Z96.642 vs Z96.649
Z96.642 (Presence of left artificial hip joint) compared with Z96.649 (Presence of unspecified artificial hip joint), from the official CMS tabular data. Z96.642 and Z96.649 code the same condition on opposite sides.
Can these codes be reported together?
Same condition, opposite side. Z96.642 and Z96.649 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
| Z96.642Presence of left artificial hip joint | Z96.649Presence of unspecified artificial hip joint | |
|---|---|---|
| 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 | Presence of left artificial hip joint is a billable ICD-10-CM diagnosis code (Z96.642). | Presence of unspecified artificial hip joint is a billable ICD-10-CM diagnosis code (Z96.649). |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources