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ICD-10-CM 2027 diagnosis code

Z45.82Encounter for adjustment or removal of myringotomy device (stent) (tube)

✓ Billable / specificPOA exemptNot a principal dx

Z45.82 is a valid, billable ICD-10-CM code for encounter for adjustment or removal of myringotomy device (stent) (tube). It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.Short description: Encntr for adjust or removal of myringotomy device (tube)

Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About Z45.82

Z45.82 is the ICD-10-CM diagnosis code for encounter for adjustment or removal of myringotomy device (stent) (tube). 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 Z45.8 (encounter for adjustment and management of other implanted devices), Z45.82 is specifically for encounter for adjustment or removal of myringotomy device (stent) (tube). Related codes cover or removal of breast implant (Z45.81) and and management of other implanted devices (Z45.89).

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 951 (Other Factors Influencing Health Status, relative weight 0.5577), in MDC 23 (Factors Influencing Health Status and Other Contacts with Health Services), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It is not acceptable as the principal diagnosis for an inpatient stay; it may be reported as a secondary diagnosis.

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 V53.99 (fitting and adjustment, other device).

Notes that apply from higher levels

Instructions written at a parent level also apply to Z45.82.

› From Z45 Encounter for adjustment and management of implanted device
Includes
  • removal or replacement of implanted device
Excludes1
  • malfunction or other complications of device - see Alphabetical Index
Excludes2
  • encounter for fitting and adjustment of non-implanted device (Z46.-)

Broader instructions also apply from Z40-Z53 Encounters for other specific health care and Chapter 21: Factors influencing health status and contact with health services.

Alphabetic index entries

4 entries

Terms in the official ICD-10-CM index that lead to Z45.82.

MS-DRG v44.0 grouping

All DRGs →

Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.

MDC 23 · Factors Influencing Health Status and Other Contacts with Health Services

ICD-9-CM equivalent

Converter →
  • V53.99Fitting and adjustment, other deviceapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about Z45.82

Is Z45.82 billable?

Yes. Z45.82 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can Z45.82 be used as a principal diagnosis?

No. It is not acceptable as the principal diagnosis for an inpatient stay; it may be reported as a secondary diagnosis.

Is Z45.82 a CC or MCC?

No. Z45.82 is neither a CC nor an MCC under MS-DRG v44.0.

What DRG does Z45.82 group to?

Z45.82 is used in the MS-DRG v44.0 logic for MS-DRG 951 (Other Factors Influencing Health Status). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.

What is the ICD-9 code for Z45.82?

The CMS General Equivalence Mappings map Z45.82 to ICD-9-CM V53.99.