Z97.13

Billable

Presence of artificial right leg (complete) (partial)

HCC Category Mapping

V28HCC 409 — Amputation Status, Lower Limb/Amputation Complications

0.350

What This Code Means

A patient has an artificial right leg prosthetic, which may be a complete leg replacement or a partial prosthetic.

Coding Tips

•Specify in documentation whether the prosthetic is complete (entire leg) or partial (below-knee, foot, etc.) for clarity
•Use this code for status documentation; pair with other codes if there are complications or fitting issues

Clinical Significance

This code indicates the presence of a right leg prosthetic device, representing adaptation to major limb loss that significantly impacts mobility and independence. These patients require ongoing prosthetic care, physical therapy, and monitoring for complications such as skin breakdown or prosthetic malfunction.

Documentation Requirements

✓Confirmation of artificial right leg prosthetic presence
✓Level of amputation (above knee, below knee, etc.)
✓Type of prosthetic device
✓Functional status with prosthetic
✓Fit and comfort issues
✓Maintenance and adjustment needs
✓Physical therapy requirements
✓Integration with mobility aids

Commonly Confused Codes

Z97.14 — Presence of artificial left leg Z89.611 — Acquired absence of right leg above knee Z89.621 — Acquired absence of right leg below knee Z97.16 — Presence of artificial legs, bilateral M79.3 — Panniculitis, unspecified

Code Hierarchy

└Z97Presence of other devices └Z97.1Presence of artificial limb (complete) (partial)└Z97.13Presence of artificial right leg (complete) (partial)

└Z97.13Presence of artificial right leg (complete) (partial)