ICD-10 · PDGM grouping
Z96 Presence of other functional implants
All 40 codes in the Z96 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
40
Can lead a claim
0
Cannot lead a claim
40
What CMS assigns to Z96
None of the 40 codes is assigned a clinical group. None of the 40 is assigned a comorbidity subgroup. None can lead a claim.
Every code in Z96
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 |
|---|---|---|---|---|
| Z96.0 | Presence of urogenital implants | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z96.1 | Presence of intraocular lens | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z96.2 Presence of otological and audiological implants | ||||
| Z96.20 | Presence of otological and audiological implant, unspecified | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z96.21 | Cochlear implant status | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z96.22 | Myringotomy tube(s) status | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z96.29 | Presence of other otological and audiological implants | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z96.3 | Presence of artificial larynx | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z96.4 Presence of endocrine implants | ||||
| Z96.41 | Presence of insulin pump (external) (internal) | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z96.49 | Presence of other endocrine implants | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z96.5 | Presence of tooth-root and mandibular implants | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z96.6 Presence of orthopedic joint implants | ||||
| Z96.60 | Presence of unspecified orthopedic joint implant | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z96.61 Presence of artificial shoulder joint | ||||
| Z96.611 | Presence of right artificial shoulder joint | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z96.612 | Presence of left artificial shoulder joint | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z96.619 | Presence of unspecified artificial shoulder joint | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z96.62 Presence of artificial elbow joint | ||||
| Z96.621 | Presence of right artificial elbow joint | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z96.622 | Presence of left artificial elbow joint | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z96.629 | Presence of unspecified artificial elbow joint | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z96.63 Presence of artificial wrist joint | ||||
| Z96.631 | Presence of right artificial wrist joint | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z96.632 | Presence of left artificial wrist joint | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z96.639 | Presence of unspecified artificial wrist joint | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z96.64 Presence of artificial hip joint | ||||
| Z96.641 | Presence of right artificial hip joint | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z96.642 | Presence of left artificial hip joint | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z96.643 | Presence of artificial hip joint, bilateral | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z96.649 | Presence of unspecified artificial hip joint | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z96.65 Presence of artificial knee joint | ||||
| Z96.651 | Presence of right artificial knee joint | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z96.652 | Presence of left artificial knee joint | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z96.653 | Presence of artificial knee joint, bilateral | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z96.659 | Presence of unspecified artificial knee joint | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z96.66 Presence of artificial ankle joint | ||||
| Z96.661 | Presence of right artificial ankle joint | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z96.662 | Presence of left artificial ankle joint | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z96.669 | Presence of unspecified artificial ankle joint | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z96.69 Presence of other orthopedic joint implants | ||||
| Z96.691 | Finger-joint replacement of right hand | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z96.692 | Finger-joint replacement of left hand | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z96.693 | Finger-joint replacement, bilateral | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z96.698 | Presence of other orthopedic joint implants | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z96.7 | Presence of other bone and tendon implants | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z96.8 Presence of other specified functional implants | ||||
| Z96.81 | Presence of artificial skin | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z96.82 | Presence of neurostimulator | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z96.89 | Presence of other specified functional implants | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z96.9 | Presence of functional implant, unspecified | 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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