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Z96.641 vs Z96.642

Z96.641 (Presence of right artificial hip joint) compared with Z96.642 (Presence of left artificial hip joint), from the official CMS tabular data. Z96.641 and Z96.642 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

Z96.641
Right
Presence of right artificial hip joint
Z96.642
Left
Presence of left artificial hip joint

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. Z96.641 and Z96.642 name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

Z96.641Presence of right artificial hip jointZ96.642Presence of left artificial hip joint
Billing statusBillableBillable
ClassificationZ00-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)
DefinitionPresence of right artificial hip joint is a billable ICD-10-CM diagnosis code (Z96.641).Presence of left artificial hip joint is a billable ICD-10-CM diagnosis code (Z96.642).

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources