Z46.6 ICD-10-CM Code: Encounter for fitting and adjustment of urinary device
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Inpatient Payment Groups (MS-DRG)
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0 (FY2026), Appendix B.
- MS-DRG 698 — OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC (MDC 11)
- MS-DRG 699 — OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC (MDC 11)
- MS-DRG 700 — OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC (MDC 11)
A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.
Code Set: Valid FY2026 and FY2027. FY2026 took effect October 1, 2025.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for Z46.6 in the official ICD-10-CM tabular list.
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- removal or replacement of other device
Excludes1 — Not Coded Here
Conditions that can never be reported with this code; the two are mutually exclusive.
- malfunction or other complications of device - see Alphabetical Index
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- attention to artificial openings of urinary tract (Z43.5, Z43.6)
- encounter for fitting and management of implanted devices (Z45.-)
- issue of repeat prescription only (Z76.0)
- presence of prosthetic and other devices (Z95-Z97)
- follow-up examination for medical surveillance after treatment (Z08-Z09)
Nearest Codes in This Family
Official ICD-10-CM classifications closest to Z46.6 in its code family, with their registry titles.
- Z46.3 — Encounter for fitting and adjustment of dental prosthetic device
- Z46.4 — Encounter for fitting and adjustment of orthodontic device
- Z46.5 — Encounter for fitting and adjustment of other gastrointestinal appliance and device
- Z46.51 — Encounter for fitting and adjustment of gastric lap band
- Z46.59 — Encounter for fitting and adjustment of other gastrointestinal appliance and device
- Z46.8 — Encounter for fitting and adjustment of other specified devices
- Z46.81 — Encounter for fitting and adjustment of insulin pump
- Z46.82 — Encounter for fitting and adjustment of non-vascular catheter
- Z46.89 — Encounter for fitting and adjustment of other specified devices
- Z46.9 — Encounter for fitting and adjustment of unspecified device
Indexed Clinical Terms (12)
Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.
- Admission (for), adjustment (of), cystostomy device
- Admission (for), adjustment (of), device NEC, urinary
- Admission (for), fitting (of), cystostomy device
- Admission (for), removal of, ureteral stent
- Change (s) (in) (of), indwelling catheter
- Encounter (with health service) (for), removal (of), stent, ureteral
- Encounter (with health service) (for), removal (of), urinary device
- Fitting (and adjustment) (of), cystostomy device
- Fitting (and adjustment) (of), device NOS, urinary
- Removal (from) (of), catheter (urinary) (indwelling)
- Removal (from) (of), stent, ureteral
- Removal (from) (of), urinary device