Z95.811

Billable

Presence of heart assist device

HCC Category Mapping

V28HCC 223 — LVAD/Heart Assist Device/Artificial Heart

0.000

V24HCC 186 — Major Organ Transplant or Replacement Status

0.910

ESRDHCC 186 — Major Organ Transplant or Replacement Status

0.000

What This Code Means

A patient who has a mechanical device surgically implanted to help the heart pump blood to the body in cases of severe heart failure.

Coding Tips

•Specify the type of assist device (LVAD, RVAD, BiVAD, or ECMO) in documentation for clarity
•Use with heart failure codes to provide complete clinical picture; monitor for device-related complications

Clinical Significance

This code represents the presence of a mechanical cardiac assist device that supports heart function in patients with severe heart failure, indicating extremely high mortality risk and complex care needs. These devices require specialized monitoring, anticoagulation management, and infection prevention protocols.

Documentation Requirements

✓Confirmation of heart assist device presence
✓Type of device (LVAD, RVAD, BiVAD)
✓Device manufacturer and model if available
✓Current device function and parameters
✓Anticoagulation management
✓Device-related care requirements
✓Monitoring protocols and complications
✓Bridge to transplant vs destination therapy

Commonly Confused Codes

Z95.812 — Presence of fully implantable artificial heart Z95.0 — Presence of cardiac pacemaker T82.514A — Breakdown of heart assist device I50.9 — Heart failure, unspecified Z94.1 — Heart transplant status

Code Hierarchy

└Z95Presence of cardiac and vascular implants and grafts └Z95.8Presence of other cardiac and vascular implants and grafts └Z95.81Presence of other cardiac implants and grafts └Z95.811Presence of heart assist device

└Z95.811Presence of heart assist device