ICD-10 Z97
Non-Billable HeaderPresence of other devices
About ICD-10-CM Z97
ICD-10-CM code Z97 represents Presence of other devices. This is a non-billable header code in the Factors Influencing Health Status chapter (block Z97). The 2026 edition of ICD-10-CM Z97 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Type 1 Excludes
Pure excludes, these codes can never be coded together with Z97. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- complications of internal prosthetic devices, implants and grafts (T82-T85)
Type 2 Excludes
Not included here, the excluded code is not part of Z97, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.
- fitting and adjustment of prosthetic and other devices (Z44-Z46)
- presence of cerebrospinal fluid drainage device (Z98.2)
Medicare LCD Coverage for Z97
Local Coverage Determinations (LCDs) from CMS MACs that list Z97 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing Z97.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but Z97 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with Z97
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.
Codes Adjacent To Z97
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 Z97, Billing FAQ
Is ICD-10 code Z97 billable? +
No, Z97 is a non-billable header code. Use a more specific child code from block Z97 when submitting claims.
What codes are Type 1 Excludes for Z97? +
Type 1 Excludes (never code together with Z97): complications of internal prosthetic devices, implants and grafts (T82-T85)
What codes are Type 2 Excludes for Z97? +
Type 2 Excludes (may be coded together when both conditions exist): fitting and adjustment of prosthetic and other devices (Z44-Z46); presence of cerebrospinal fluid drainage device (Z98.2)
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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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