ICD-10 Z45.49
Billable / SpecificEncounter for adjustment and management of other implanted nervous system device
About ICD-10-CM Z45.49
ICD-10-CM code Z45.49 represents Encounter for adjustment and management of other implanted nervous system device. This is a billable/specific code in the Factors Influencing Health Status chapter (block Z45). The 2026 edition of ICD-10-CM Z45.49 became effective on October 1, 2025.
Medicare LCD Coverage for Z45.49
Local Coverage Determinations (LCDs) from CMS MACs that list Z45.49 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing Z45.49.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but Z45.49 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with Z45.49
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
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 Z45.49 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 |
|---|---|---|
| Z45.49 | V5309 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To Z45.49
Other codes in section Z40-Z53 (Encounters for other specific health care).
ICD-10 Z45.49, Billing FAQ
Is ICD-10 code Z45.49 billable? +
Yes, Z45.49 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What ICD-9 codes does Z45.49 map to? +
Per CMS GEMs, Z45.49 maps to ICD-9 codes: V5309. 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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