DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

Category · FY2027

Z46 Encounter for fitting and adjustment of other devices

  • Header · not billable

Z46 is not billable. The category heads 12 billable codes in FY2027, grouped under 9 subdivisions.

Index → code

  • Orthodonticsfitting → Z46.4
  • Orthodonticsadjustment → Z46.4
  • Removal (from) (of)device → Z46.9

Where it sits

  1. Chapter 21 Factors influencing health status and contact with health services (Z00-Z99)
  2. Z40-Z53 Encounters for other specific health care (Z40-Z53)
  3. Z46 Encounter for fitting and adjustment of other devices
Billable codes
12
Subdivisions
9
CC / MCC codes
0 / 0
HCC V28 codes
0
New FY2027
0
Index entries
113

Codes in Z46

  1. Z46.0
    Encounter for fitting and adjustment of spectacles and contact lenses
    BillableExempt
  2. Z46.1
    Encounter for fitting and adjustment of hearing aid
    BillableExempt
    Excludes1 1

    Excludes1

    • encounter for adjustment and management of implanted hearing device (Z45.32-) Z45.32
  3. Z46.2
    Encounter for fitting and adjustment of other devices related to nervous system and special senses
    BillableExempt
    Excludes2 2

    Excludes2

    • encounter for adjustment and management of implanted nervous system device (Z45.4-) Z45.4
    • encounter for adjustment and management of implanted visual substitution device (Z45.31) Z45.31
  4. Z46.3
    Encounter for fitting and adjustment of dental prosthetic device
    BillableExempt
    Inclusion terms 1

    Inclusion terms

    • Encounter for fitting and adjustment of dentures
  5. Z46.4
    Encounter for fitting and adjustment of orthodontic device
    BillableExempt
  6. Z46.5
    Encounter for fitting and adjustment of other gastrointestinal appliance and device
    Header
    Excludes1 1

    Excludes1

    • encounter for attention to artificial openings of digestive tract (Z43.1-Z43.4) Z43.1 Z43.4
  7. Z46.51
    Encounter for fitting and adjustment of gastric lap band
    BillableExempt
  8. Z46.59
    Encounter for fitting and adjustment of other gastrointestinal appliance and device
    BillableExempt
  9. Z46.6
    Encounter for fitting and adjustment of urinary device
    BillableExempt
    Excludes2 1

    Excludes2

    • attention to artificial openings of urinary tract (Z43.5, Z43.6) Z43.5 Z43.6
  10. Z46.8
    Encounter for fitting and adjustment of other specified devices
    Header
  11. Z46.81
    Encounter for fitting and adjustment of insulin pump
    BillableExempt
    Inclusion terms 2

    Inclusion terms

    • Encounter for insulin pump instruction and training
    • Encounter for insulin pump titration
  12. Z46.82
    Encounter for fitting and adjustment of non-vascular catheter
    BillableExempt
  13. Z46.89
    Encounter for fitting and adjustment of other specified devices
    BillableExempt
    Inclusion terms 1

    Inclusion terms

    • Encounter for fitting and adjustment of wheelchair
  14. Z46.9
    Encounter for fitting and adjustment of unspecified device
    BillableExempt

Sources of each column.

Instructions

At Z46

Includes

  • removal or replacement of other device

Excludes1

  • malfunction or other complications of device - see Alphabetical Index

Excludes2

  • encounter for fitting and management of implanted devices (Z45.-) Z45
  • issue of repeat prescription only (Z76.0) Z76.0
  • presence of prosthetic and other devices (Z95-Z97) Z95 Z97

Notes that also apply

Block Z40-Z53 instructions (Inclusion terms 1, Excludes2 1): printed on the block page.

Chapter 21 instructions (Notes 3): printed on the chapter 21 page.

Index entries

  • Fitting (and adjustment) (of)contact lenses → Z46.0
  • Fitting (and adjustment) (of)glasses (reading) → Z46.0
  • Fitting (and adjustment) (of)spectacles → Z46.0
  • Fitting (and adjustment) (of)hearing aid → Z46.1
  • Aftercareneuropacemaker (brain) (peripheral nerve) (spinal cord) → Z46.2
  • Fitting (and adjustment) (of)brain neuropacemaker → Z46.2
  • Fitting (and adjustment) (of)neuropacemaker → Z46.2
  • Interrogationneurostimulator → Z46.2
  • Removal (from) (of)nervous system device NEC → Z46.2
  • Fitting (and adjustment) (of)dentures → Z46.3
  • Fitting (and adjustment) (of)orthodontic device → Z46.4
  • Orthodonticsadjustment → Z46.4
  • Orthodonticsfitting → Z46.4
  • Removal (from) (of)orthodontic device → Z46.4
  • Fitting (and adjustment) (of)gastric lap band → Z46.51
  • Fitting (and adjustment) (of)gastrointestinal appliance NEC → Z46.59
  • Change(s) (in) (of)indwelling catheter → Z46.6
  • Fitting (and adjustment) (of)cystostomy device → Z46.6
  • Removal (from) (of)catheter (urinary) (indwelling) → Z46.6
  • Removal (from) (of)urinary device → Z46.6
  • Counseling (for)insulin pump use → Z46.81
  • Encounter (with health service) (for)insulin pump titration → Z46.81
  • Encounter (with health service) (for)titration, insulin pump → Z46.81
  • Fitting (and adjustment) (of)insulin pump → Z46.81
  • Removal (from) (of)insulin pump → Z46.81
  • Fitting (and adjustment) (of)catheter, non-vascular → Z46.82
  • Fitting (and adjustment) (of)non-vascular catheter → Z46.82
  • Removal (from) (of)non-vascular catheter → Z46.82
  • Colostomyfitting or adjustment → Z46.89
  • Fitting (and adjustment) (of)colostomy belt → Z46.89
  • Fitting (and adjustment) (of)ileostomy device → Z46.89
  • Fitting (and adjustment) (of)intestinal appliance NEC → Z46.89
  • Fitting (and adjustment) (of)orthopedic device (brace) (cast) (corset) (shoes) → Z46.89
  • Fitting (and adjustment) (of)wheelchair → Z46.89
  • Fitting (and adjustment) (of)device NOS → Z46.9
  • Removal (from) (of)device → Z46.9
  • Admission (for)adjustment (of)contact lenses → Z46.0
  • Admission (for)adjustment (of)spectacles → Z46.0
  • Admission (for)fitting (of)contact lenses → Z46.0
  • Admission (for)fitting (of)spectacles → Z46.0

73 more, longer entries are not listed; the search box finds them by word.

NCHS Alphabetic Index. Index first, then the Tabular List.

Hierarchy