Z45.2 vs Z49.01
Z45.2 (Encounter for adjustment and management of vascular access device) compared with Z49.01 (Encounter for fitting and adjustment of extracorporeal dialysis catheter), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. Z45.2 carries an Excludes1 note covering Z49.01: “encounter for adjustment and management of renal dialysis catheter (Z49.01)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| Z45.2Encounter for adjustment and management of vascular access device | Z49.01Encounter for fitting and adjustment of extracorporeal dialysis catheter | |
|---|---|---|
| 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 vascular access device is a billable ICD-10-CM diagnosis code (Z45.2). | Encounter for fitting and adjustment of extracorporeal dialysis catheter is a billable ICD-10-CM diagnosis code (Z49.01). |
| Includes | removal or replacement of implanted device Encounter for adjustment and management of vascular catheters | Removal or replacement of renal dialysis catheter Toilet or cleansing of renal dialysis catheter |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources