ICD-10 Z45.42
Billable / SpecificEncounter for adjustment and management of neurostimulator
About ICD-10-CM Z45.42
ICD-10-CM code Z45.42 represents Encounter for adjustment and management of neurostimulator. This is a billable/specific code in the Factors Influencing Health Status chapter (block Z45). The 2026 edition of ICD-10-CM Z45.42 became effective on October 1, 2025.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under Z45.42. Per CMS ICD-10-CM Tabular 2026.
- Encounter for adjustment and management of brain neurostimulator
- Encounter for adjustment and management of gastric neurostimulator
- Encounter for adjustment and management of peripheral nerve neurostimulator
- Encounter for adjustment and management of sacral nerve neurostimulator
- Encounter for adjustment and management of spinal cord neurostimulator
- Encounter for adjustment and management of vagus nerve neurostimulator
Medicare LCD Coverage for Z45.42
Local Coverage Determinations (LCDs) from CMS MACs that list Z45.42 as a covered diagnosis.
Showing top 10 of 35 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing Z45.42.
3 Medicare
CPT Codes Commonly Billed with Z45.42
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- C1820 CMS LCD: Billing and Coding: Sacral Nerve Stimulation for Urinary and Fecal Incontinence CMS LCD
- L8680 CMS LCD: Billing and Coding: Sacral Nerve Stimulation for Urinary and Fecal Incontinence CMS LCD
- A4290 CMS LCD: Billing and Coding: Sacral Nerve Stimulation for Urinary and Fecal Incontinence CMS LCD
- C1883 CMS LCD: Billing and Coding: Sacral Nerve Stimulation for Urinary and Fecal Incontinence CMS LCD
- C1767 CMS LCD: Billing and Coding: Sacral Nerve Stimulation for Urinary and Fecal Incontinence CMS LCD
- C1778 CMS LCD: Billing and Coding: Sacral Nerve Stimulation for Urinary and Fecal Incontinence CMS LCD
- C1897 CMS LCD: Billing and Coding: Sacral Nerve Stimulation for Urinary and Fecal Incontinence CMS LCD
- L8678 CMS LCD: Billing and Coding: Sacral Nerve Stimulation for the Treatment of Urinary and Fecal Incontinence CMS LCD
Convert Z45.42 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| Z45.42 | V5302 | 00000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To Z45.42
Other codes in section Z40-Z53 (Encounters for other specific health care).
ICD-10 Z45.42, Billing FAQ
Is ICD-10 code Z45.42 billable? +
Yes, Z45.42 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 Z45.42? +
ICD-10 Z45.42 includes: Encounter for adjustment and management of brain neurostimulator; Encounter for adjustment and management of gastric neurostimulator; Encounter for adjustment and management of peripheral nerve neurostimulator, and 3 more clinical synonyms.
What CPT codes are commonly billed with Z45.42? +
Procedures frequently paired with Z45.42 include: C1820, L8680, A4290, C1883, C1767.
What ICD-9 codes does Z45.42 map to? +
Per CMS GEMs, Z45.42 maps to ICD-9 codes: V5302. 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 May 31, 2026.
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