Z45.018 vs Z95.5
Z45.018 (Encounter for adjustment and management of other part of cardiac pacemaker) compared with Z95.5 (Presence of coronary angioplasty implant and graft), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Can these codes be reported together?
Yes, when both are documented. Z45.018 carries an Excludes2 note covering Z95.5: “presence of prosthetic and other devices (Z95.1-Z95.5, Z95.811-Z97)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| Z45.018Encounter for adjustment and management of other part of cardiac pacemaker | Z95.5Presence of coronary angioplasty implant and graft | |
|---|---|---|
| Billing status | Billable | Billable |
| Classification | Z00-Z99 — Factors Influencing Health Status and Contact with Health Services (Z00-Z99) | Z00-Z99 — Factors Influencing Health Status and Contact with Health Services (Z00-Z99) |
| Definition | Encounter for adjustment and management of other part of cardiac pacemaker is a billable ICD-10-CM diagnosis code (Z45.018). | Presence of coronary angioplasty implant and graft is a billable ICD-10-CM diagnosis code (Z95.5). |
| Includes | removal or replacement of implanted device | — |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources