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

ICD-10 Z47.2

Billable / Specific

Encounter for removal of internal fixation device

Z47
Block
0
Synonyms
79
LCDs
2
Payer Policies
0
Linked CPTs

About ICD-10-CM Z47.2

ICD-10-CM code Z47.2 represents Encounter for removal of internal fixation device. This is a billable/specific code in the Factors Influencing Health Status chapter (block Z47). The 2026 edition of ICD-10-CM Z47.2 became effective on October 1, 2025.

Type 1 Excludes

Pure excludes, these codes can never be coded together with Z47.2. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • encounter for adjustment of internal fixation device for fracture treatment- code to fracture with appropriate 7th character
  • encounter for removal of external fixation device- code to fracture with 7th character D
  • infection or inflammatory reaction to internal fixation device (T84.6-)
  • mechanical complication of internal fixation device (T84.1-)

Medicare LCD Coverage for Z47.2

Local Coverage Determinations (LCDs) from CMS MACs that list Z47.2 as a covered diagnosis.

79 LCDs

Showing top 10 of 79 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 29131 →
CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 29260 →
CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 29580 →
CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 97036 →
CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 29445 →
CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 97542 →
CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 97110 →
CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 97533 →
CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 29130 →
CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 29405 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing Z47.2.

2 policies

1 Cigna

Intraoperative Monitoring - (0509)
Policy ID: MM_0509

1 Medicare

Billing and Coding: Outpatient Physical Therapy
Policy ID: ART-53065

CPT Codes Commonly Billed with Z47.2

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

No procedure linkages on file for Z47.2

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 Z47.2 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
Z47.2 V5401 00000

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

Codes Adjacent To Z47.2

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

ICD-10 Z47.2, Billing FAQ

Is ICD-10 code Z47.2 billable? +

Yes, Z47.2 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 Z47.2? +

Type 1 Excludes (never code together with Z47.2): encounter for adjustment of internal fixation device for fracture treatment- code to fracture with appropriate 7th character; encounter for removal of external fixation device- code to fracture with 7th character D; infection or inflammatory reaction to internal fixation device (T84.6-)

What ICD-9 codes does Z47.2 map to? +

Per CMS GEMs, Z47.2 maps to ICD-9 codes: V5401. 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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