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Z95 ICD-10-CM Code: Presence of cardiac and vascular implants and grafts

ICD-10-CM Code View

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FY 2026 Apr update / Factors influencing health status and contact with health services (Z00-Z99) / Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99)

Z95

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Presence of cardiac and vascular implants and grafts

Presence of cardiac and vascular implants and grafts

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
Z9Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99)
Z95Presence of cardiac and vascular implants and grafts

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for Z95 in this effective period.

Excludes 2

Official
  • complications of cardiac and vascular devices, implants and grafts (T82.-)

Related Child Codes

Official
Z95.0Presence of cardiac pacemaker
Z95.1Presence of aortocoronary bypass graft
Z95.2Presence of prosthetic heart valve
Z95.3Presence of xenogenic heart valve
Z95.4Presence of other heart-valve replacement

Includes

Official

ICD-10-CM does not list Includes notes for Z95 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for Z95 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for Z95 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for Z95 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for Z95 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Coder workflow notes

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What This Code Means

Z95 is the ICD-10-CM diagnosis code for presence of cardiac and vascular implants and grafts. Z95 sits in the ICD-10-CM chapter for factors influencing health status and contact with health services (z00-z99), within the section covering persons with potential health hazards related to family and personal history and certain conditions influencing health status (z77-z99).

Header codes like Z95 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at Z95's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for Z95 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 2, Not included here, may code separately

  • complications of cardiac and vascular devices, implants and grafts (T82.-)

Child Codes

Code Hierarchy

Z95Presence of cardiac and vascular implants and grafts
Z95Presence of cardiac and vascular implants and grafts

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