Z45.018

Encounter for adjustment and management of other part of cardiac pacemaker

Billable / specificPOA exempt

Z45.018 is a billable, specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes in FY2027.

Inclusion terms

Includes (from Z45)

  • removal or replacement of implanted device
  • Note: Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
  • Note: (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
  • Note: (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.

Excludes1

Not coded here — never report together with this code.

  • presence of other part of cardiac pacemaker (Z95.0)
  • encounter for adjustment and management of automatic implantable cardiac defibrillator with synchronous cardiac pacemaker (Z45.02) (from Z45.01)
  • malfunction or other complications of device - see Alphabetical Index (from Z45)

Excludes2

Not included here — may be reported together when both conditions exist.

  • presence of prosthetic and other devices (Z95.1-Z95.5, Z95.811-Z97)
  • follow-up examination for medical surveillance after treatment (Z08-Z09) (from Z45)
  • encounter for fitting and adjustment of non-implanted device (Z46.-) (from Z45)

Also known as

  • Admission, adjustment, pacemaker, cardiac
  • Cardiac, pacemaker, management or adjustment
  • Change, pacemaker
  • Checking, cardiac pacemaker
  • Fitting, CRT-P
  • Fitting, pacemaker
  • Interrogation, cardiac pacemaker
  • Management, cardiac pacemaker NEC
  • Worn out, cardiac, pacemaker, lead

Parent code

  • Z45.01Encounter for adjustment and management of cardiac pacemakerHeader

Related codes

  • Z45.010Encounter for checking and testing of cardiac pacemaker pulse generator [battery]Billable

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