Z95.5 ICD-10-CM Code: Presence of coronary angioplasty implant and graft
Z95.5 is not a CMS-HCC payment code. MEAT criteria · RAF calculator · free HCC coding tools
HCC Buddy Code Card
Digital ICD-10 code-book layout with official code detail, always-visible risk models, Code Trumping, and Buddy coding guidance.
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)
Z95.5
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidancePresence of coronary angioplasty implant and graft
A patient who has had a stent or other device placed in a coronary artery through angioplasty to keep the artery open.
CMS-HCC V28
N/A—
Not mapped
CMS-HCC V24
N/A—
Not mapped
ACA/HHS
N/A—
Not mapped
ESRD/PACE
N/A—
Not mapped
RXHCC
N/A—
Not mapped
Code Book Path
Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for Z95.5 in this effective period.
Excludes 2
Official- complications of cardiac and vascular devices, implants and grafts (T82.-)
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for Z95.5 in this effective period.
Excludes 1
Official- coronary angioplasty status without implant and graft (Z98.61)
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for Z95.5 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for Z95.5 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for Z95.5 in this effective period.
Buddy Documentation Tip
Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →
Is Z95.5 an HCC code?
No. Z95.5 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
- Code
- Z95.5
- Description
- Presence of coronary angioplasty implant and graft
- HCC (V28)
- No CMS-HCC V28 mapping
- RAF
- —
- Billable
- Yes
- Payment year
- 2026
Coder workflow notes
Get the V28 RAF + MEAT cheat sheet
One printable page: confirm a code's V28 HCC status, its RAF weight, and the MEAT your note needs to make it stick. Free, no card.
Free PDF. No card. Unsubscribe anytime.
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
Z95.5 is the ICD-10-CM diagnosis code for presence of coronary angioplasty implant and graft. A patient who has had a stent or other device placed in a coronary artery through angioplasty to keep the artery open. Z95.5 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).
Z95.5 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.
Document the number of stents and the vessels treated; specify drug-eluting vs. bare-metal stents if documented.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for Z95.5 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Document the number of stents and the vessels treated; specify drug-eluting vs. bare-metal stents if documented
- •This code indicates the presence of the implant; use with acute coronary syndrome codes if the patient presents with stent-related complications
Excludes 1, Do NOT code together
- coronary angioplasty status without implant and graft (Z98.61)