ICD-10 Z95.0
Billable / SpecificPresence of cardiac pacemaker
About ICD-10-CM Z95.0
ICD-10-CM code Z95.0 represents Presence of cardiac pacemaker. This is a billable/specific code in the Factors Influencing Health Status chapter (block Z95). The 2026 edition of ICD-10-CM Z95.0 became effective on October 1, 2025.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under Z95.0. Per CMS ICD-10-CM Tabular 2026.
- Presence of cardiac resynchronization therapy (CRT-P) pacemaker
Type 1 Excludes
Pure excludes, these codes can never be coded together with Z95.0. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- adjustment or management of cardiac device (Z45.0-)
- adjustment or management of cardiac pacemaker (Z45.0)
- presence of automatic (implantable) cardiac defibrillator with synchronous cardiac pacemaker (Z95.810)
Medicare LCD Coverage for Z95.0
Local Coverage Determinations (LCDs) from CMS MACs that list Z95.0 as a covered diagnosis.
Showing top 10 of 159 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing Z95.0.
3 Aetna
5 Medicare
CPT Codes Commonly Billed with Z95.0
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 Z95.0 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 |
|---|---|---|
| Z95.0 | V4501 | 00000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To Z95.0
Other codes in section Z77-Z99 (Persons with potential health hazards related to family and personal history and certain conditions influencing health status).
ICD-10 Z95.0, Billing FAQ
Is ICD-10 code Z95.0 billable? +
Yes, Z95.0 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 Z95.0? +
ICD-10 Z95.0 includes: Presence of cardiac resynchronization therapy (CRT-P) pacemaker.
What codes are Type 1 Excludes for Z95.0? +
Type 1 Excludes (never code together with Z95.0): adjustment or management of cardiac device (Z45.0-); adjustment or management of cardiac pacemaker (Z45.0); presence of automatic (implantable) cardiac defibrillator with synchronous cardiac pacemaker (Z95.810)
What ICD-9 codes does Z95.0 map to? +
Per CMS GEMs, Z95.0 maps to ICD-9 codes: V4501. 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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