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ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 Z45.018

Billable / Specific

Encounter for adjustment and management of other part of cardiac pacemaker

Z45
Block
0
Synonyms
106
LCDs
9
Payer Policies
0
Linked CPTs

About ICD-10-CM Z45.018

ICD-10-CM code Z45.018 represents Encounter for adjustment and management of other part of cardiac pacemaker. This is a billable/specific code in the Factors Influencing Health Status chapter (block Z45). The 2026 edition of ICD-10-CM Z45.018 became effective on October 1, 2025.

Type 1 Excludes

Pure excludes, these codes can never be coded together with Z45.018. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • presence of other part of cardiac pacemaker (Z95.0)

Type 2 Excludes

Not included here, the excluded code is not part of Z45.018, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.

  • presence of prosthetic and other devices (Z95.1-Z95.5, Z95.811-Z97)

Medicare LCD Coverage for Z45.018

Local Coverage Determinations (LCDs) from CMS MACs that list Z45.018 as a covered diagnosis.

106 LCDs

Showing top 10 of 106 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Temporary Nontherapeutic Ambulatory Cardiac Monitoring Devices
Article ID: 60278, Effective: , 129 covered, 0 non-covered
CPT 93270 →
CMS LCD: Billing and Coding: Temporary Nontherapeutic Ambulatory Cardiac Monitoring Devices
Article ID: 60278, Effective: , 129 covered, 0 non-covered
CPT 93225 →
CMS LCD: Billing and Coding: Temporary Nontherapeutic Ambulatory Cardiac Monitoring Devices
Article ID: 60278, Effective: , 129 covered, 0 non-covered
CPT 93271 →
CMS LCD: Billing and Coding: Temporary Nontherapeutic Ambulatory Cardiac Monitoring Devices
Article ID: 60278, Effective: , 129 covered, 0 non-covered
CPT 93246 →
CMS LCD: Billing and Coding: Temporary Nontherapeutic Ambulatory Cardiac Monitoring Devices
Article ID: 60278, Effective: , 129 covered, 0 non-covered
CPT 93272 →
CMS LCD: Billing and Coding: Temporary Nontherapeutic Ambulatory Cardiac Monitoring Devices
Article ID: 60278, Effective: , 129 covered, 0 non-covered
CPT 93242 →
CMS LCD: Billing and Coding: Temporary Nontherapeutic Ambulatory Cardiac Monitoring Devices
Article ID: 60278, Effective: , 129 covered, 0 non-covered
CPT 93228 →
CMS LCD: Billing and Coding: Temporary Nontherapeutic Ambulatory Cardiac Monitoring Devices
Article ID: 60278, Effective: , 129 covered, 0 non-covered
CPT 0938T →
CMS LCD: Billing and Coding: Temporary Nontherapeutic Ambulatory Cardiac Monitoring Devices
Article ID: 60278, Effective: , 129 covered, 0 non-covered
CPT 0937T →
CMS LCD: Billing and Coding: Temporary Nontherapeutic Ambulatory Cardiac Monitoring Devices
Article ID: 60278, Effective: , 129 covered, 0 non-covered
CPT 0940T →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing Z45.018.

9 policies

5 Medicare

Billing and Coding: Cardiac Computed Tomography (CCT) and Coronary Computed Tomography Angiography (CCTA)
Policy ID: ART-56451
Billing and Coding: Cardiac Rhythm Device Evaluation
Policy ID: ART-56602
Billing and Coding: Cardiac Computed Tomography (CCT) and Coronary Computed Tomography Angiography (CCTA)
Policy ID: ART-56737
Billing and Coding: Surveillance of Implantable or Wearable Cardioverter Defibrillators (ICDs): Office, Hospital, Web, or Non-Web Based
Policy ID: ART-57038
Billing and Coding: Electrocardiograms
Policy ID: ART-57326

1 Aetna

Electrical Bioimpedance for Cardiac Output Monitoring and Other Selected Indications
Policy ID: CPB-0472

CPT Codes Commonly Billed with Z45.018

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for Z45.018

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert Z45.018 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
Z45.018 V5331 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

Codes Adjacent To Z45.018

Other codes in section Z40-Z53 (Encounters for other specific health care).

ICD-10 Z45.018, Billing FAQ

Is ICD-10 code Z45.018 billable? +

Yes, Z45.018 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What codes are Type 1 Excludes for Z45.018? +

Type 1 Excludes (never code together with Z45.018): presence of other part of cardiac pacemaker (Z95.0)

What codes are Type 2 Excludes for Z45.018? +

Type 2 Excludes (may be coded together when both conditions exist): presence of prosthetic and other devices (Z95.1-Z95.5, Z95.811-Z97)

What ICD-9 codes does Z45.018 map to? +

Per CMS GEMs, Z45.018 maps to ICD-9 codes: V5331. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on July 16, 2026.

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