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

ICD-10 Z95.1

Billable / Specific

Presence of aortocoronary bypass graft

Z95
Block
1
Synonyms
300
LCDs
16
Payer Policies
5
Linked CPTs

About ICD-10-CM Z95.1

ICD-10-CM code Z95.1 represents Presence of aortocoronary bypass graft. This is a billable/specific code in the Factors Influencing Health Status chapter (block Z95). The 2026 edition of ICD-10-CM Z95.1 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under Z95.1. Per CMS ICD-10-CM Tabular 2026.

  • Presence of coronary artery bypass graft

Medicare LCD Coverage for Z95.1

Local Coverage Determinations (LCDs) from CMS MACs that list Z95.1 as a covered diagnosis.

300 LCDs

Showing top 10 of 300 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
Article ID: 56952, Effective: 2026-01-01 00:00:00, 375 covered, 1 non-covered
CPT 93018 →
CMS LCD: Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
Article ID: 56952, Effective: 2026-01-01 00:00:00, 375 covered, 1 non-covered
CPT 0742T →
CMS LCD: Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
Article ID: 56952, Effective: 2026-01-01 00:00:00, 375 covered, 1 non-covered
CPT 78434 →
CMS LCD: Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
Article ID: 56952, Effective: 2026-01-01 00:00:00, 375 covered, 1 non-covered
CPT 93017 →
CMS LCD: Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
Article ID: 56952, Effective: 2026-01-01 00:00:00, 375 covered, 1 non-covered
CPT 78429 →
CMS LCD: Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
Article ID: 56952, Effective: 2026-01-01 00:00:00, 375 covered, 1 non-covered
CPT 78454 →
CMS LCD: Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
Article ID: 56952, Effective: 2026-01-01 00:00:00, 375 covered, 1 non-covered
CPT 93352 →
CMS LCD: Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
Article ID: 56952, Effective: 2026-01-01 00:00:00, 375 covered, 1 non-covered
CPT 78453 →
CMS LCD: Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
Article ID: 56952, Effective: 2026-01-01 00:00:00, 375 covered, 1 non-covered
CPT 75563 →
CMS LCD: Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
Article ID: 56952, Effective: 2026-01-01 00:00:00, 375 covered, 1 non-covered
CPT 78432 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing Z95.1.

16 policies

3 Aetna

Color-Flow Doppler Echocardiography and Myocardial Strain Imaging - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0008
Intensive Cardiac Rehabilitation Programs
Policy ID: CPB-0267
Coronary Artery Brachytherapy and Other Adjuncts to Coronary Interventions
Policy ID: CPB-0491

5 Medicare

Billing and Coding: Cardiac Catheterization and Coronary Angiography
Policy ID: ART-52850
Billing and Coding: Frequency and Duration for Cardiac Rehabilitation and Intensive Cardiac Rehabilitation
Policy ID: ART-53775
Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
Policy ID: ART-56423
Billing and Coding: Cardiac Radionuclide Imaging
Policy ID: ART-56476
Billing and Coding: Cardiovascular Nuclear Medicine
Policy ID: ART-56494

CPT Codes Commonly Billed with Z95.1

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

5 linkages
  • 93458 Coronary angiography — CAD, unstable angina, MI, heart failure, chest pain, prior bypass graft evaluation Cardiology
  • 93798 CMS LCD: Billing and Coding: Frequency and Duration for Cardiac Rehabilitation and Intensive Cardiac Rehabilitation CMS LCD
  • 93797 CMS LCD: Billing and Coding: Frequency and Duration for Cardiac Rehabilitation and Intensive Cardiac Rehabilitation CMS LCD
  • G0423 CMS LCD: Billing and Coding: Frequency and Duration for Cardiac Rehabilitation and Intensive Cardiac Rehabilitation CMS LCD
  • G0422 CMS LCD: Billing and Coding: Frequency and Duration for Cardiac Rehabilitation and Intensive Cardiac Rehabilitation CMS LCD

Convert Z95.1 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
Z95.1 V4581 00000

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

Codes Adjacent To Z95.1

Other codes in section Z77-Z99 (Persons with potential health hazards related to family and personal history and certain conditions influencing health status).

Z77 Other contact with and (suspected) exposures hazardous to health (non-billable) Z77.0 Contact with and (suspected) exposure to hazardous, chiefly nonmedicinal, chemicals (non-billable) Z77.01 Contact with and (suspected) exposure to hazardous metals (non-billable) Z77.010 Contact with and (suspected) exposure to arsenic Z77.011 Contact with and (suspected) exposure to lead Z77.012 Contact with and (suspected) exposure to uranium Z77.018 Contact with and (suspected) exposure to other hazardous metals Z77.02 Contact with and (suspected) exposure to hazardous aromatic compounds (non-billable) Z77.020 Contact with and (suspected) exposure to aromatic amines Z77.021 Contact with and (suspected) exposure to benzene Z77.028 Contact with and (suspected) exposure to other hazardous aromatic compounds Z77.09 Contact with and (suspected) exposure to other hazardous, chiefly nonmedicinal, chemicals (non-billable) Z77.090 Contact with and (suspected) exposure to asbestos Z77.098 Contact with and (suspected) exposure to other hazardous, chiefly nonmedicinal, chemicals Z77.1 Contact with and (suspected) exposure to environmental pollution and hazards in the physical environment (non-billable) Z77.11 Contact with and (suspected) exposure to environmental pollution (non-billable) Z77.110 Contact with and (suspected) exposure to air pollution Z77.111 Contact with and (suspected) exposure to water pollution Z77.112 Contact with and (suspected) exposure to soil pollution Z77.118 Contact with and (suspected) exposure to other environmental pollution

ICD-10 Z95.1, Billing FAQ

Is ICD-10 code Z95.1 billable? +

Yes, Z95.1 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 Z95.1? +

ICD-10 Z95.1 includes: Presence of coronary artery bypass graft.

What CPT codes are commonly billed with Z95.1? +

Procedures frequently paired with Z95.1 include: 93458, 93798, 93797, G0423, G0422.

What ICD-9 codes does Z95.1 map to? +

Per CMS GEMs, Z95.1 maps to ICD-9 codes: V4581. 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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