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Z96.9

Billable

Presence of functional implant, unspecified

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A patient has a functional implant in their body, but the specific type of implant is not documented or specified.

Coding Tips

  • •This is a last-resort code; always attempt to identify the specific type of implant and use a more specific Z96 code
  • •Query the provider if the implant type is unclear to ensure accurate documentation and appropriate coding

Code Hierarchy

└Z96Presence of other functional implants└Z96.9Presence of functional implant, unspecified
└Z96.9Presence of functional implant, unspecified

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