Excludes2

  • follow-up examination for medical surveillance after treatment (Z08-Z09)
  1. Z45 Encounter for adjustment and management of implanted device

    Includes:

    • removal or replacement of implanted device

    Excludes1

    • malfunction or other complications of device - see Alphabetical Index

    Excludes2

    • encounter for fitting and adjustment of non-implanted device (Z46.-)
    1. Z45.0 Encounter for adjustment and management of cardiac device

      1. Z45.01 Encounter for adjustment and management of cardiac pacemaker

        Inclusion term(s):

        • Encounter for adjustment and management of cardiac resynchronization therapy pacemaker (CRT-P)
        • Z45.010 Encounter for checking and testing of cardiac pacemaker pulse generator [battery]

          Inclusion term(s):

          • Encounter for replacing cardiac pacemaker pulse generator [battery]
        • Z45.018 Encounter for adjustment and management of other part of cardiac pacemaker
      2. Z45.02 Encounter for adjustment and management of automatic implantable cardiac defibrillator

        Inclusion term(s):

        • 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)
      3. Z45.09 Encounter for adjustment and management of other cardiac device

    2. Z45.1 Encounter for adjustment and management of infusion pump

    3. Z45.2 Encounter for adjustment and management of vascular access device

      Inclusion term(s):

      • Encounter for adjustment and management of vascular catheters
    4. Z45.3 Encounter for adjustment and management of implanted devices of the special senses

      1. Z45.31 Encounter for adjustment and management of implanted visual substitution device

      2. 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
    5. Z45.4 Encounter for adjustment and management of implanted nervous system device

      1. Z45.41 Encounter for adjustment and management of cerebrospinal fluid drainage device

        Inclusion term(s):

        • Encounter for adjustment and management of cerebral ventricular (communicating) shunt
      2. Z45.42 Encounter for adjustment and management of neuropacemaker (brain) (peripheral nerve) (spinal cord)

      3. Z45.49 Encounter for adjustment and management of other implanted nervous system device

    6. Z45.8 Encounter for adjustment and management of other implanted devices

      1. Z45.81 Encounter for adjustment or removal of breast implant

        Inclusion term(s):

        • Encounter for elective implant exchange (different material) (different size)
        • Encounter removal of tissue expander without synchronous insertion of permanent 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
      2. Z45.82 Encounter for adjustment or removal of myringotomy device (stent) (tube)

      3. Z45.89 Encounter for adjustment and management of other implanted devices

    7. Z45.9 Encounter for adjustment and management of unspecified implanted device

Abbreviations used here:

NEC Not elsewhere classifiable
This abbreviation in the Tabular List represents “other specified”. When a specific code is not available for a condition, the Tabular List includes an NEC entry under a code to identify the code as the “other specified” code.

NOS Not otherwise specified
This abbreviation is the equivalent of unspecified.