Z95.828 ICD-10-CM Code: Presence of other vascular implants and grafts
HCC Buddy Code Card
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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)
Z95.828
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidancePresence of other vascular implants and grafts
A patient has had a vascular implant or graft placed in their body, such as a stent or artificial blood vessel, to help with blood flow or repair a blood vessel problem.
CMS-HCC V28
00
RAF 0
CMS-HCC V24
00
RAF 0
ACA/HHS
00
RAF 0
ESRD/PACE
00
RAF 0
RXHCC
00
RAF 0
Code Trumping
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Code Book Path
Inclusion Terms
Official- Presence of intravascular prosthesis NEC
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for Z95.828 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for Z95.828 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for Z95.828 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for Z95.828 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for Z95.828 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for Z95.828 in this effective period.
Buddy Documentation Tip
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.
Is Z95.828 an HCC code?
No. Z95.828 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
Z95.828 is the ICD-10-CM diagnosis code for presence of other vascular implants and grafts. A patient has had a vascular implant or graft placed in their body, such as a stent or artificial blood vessel, to help with blood flow or repair a blood vessel problem. Z95.828 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).
Z95.828 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.
Use this code when documenting specific vascular implants/grafts that don't fit other Z95.8 subcategories; always verify the exact type of implant for more specific coding if available.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for Z95.828 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Use this code when documenting specific vascular implants/grafts that don't fit other Z95.8 subcategories; always verify the exact type of implant for more specific coding if available
- •This is a status code indicating the presence of the device; it should not be used to code complications unless a complication code is also assigned