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

ICD-10 Z45.02

Billable / Specific

Encounter for adjustment and management of automatic implantable cardiac defibrillator

Z45
Block
2
Synonyms
250
LCDs
12
Payer Policies
29
Linked CPTs

About ICD-10-CM Z45.02

ICD-10-CM code Z45.02 represents Encounter for adjustment and management of automatic implantable cardiac defibrillator. This is a billable/specific code in the Factors Influencing Health Status chapter (block Z45). The 2026 edition of ICD-10-CM Z45.02 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under Z45.02. Per CMS ICD-10-CM Tabular 2026.

  • Encounter for adjustment and management of automatic implantable cardiac defibrillator with synchronous cardiac pacemaker
  • Encounter for adjustment and management of cardiac resynchronization therapy defibrillator (CRT-D)

Medicare LCD Coverage for Z45.02

Local Coverage Determinations (LCDs) from CMS MACs that list Z45.02 as a covered diagnosis.

250 LCDs

Showing top 10 of 250 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 Z45.02.

12 policies

5 Medicare

Billing and Coding: Implantable Automatic Defibrillators
Policy ID: ART-56326
Billing and Coding: Implantable Automatic Defibrillators
Policy ID: ART-56340
Billing and Coding: Implantable Automatic Defibrillators
Policy ID: ART-56343
Billing and Coding: Implantable Automatic Defibrillators
Policy ID: ART-56391
Billing and Coding: Cardiac Rhythm Device Evaluation
Policy ID: ART-56602

1 Aetna

Cardioverter-Defibrillators
Policy ID: CPB-0585

CPT Codes Commonly Billed with Z45.02

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

29 linkages
  • G0448 CMS LCD: Billing and Coding: Implantable Automatic Defibrillators CMS LCD
  • 33216 CMS LCD: Billing and Coding: Implantable Automatic Defibrillators CMS LCD
  • 33230 CMS LCD: Billing and Coding: Implantable Automatic Defibrillators CMS LCD
  • 33244 CMS LCD: Billing and Coding: Implantable Automatic Defibrillators CMS LCD
  • 33264 CMS LCD: Billing and Coding: Implantable Automatic Defibrillators CMS LCD
  • 33263 CMS LCD: Billing and Coding: Implantable Automatic Defibrillators CMS LCD
  • 33220 CMS LCD: Billing and Coding: Implantable Automatic Defibrillators CMS LCD
  • 33224 CMS LCD: Billing and Coding: Implantable Automatic Defibrillators CMS LCD
  • 33270 CMS LCD: Billing and Coding: Implantable Automatic Defibrillators CMS LCD
  • 33272 CMS LCD: Billing and Coding: Implantable Automatic Defibrillators CMS LCD

Convert Z45.02 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
Z45.02 V5332 00000

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

Codes Adjacent To Z45.02

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

ICD-10 Z45.02, Billing FAQ

Is ICD-10 code Z45.02 billable? +

Yes, Z45.02 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to Z45.02? +

ICD-10 Z45.02 includes: Encounter for adjustment and management of automatic implantable cardiac defibrillator with synchronous cardiac pacemaker; Encounter for adjustment and management of cardiac resynchronization therapy defibrillator (CRT-D).

What CPT codes are commonly billed with Z45.02? +

Procedures frequently paired with Z45.02 include: G0448, 33216, 33230, 33244, 33264.

What ICD-9 codes does Z45.02 map to? +

Per CMS GEMs, Z45.02 maps to ICD-9 codes: V5332. 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 17, 2026.

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