ICD-10 Z98.61
Billable / SpecificCoronary angioplasty status
About ICD-10-CM Z98.61
ICD-10-CM code Z98.61 represents Coronary angioplasty status. This is a billable/specific code in the Factors Influencing Health Status chapter (block Z98). The 2026 edition of ICD-10-CM Z98.61 became effective on October 1, 2025.
Type 1 Excludes
Pure excludes, these codes can never be coded together with Z98.61. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- coronary angioplasty status with implant and graft (Z95.5)
Medicare LCD Coverage for Z98.61
Local Coverage Determinations (LCDs) from CMS MACs that list Z98.61 as a covered diagnosis.
Showing top 10 of 410 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing Z98.61.
5 Medicare
3 Aetna
CPT Codes Commonly Billed with Z98.61
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 Z98.61 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 |
|---|---|---|
| Z98.61 | V4582 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To Z98.61
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 Z98.61, Billing FAQ
Is ICD-10 code Z98.61 billable? +
Yes, Z98.61 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What codes are Type 1 Excludes for Z98.61? +
Type 1 Excludes (never code together with Z98.61): coronary angioplasty status with implant and graft (Z95.5)
What CPT codes are commonly billed with Z98.61? +
Procedures frequently paired with Z98.61 include: 93798, 93797, G0423, G0422.
What ICD-9 codes does Z98.61 map to? +
Per CMS GEMs, Z98.61 maps to ICD-9 codes: V4582. 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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