Z45.02Encounter for adjustment and management of automatic implantable cardiac defibrillator

Z45.02 is the ICD-10-CM diagnosis code for encounter for adjustment and management of automatic implantable cardiac defibrillator. It belongs to category Z45 (encounter for adjustment and management of implanted device), block Z40-Z53 (Encounters for other specific health care) and chapter 21 (factors influencing health status and contact with health services). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within Z45.0 (encounter for adjustment and management of cardiac device), Z45.02 is specifically for encounter for adjustment and management of automatic implantable cardiac defibrillator. Related codes cover cardiac pacemaker (Z45.01) and other cardiac device (Z45.09).

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 314 (Other Circulatory System Diagnoses with MCC, relative weight 2.0873), DRG 315 (Other Circulatory System Diagnoses with CC, relative weight 0.9508) and DRG 316 (Other Circulatory System Diagnoses without CC/MCC, relative weight 0.6677), in MDC 05 (Diseases and Disorders of the Circulatory System), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

When it is the principal diagnosis, Medicare considers it a questionable reason for an inpatient admission, so claims may be reviewed.

It is exempt from present-on-admission (POA) reporting, so no POA indicator is required.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as V53.32 (fitting and adjustment of automatic implantable cardiac defibrillator).