{"code":"Z45.42","type":"code","title":"Encounter for adjustment and management of neurostimulator","codeAlso":[],"includes":["removal or replacement of implanted device"],"modern_v":"official26","codeFirst":[],"excludes1":["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},"sibling_codes":["Z45","Z45.0","Z45.01","Z45.010","Z45.018","Z45.02","Z45.09","Z45.1","Z45.2","Z45.3","Z45.31","Z45.32","Z45.320","Z45.321","Z45.328","Z45.4","Z45.41","Z45.49","Z45.8","Z45.81","Z45.811","Z45.812","Z45.819","Z45.82","Z45.89","Z45.9"],"inclusionTerms":["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"],"sibling_titles":{"code":"Z45.9","title":"Encounter for adjustment and management of unspecified implanted device","isBillable":true},"useAdditionalCode":[],"clinicalDefinition":"Encounter for adjustment and management of neurostimulator is a billable ICD-10-CM diagnosis code (Z45.42). Includes: removal or replacement of implanted device.","officialDefinition":"Encounter for adjustment and management of neurostimulator is a billable ICD-10-CM diagnosis code (Z45.42). Includes: removal or replacement of implanted device. 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. Excludes1 (not coded here): 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":"","noteProvenance":{"malfunction or other complications of device - see Alphabetical Index":"Z45","encounter for fitting and adjustment of non-implanted device (Z46.-)":"Z45","follow-up examination for medical surveillance after treatment (Z08-Z09)":"Z45","removal or replacement of implanted device":"Z45"},"hcc":{"mapped":false,"model":"CMS-HCC V28","paymentYear":"2026","categories":[],"otherModels":[]}}