Z45.42

Encounter for adjustment and management of neurostimulator

Billable / specificPOA exempt

Z45.42 is a billable, specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes in FY2027.

Inclusion terms

Applicable to

  • 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

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.

  • malfunction or other complications of device - see Alphabetical Index (from Z45)

Excludes2

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

  • 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

  • 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
  • Admission, adjustment, brain neuropacemaker, implanted
  • Admission, adjustment, neuropacemaker, implanted
  • Admission, change of, neuropacemaker device, implanted
  • Admission, fitting, brain neuropacemaker, implanted
  • Admission, fitting, neuropacemaker, implanted
  • Admission, removal of, neuropacemaker, implanted
  • Aftercare, neuropacemaker, implanted
  • Encounter, adjustment and management, neurostimulator
  • Fitting, brain neuropacemaker, implanted
  • Fitting, neuropacemaker, implanted
  • Fitting, pacemaker, nervous system, implanted

Parent code

  • Z45.4Encounter for adjustment and management of implanted nervous system deviceHeader

Related codes

  • Z45.41Encounter for adjustment and management of cerebrospinal fluid drainage deviceBillable
  • Z45.49Encounter for adjustment and management of other implanted nervous system deviceBillable

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