DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

Category · FY2027

Z95 Presence of cardiac and vascular implants and grafts

  • Header · not billable

Z95 is not billable. The category heads 13 billable codes in FY2027, grouped under 8 subdivisions.

Index → code

  • Presence (of)heart assist device → Z95.811
  • Status (post)aortocoronary bypass → Z95.1
  • Presence (of)vascular implant or device → Z95.9

Where it sits

  1. Chapter 21 Factors influencing health status and contact with health services (Z00-Z99)
  2. Z77-Z99 Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99)
  3. Z95 Presence of cardiac and vascular implants and grafts
Billable codes
13
Subdivisions
8
CC / MCC codes
2 / 0
HCC V28 codes
2
New FY2027
0
Index entries
63

Codes in Z95

  1. Z95.0
    Presence of cardiac pacemaker
    BillableExempt
    Inclusion terms 1, Excludes1 3

    Inclusion terms

    • Presence of cardiac resynchronization therapy (CRT-P) pacemaker

    Excludes1

    • adjustment or management of cardiac device (Z45.0-) Z45.0
    • adjustment or management of cardiac pacemaker (Z45.0) Z45.0
    • presence of automatic (implantable) cardiac defibrillator with synchronous cardiac pacemaker (Z95.810) Z95.810
  2. Z95.1
    Presence of aortocoronary bypass graft
    BillableExempt
    Inclusion terms 1

    Inclusion terms

    • Presence of coronary artery bypass graft
  3. Z95.2
    Presence of prosthetic heart valve
    BillableExempt
    Inclusion terms 1

    Inclusion terms

    • Presence of heart valve NOS
  4. Z95.3
    Presence of xenogenic heart valve
    BillableExempt
  5. Z95.4
    Presence of other heart-valve replacement
    BillableExempt
  6. Z95.5
    Presence of coronary angioplasty implant and graft
    BillableExempt
    Excludes1 1

    Excludes1

    • coronary angioplasty status without implant and graft (Z98.61) Z98.61
  7. Z95.8
    Presence of other cardiac and vascular implants and grafts
    Header
  8. Z95.81
    Presence of other cardiac implants and grafts
    Header
  9. Z95.810
    Presence of automatic (implantable) cardiac defibrillator
    BillableExempt
    Inclusion terms 3

    Inclusion terms

    • Presence of automatic (implantable) cardiac defibrillator with synchronous cardiac pacemaker
    • Presence of cardiac resynchronization therapy defibrillator (CRT-D)
    • Presence of cardioverter-defibrillator (ICD)
  10. Z95.811
    Presence of heart assist device
    BillableCC223Exempt
  11. Z95.812
    Presence of fully implantable artificial heart
    BillableCC223Exempt
  12. Z95.818
    Presence of other cardiac implants and grafts
    BillableExempt
  13. Z95.82
    Presence of other vascular implants and grafts
    Header
  14. Z95.820
    Peripheral vascular angioplasty status with implants and grafts
    BillableExempt
    Excludes1 1

    Excludes1

    • peripheral vascular angioplasty without implant and graft (Z98.62) Z98.62
  15. Z95.828
    Presence of other vascular implants and grafts
    BillableExempt
    Inclusion terms 1

    Inclusion terms

    • Presence of intravascular prosthesis NEC
  16. Z95.9
    Presence of cardiac and vascular implant and graft, unspecified
    BillableExempt

CC/MCC: as a secondary diagnosis, unless the principal diagnosis is on the code’s PDX exclusion list (MS-DRG v44 Appendix C; list on the code card).

Sources of each column.

Instructions

At Z95

Excludes2

  • complications of cardiac and vascular devices, implants and grafts (T82.-) T82

Notes that also apply

Block Z77-Z99 instructions (Code also 1): printed on the block page.

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

Index entries

  • Presence (of)CRT-P (cardiac resynchronization therapy pacemaker) → Z95.0
  • Presence (of)aortocoronary (bypass) graft → Z95.1
  • Status (post)aortocoronary bypass → Z95.1
  • Status (post)coronary artery bypass graft → Z95.1
  • Presence (of)heart valve implant (functional) → Z95.2
  • Presence (of)coronary artery graft or prosthesis → Z95.5
  • Replacement by artificial or mechanical device or prosthesis ofcoronary artery → Z95.5
  • Status (post)prosthesis coronary angioplasty → Z95.5
  • Presence (of)CRT-D (cardiac resynchronization therapy defibrillator) → Z95.810
  • Presence (of)cardioverter-defibrillator (ICD) → Z95.810
  • Presence (of)ICD (cardioverter-defibrillator) → Z95.810
  • Presence (of)heart assist device → Z95.811
  • Replacement by artificial or mechanical device or prosthesis ofheart → Z95.812
  • Replacement by artificial or mechanical device or prosthesis ofblood vessel NEC → Z95.828
  • Replacement by artificial or mechanical device or prosthesis ofperipheral vessel NEC → Z95.828
  • Replacement by artificial or mechanical device or prosthesis ofvessel NEC → Z95.828
  • Presence (of)intravascular implant (functional) (prosthetic) NEC → Z95.9
  • Presence (of)vascular implant or device → Z95.9
  • Cardiacpacemakerin situ → Z95.0
  • Presence (of)cardiacpacemaker → Z95.0
  • Presence (of)implanted device (artificial) (functional) (prosthetic)cardiac pacemaker → Z95.0
  • Status (post)pacemakercardiac → Z95.0
  • Presence (of)heart valve implant (functional)prosthetic → Z95.2
  • Presence (of)implanted device (artificial) (functional) (prosthetic)heart valve → Z95.2
  • Replacement by artificial or mechanical device or prosthesis ofheartvalve → Z95.2
  • Transplant (ed) (status)heartvalve → Z95.2
  • Presence (of)heart valve implant (functional)xenogenic → Z95.3
  • Presence (of)heart valve implant (functional)specified type NEC → Z95.4
  • Presence (of)intravascular implant (functional) (prosthetic) NECcoronary artery → Z95.5
  • Replacement by artificial or mechanical device or prosthesis ofvessel NECcoronary (artery) → Z95.5
  • Presence (of)cardiacdefibrillator (functional) (with synchronous cardiac pacemaker) → Z95.810
  • Presence (of)implanted device (artificial) (functional) (prosthetic)automatic cardiac defibrillator (with synchronous cardiac pacemaker) → Z95.810
  • Presence (of)intravascular implant (functional) (prosthetic) NECdefibrillator (with synchronous cardiac pacemaker) → Z95.810
  • Presence (of)device (external) NECheart assist → Z95.811
  • Dependence (on) (syndrome)onartificial heart (fully implantable) (mechanical) → Z95.812
  • Presence (of)artificialheart (fully implantable) (mechanical) → Z95.812
  • Presence (of)implanted device (artificial) (functional) (prosthetic)heart → Z95.812
  • Presence (of)device (external) NECcardiac NEC → Z95.818
  • Presence (of)graftcardiac NEC → Z95.818
  • Presence (of)intravascular implant (functional) (prosthetic) NECperipheral vessel (with angioplasty) → Z95.820

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

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

Hierarchy