ICD-10 Z96.642
Billable / SpecificPresence of left artificial hip joint
About ICD-10-CM Z96.642
ICD-10-CM code Z96.642 represents Presence of left artificial hip joint. This is a billable/specific code in the Factors Influencing Health Status chapter (block Z96). The 2026 edition of ICD-10-CM Z96.642 became effective on October 1, 2025.
Medicare LCD Coverage for Z96.642
Local Coverage Determinations (LCDs) from CMS MACs that list Z96.642 as a covered diagnosis.
Showing top 10 of 390 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing Z96.642.
5 Medicare
CPT Codes Commonly Billed with Z96.642
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 97110 Therapeutic exercises — back pain, neck pain, joint pain, rotator cuff, knee OA, limb pain, meniscal tear, shoulder injury, ankle sprain, hemiplegia, paraplegia, post joint replacement, muscle weakness Physical Therapy
- 97530 Therapeutic activities — post knee/hip replacement, post fracture, hemiplegia, post-stroke, MS — functional tasks Physical Therapy
Convert Z96.642 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 |
|---|---|---|
| Z96.642 | V4364 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To Z96.642
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 Z96.642, Billing FAQ
Is ICD-10 code Z96.642 billable? +
Yes, Z96.642 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What CPT codes are commonly billed with Z96.642? +
Procedures frequently paired with Z96.642 include: 97110, 97530.
What ICD-9 codes does Z96.642 map to? +
Per CMS GEMs, Z96.642 maps to ICD-9 codes: V4364. 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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