of neurostimulator
    Z45.49Encounter for adjustment and management of other implanted nervous system device
    Z45.811Encounter for adjustment or removal of right breast implant
    Z45.812Encounter for adjustment or removal of left breast implant
    Z45.819Encounter for adjustment or removal of unspecified breast implant
    Z45.82Encounter for adjustment or removal of myringotomy device (stent) (tube)
    Z45.89Encounter for adjustment and management of other implanted devices
    Z45.9Encounter for adjustment and management of unspecified implanted device

    DRG Codes

    13 rows

    DRG CodeDescription
    091Other Disorders of Nervous System with MCC
    092Other Disorders of Nervous System with CC
    093Other Disorders of Nervous System without CC/MCC
    123Neurological Eye Disorders
    154Other Ear, Nose, Mouth and Throat Diagnoses with MCC
    155Other Ear, Nose, Mouth and Throat Diagnoses with CC
    156Other Ear, Nose, Mouth and Throat Diagnoses without CC/MCC
    314Other Circulatory System Diagnoses with MCC
    315Other Circulatory System Diagnoses with CC
    316Other Circulatory System Diagnoses without CC/MCC
    949Aftercare with CC/MCC
    950Aftercare without CC/MCC
    951Other Factors Influencing Health Status

    Typical Clinical Scenarios

    • An elderly patient with a pacemaker presents for routine device interrogation after reporting intermittent lightheadedness; device interrogation reveals lead displacement requiring reprogramming and outpatient follow-up, so a code from this group is assigned for the encounter for adjustment and management of the implanted cardiac device. Typical codes: Z45.010, Z45.018
    • A middle-aged person with type 1 diabetes attends a clinic visit for refill and management of an insulin pump; the visit includes pump parameter adjustment and education for ongoing use of the implanted infusion device, therefore an encounter code from this group is used to document the device management. Typical codes: Z45.1, Z45.2
    • A patient with a recently implanted deep brain stimulator presents urgently with signs of device malfunction and pain at the generator site; evaluation in the emergency department and subsequent planning for surgical revision leads to assignment of a code for encounter related to complication or adjustment of the neurostimulator. Typical codes: Z45.320, Z45.321

    Related Codes

    Z40-ENCOUNTER-FOR-PROPHYLACTIC-SURGERY

    ICD-10-CM Code For Encounter For Prophylactic Surgery: Group Overview

    Z41-ENCOUNTER-FOR-PROCEDURES

    ICD-10-CM Code For Encounter For Procedures For Purposes Other Than Remedying Health State: Group Overview

    Z42-PLASTIC-AND-RECONSTRUCTIVE-SURGERY-AFTER-INJURY

    ICD-10-CM Code For Encounter For Plastic And Reconstructive Surgery Following Medical Procedure Or Healed Injury: Group Overview

    Z43-ENCOUNTER-FOR-ARTIFICIAL-OPENINGS

    ICD-10-CM Code For Encounter For Attention To Artificial Openings: Group Overview

    Z44-ENCOUNTER-FOR-EXTERNAL-PROSTHESIS

    ICD-10-CM Code For Encounter For Fitting And Adjustment Of External Prosthetic Device: Group Overview

    Z46-FITTING-AND-ADJUSTMENT-OF-DEVICES

    ICD-10-CM Code For Encounter For Fitting And Adjustment Of Other Devices: Group Overview

    Z47-ORTHOPEDIC-AFTERCARE

    ICD-10-CM Code For Orthopedic Aftercare: Group Overview

    Z48-OTHER-POSTPROCEDURAL-AFTERCARE

    ICD-10-CM Code For Encounter For Other Postprocedural Aftercare: Group Overview

    Z49-ENCOUNTER-FOR-RENAL-DIALYSIS

    ICD-10-CM Code For Encounter For Care Involving Renal Dialysis: Group Overview

    Z51-ENCOUNTER-FOR-OTHER-AFTERCARE

    ICD-10-CM Code For Encounter For Other Aftercare And Medical Care: Group Overview

    Showing 1–10 of 12

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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