Z97 ICD-10-CM Code: Presence of other devices
Z97 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · free HCC coding tools
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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)
Z97
Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidancePresence of other devices
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
OfficialNo inclusion terms are included in this display for Z97. Check the code and parent instructions in the Code Book.
Excludes 2
Official- fitting and adjustment of prosthetic and other devices (Z44-Z46)
- presence of cerebrospinal fluid drainage device (Z98.2)
Related Codes
Includes
OfficialNo Includes notes are included in this display for Z97. Check the code and parent instructions in the Code Book.
Excludes 1
Official- complications of internal prosthetic devices, implants and grafts (T82-T85)
Code First
OfficialNo Code First sequencing instructions are included in this display for Z97. Check the code and parent instructions in the Code Book.
Use Additional
OfficialNo Use Additional Code instructions are included in this display for Z97. Check the code and parent instructions in the Code Book.
Code Also
Official- any follow-up examination (Z08-Z09)Inherited from Z77-Z99
Served edition: 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 →
- Code
- Z97
- Description
- Presence of other devices
- HCC (V28)
- No CMS-HCC V28 mapping
- RAF reference coefficient
- —
- Billable
- No
- Payment year
- 2026
Coder workflow notes
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What This Code Means
Z97 is the ICD-10-CM diagnosis code for presence of other devices. Z97 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 Z97 cannot be reported on claims directly; they organize child codes that share clinical context. Coders should select the billable child code that matches the documented presentation and then verify its current source-backed HCC mapping. Do not infer a child code or risk adjustment value from the header alone.
HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for Z97 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.