ICD-10 · PDGM grouping
Z45 Encounter for adjustment and management of implanted device
All 19 codes in the Z45 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
ICD-10-CM FY2027 · CMS grouper v07.2.26
Codes in family
19
Can lead a claim
1
Cannot lead a claim
18
What CMS assigns to Z45
1 of the 19 codes groups to Complex Nursing Interventions; 18 are assigned no clinical group. None of the 19 is assigned a comorbidity subgroup. 1 of the 19 can lead a claim.
Every code in Z45
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| Z45.0 Encounter for adjustment and management of cardiac device | ||||
| Z45.01 Encounter for adjustment and management of cardiac pacemaker | ||||
| Z45.010 | Encounter for checking and testing of cardiac pacemaker pulse generator [battery]CMS: Encntr for checking and test of card pacemaker pulse gnrtr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z45.018 | Encounter for adjustment and management of other part of cardiac pacemakerCMS: Encounter for adjust and mgmt oth prt cardiac pacemaker | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z45.02 | Encounter for adjustment and management of automatic implantable cardiac defibrillatorCMS: Encntr for adjust and mgmt of automatic implntbl card defib | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z45.09 | Encounter for adjustment and management of other cardiac deviceCMS: Encounter for adjustment and management of cardiac device | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z45.1 | Encounter for adjustment and management of infusion pump | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z45.2 | Encounter for adjustment and management of vascular access deviceCMS: Encounter for adjustment and management of VAD | Can lead a claim | D | None |
| Z45.3 Encounter for adjustment and management of implanted devices of the special senses | ||||
| Z45.31 | Encounter for adjustment and management of implanted visual substitution deviceCMS: Encntr for adjust and mgmt of implnt visual substitution dev | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z45.32 Encounter for adjustment and management of implanted hearing device | ||||
| Z45.320 | Encounter for adjustment and management of bone conduction deviceCMS: Encounter for adjust and mgmt of bone conduction device | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z45.321 | Encounter for adjustment and management of cochlear device | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z45.328 | Encounter for adjustment and management of other implanted hearing deviceCMS: Encounter for adjust and management of implanted hear dev | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z45.4 Encounter for adjustment and management of implanted nervous system device | ||||
| Z45.41 | Encounter for adjustment and management of cerebrospinal fluid drainage deviceCMS: Encounter for adjustment and management of CSF drain dev | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z45.42 | Encounter for adjustment and management of neurostimulator | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z45.49 | Encounter for adjustment and management of other implanted nervous system deviceCMS: Encntr for adjust and mgmt of implanted nervous sys device | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z45.8 Encounter for adjustment and management of other implanted devices | ||||
| Z45.81 Encounter for adjustment or removal of breast implant | ||||
| Z45.811 | Encounter for adjustment or removal of right breast implant | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z45.812 | Encounter for adjustment or removal of left breast implant | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z45.819 | Encounter for adjustment or removal of unspecified breast implantCMS: Encounter for adjustment or removal of unsp breast implant | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z45.82 | Encounter for adjustment or removal of myringotomy device (stent) (tube)CMS: Encntr for adjust or removal of myringotomy device (tube) | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z45.89 | Encounter for adjustment and management of other implanted devicesCMS: Encounter for adjustment and management of implanted devices | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z45.9 | Encounter for adjustment and management of unspecified implanted deviceCMS: Encounter for adjust and management of unsp implanted device | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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