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ICD-10-CM 2027 diagnosis code

Z47.2Encounter for removal of internal fixation device

✓ Billable / specificPOA exempt

Z47.2 is a valid, billable ICD-10-CM code for encounter for removal of internal fixation device. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.

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 Z47.2

Z47.2 is the ICD-10-CM diagnosis code for encounter for removal of internal fixation device. It belongs to category Z47 (orthopedic aftercare), 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 Z47 (orthopedic aftercare), Z47.2 is specifically for encounter for removal of internal fixation device. Related codes cover aftercare following joint replacement surgery (Z47.1), aftercare following explantation of joint prosthesis (Z47.3) and encounter for other orthopedic aftercare (Z47.8).

Don't report Z47.2 together with the conditions in its Excludes1 note: encounter for adjustment of internal fixation device for fracture treatment- code to fracture with appropriate 7th character, encounter for removal of external fixation device- code to fracture with 7th character D, infection or inflammatory reaction to internal fixation device (T84.6-) and mechanical complication of internal fixation device (T84.1-).

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 559 (Aftercare, Musculoskeletal System and Connective Tissue with MCC, relative weight 1.8088), DRG 560 (Aftercare, Musculoskeletal System and Connective Tissue with CC, relative weight 1.1238) and DRG 561 (Aftercare, Musculoskeletal System and Connective Tissue without CC/MCC, relative weight 0.8258), in MDC 08 (Diseases and Disorders of the Musculoskeletal System and Connective Tissue), 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 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 V54.01 (encounter for removal of internal fixation device).

Coding notes

Excludes1Not coded here — never report together with this code
  • encounter for adjustment of internal fixation device for fracture treatment- code to fracture with appropriate 7th character
  • encounter for removal of external fixation device- code to fracture with 7th character D
  • infection or inflammatory reaction to internal fixation device (T84.6-)
  • mechanical complication of internal fixation device (T84.1-)

Notes that apply from higher levels

Instructions written at a parent level also apply to Z47.2.

› From Z47 Orthopedic aftercare
Excludes1
  • aftercare for healing fracture-code to fracture with 7th character D

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

2 entries

Terms in the official ICD-10-CM index that lead to Z47.2.

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.

ICD-9-CM equivalent

Converter →
  • V54.01Encounter for removal of internal fixation deviceexact

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 Z47.2

Is Z47.2 billable?

Yes. Z47.2 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can Z47.2 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict Z47.2 as a principal diagnosis.

Is Z47.2 a CC or MCC?

No. Z47.2 is neither a CC nor an MCC under MS-DRG v44.0.

What DRG does Z47.2 group to?

Z47.2 is used in the MS-DRG v44.0 logic for MS-DRG 559 (Aftercare, Musculoskeletal System and Connective Tissue with MCC), MS-DRG 560 (Aftercare, Musculoskeletal System and Connective Tissue with CC) and MS-DRG 561 (Aftercare, Musculoskeletal System and Connective Tissue without CC/MCC). 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 Z47.2?

The CMS General Equivalence Mappings map Z47.2 to ICD-9-CM V54.01.