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Z97 ICD-10-CM Code: Presence of other devices

ICD-10-CM Code View

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)

Z97

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Presence of other devices

Presence 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

Official
Z9Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99)
Z97Presence of other devices

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for Z97 in this effective period.

Excludes 2

Official
  • fitting and adjustment of prosthetic and other devices (Z44-Z46)
  • presence of cerebrospinal fluid drainage device (Z98.2)

Related Child Codes

Official
Z97.0Presence of artificial eye
Z97.1Presence of artificial limb (complete) (partial)
Z97.2Presence of dental prosthetic device (complete) (partial)
Z97.3Presence of spectacles and contact lenses
Z97.4Presence of external hearing-aid

Includes

Official

ICD-10-CM does not list Includes notes for Z97 in this effective period.

Excludes 1

Official
  • complications of internal prosthetic devices, implants and grafts (T82-T85)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for Z97 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for Z97 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for Z97 in this effective period.

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.

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 but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at Z97's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for Z97 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

  • complications of internal prosthetic devices, implants and grafts (T82-T85)

Excludes 2, Not included here, may code separately

  • fitting and adjustment of prosthetic and other devices (Z44-Z46)
  • presence of cerebrospinal fluid drainage device (Z98.2)

Child Codes

Code Hierarchy

Z97Presence of other devices
Z97Presence of other devices

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