ICD-10-CM Z45: Encounter for adjustment and management of implanted device

ICD-10-CM Diagnosis Code (2025)

Official Description for Z45

Encounter for adjustment and management of implanted device

Coding Notes & Guidelines for Z45

Includes Notes

removal or replacement of implanted device

Excludes1: Not Coded Here

malfunction or other complications of device - see Alphabetical Index

Excludes1: Not Coded Here

encounter for adjustment and management of automatic implantable cardiac defibrillator with synchronous cardiac pacemaker (Z45.02)

Excludes1: Not Coded Here

presence of other part of cardiac pacemaker (Z95.0)

Excludes1: Not Coded Here

encounter for adjustment and management of renal dialysis catheter (Z49.01)

Excludes1: Not Coded Here

Encounter for fitting and adjustment of hearing aid (Z46.1)

Excludes1: Not Coded Here
  • 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)
Excludes2: Not Included Here

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

Excludes2: Not Included Here

presence of prosthetic and other devices (Z95.1-Z95.5, Z95.811-Z97)

Inclusion Terms

Encounter for adjustment and management of cardiac resynchronization therapy pacemaker (CRT-P)

Inclusion Terms

Encounter for replacing cardiac pacemaker pulse generator [battery]

Inclusion Terms
  • 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)
Inclusion Terms

Encounter for adjustment and management of vascular catheters

Inclusion Terms

Encounter for adjustment and management of cerebral ventricular (communicating) shunt

Inclusion Terms
  • 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
Inclusion Terms
  • Encounter for elective implant exchange (different material) (different size)
  • Encounter for removal of tissue expander with or without synchronous insertion of permanent implant

Child Codes (More Specific Codes for Z45):

Z45.0 - Encounter for adjustment and management of cardiac device Z45.01 - Encounter for adjustment and management of cardiac pacemaker Z45.010 - Encounter for checking and testing of cardiac pacemaker pulse generator [battery] Z45.018 - Encounter for adjustment and management of other part of cardiac pacemaker Z45.02 - Encounter for adjustment and management of automatic implantable cardiac defibrillator 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 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 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 Z45.42 - Encounter for adjustment and management of 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 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

About ICD-10-CM Code Z45 (Encounter for adjustment and management of implanted device)

ICD-10-CM code Z45 is a billable or specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2025 edition of ICD-10-CM Z45 became effective on October 1, 2024.

This page provides detailed information about Z45 - Encounter for adjustment and management of implanted device. It includes common terminology, coding guidelines such as "Includes," "Excludes1," and "Excludes2" notes, and information on required 7th characters. Utilizing this information correctly is essential for accurate medical coding and claims submission for conditions like Encounter for adjustment and management of implanted device.