ICD-10 Z95.2
Billable / SpecificPresence of prosthetic heart valve
About ICD-10-CM Z95.2
ICD-10-CM code Z95.2 represents Presence of prosthetic heart valve. This is a billable/specific code in the Factors Influencing Health Status chapter (block Z95). The 2026 edition of ICD-10-CM Z95.2 became effective on October 1, 2025.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under Z95.2. Per CMS ICD-10-CM Tabular 2026.
- Presence of heart valve NOS
Medicare LCD Coverage for Z95.2
Local Coverage Determinations (LCDs) from CMS MACs that list Z95.2 as a covered diagnosis.
Showing top 10 of 288 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing Z95.2.
3 Aetna
5 Medicare
CPT Codes Commonly Billed with Z95.2
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 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 Z95.2 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 |
|---|---|---|
| Z95.2 | V433 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To Z95.2
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 Z95.2, Billing FAQ
Is ICD-10 code Z95.2 billable? +
Yes, Z95.2 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 Z95.2? +
ICD-10 Z95.2 includes: Presence of heart valve NOS.
What CPT codes are commonly billed with Z95.2? +
Procedures frequently paired with Z95.2 include: 93798, 93797, G0423, G0422.
What ICD-9 codes does Z95.2 map to? +
Per CMS GEMs, Z95.2 maps to ICD-9 codes: V433. Useful for legacy data review and historical claim analysis.
Get the full PayerReady toolkit
Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.
Start free →Run this code through our claim audit tool
Check NCCI bundling, MUE limits, and modifier logic before submission.
Try the auditor →Did this page help?
Quick signal so we know what to improve.
If you want a code reference page that doesn't exist yet, email coding@payerready.com.
Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.
Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on July 16, 2026.
Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team