{"code":"Z45.321","type":"code","title":"Encounter for adjustment and management of cochlear device","codeAlso":[],"includes":["removal or replacement of implanted device"],"modern_v":"official26","codeFirst":[],"excludes1":["Encounter for fitting and adjustment of hearing aid (Z46.1)","malfunction or other complications of device - see Alphabetical Index"],"excludes2":["encounter for fitting and adjustment of non-implanted device (Z46.-)","follow-up examination for medical surveillance after treatment (Z08-Z09)"],"isBillable":true,"fyEffectivity":{"fy2026":true,"fy2027":true,"billableFy2026":true,"billableFy2027":true},"inclusionTerms":[],"useAdditionalCode":[],"clinicalDefinition":"Encounter for adjustment and management of cochlear device is a billable ICD-10-CM diagnosis code (Z45.321). Includes: removal or replacement of implanted device. Excludes1 (not coded here): Encounter for fitting and adjustment of hearing aid (Z46.1); malfunction or other complications of device - see Alphabetical Index. Excludes2 (not included here): encounter for fitting and adjustment of non-implanted device (Z46.-); follow-up examination for medical surveillance after treatment (Z08-Z09).","officialDefinition":"Encounter for adjustment and management of cochlear device is a billable ICD-10-CM diagnosis code (Z45.321). Includes: removal or replacement of implanted device. Excludes1 (not coded here): Encounter for fitting and adjustment of hearing aid (Z46.1); malfunction or other complications of device - see Alphabetical Index. Excludes2 (not included here): encounter for fitting and adjustment of non-implanted device (Z46.-); follow-up examination for medical surveillance after treatment (Z08-Z09).","seventhCharacterInstructions":[],"workflowProtocols":[],"guidelines":{"whenToUse":[],"whenNotToUse":[],"commonBillingMistakes":[],"codeComparisons":[],"documentationChecklist":[]},"domainLandscape":{"summary":"Primary diagnostic domain and clinical landscape evaluation.","keyCategories":[],"diagnosticContinuum":"Progression continuum from acute presentation to resolution."},"children":[],"hierarchy":[],"relatedCodes":[],"relevantCPTCodes":[],"documentationTips":[],"caseStudies":[],"description":"","overview":""}