ICD-10 · PDGM grouping
Z46 Encounter for fitting and adjustment of other devices
All 12 codes in the Z46 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.
Codes in family
12
Can lead a claim
1
Cannot lead a claim
11
What CMS assigns to Z46
1 of the 12 codes groups to Complex Nursing Interventions; 11 are assigned no clinical group. None of the 12 is assigned a comorbidity subgroup. 1 of the 12 can lead a claim.
Every code in Z46
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 |
|---|---|---|---|---|
| Z46.0 | Encounter for fitting and adjustment of spectacles and contact lensesCMS: Encounter for fit/adjst of spectacles and contact lenses | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z46.1 | Encounter for fitting and adjustment of hearing aid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z46.2 | Encounter for fitting and adjustment of other devices related to nervous system and special sensesCMS: Encntr for fit/adjst of dev rel to nrv sys and specl senses | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z46.3 | Encounter for fitting and adjustment of dental prosthetic deviceCMS: Encounter for fit/adjst of dental prosthetic device | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z46.4 | Encounter for fitting and adjustment of orthodontic device | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z46.5 Encounter for fitting and adjustment of other gastrointestinal appliance and device | ||||
| Z46.51 | Encounter for fitting and adjustment of gastric lap band | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z46.59 | Encounter for fitting and adjustment of other gastrointestinal appliance and deviceCMS: Encounter for fit/adjst of GI appliance and device | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z46.6 | Encounter for fitting and adjustment of urinary device | Can lead a claim | D | None |
| Z46.8 Encounter for fitting and adjustment of other specified devices | ||||
| Z46.81 | Encounter for fitting and adjustment of insulin pump | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z46.82 | Encounter for fitting and adjustment of non-vascular catheterCMS: Encounter for fit/adjst of non-vascular catheter | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z46.89 | Encounter for fitting and adjustment of other specified devicesCMS: Encounter for fitting and adjustment of oth devices | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z46.9 | Encounter for fitting and adjustment of unspecified 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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