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ICD-10-CM 2027 diagnosis code

Z97.12Presence of artificial left arm (complete) (partial)

✓ Billable / specificPOA exemptNot a principal dx

Z97.12 is a valid, billable ICD-10-CM code for presence of artificial left arm (complete) (partial). 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 Z97.12

Z97.12 is the ICD-10-CM diagnosis code for presence of artificial left arm (complete) (partial). It belongs to category Z97 (presence of other devices), block Z77-Z99 (persons with potential health hazards related to family and personal history and certain conditions influencing health status) 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 Z97.1 (presence of artificial limb (complete) (partial)), Z97.12 is specifically for presence of artificial left arm (complete) (partial). Related codes cover unspecified (Z97.10), right arm (complete) (partial) (Z97.11), right leg (complete) (partial) (Z97.13), left leg (complete) (partial) (Z97.14), arms, bilateral (complete) (partial) (Z97.15) and legs, bilateral (complete) (partial) (Z97.16).

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 564 (Other Musculoskeletal System and Connective Tissue Diagnoses with MCC, relative weight 1.4908), DRG 565 (Other Musculoskeletal System and Connective Tissue Diagnoses with CC, relative weight 0.9783) and DRG 566 (Other Musculoskeletal System and Connective Tissue Diagnoses without CC/MCC, relative weight 0.7378), 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 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 V43.7 (limb replaced by other means).

Notes that apply from higher levels

Instructions written at a parent level also apply to Z97.12.

› From Z97 Presence of other devices
Excludes1
  • complications of internal prosthetic devices, implants and grafts (T82-T85)
Excludes2
  • fitting and adjustment of prosthetic and other devices (Z44-Z46)
  • presence of cerebrospinal fluid drainage device (Z98.2)

Broader instructions also apply from Z77-Z99 Persons with potential health hazards related to family and personal history and certain conditions influencing health status and Chapter 21: Factors influencing health status and contact with health services.

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 →
  • V43.7Limb replaced by other meansapproximate

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 Z97.12

Is Z97.12 billable?

Yes. Z97.12 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can Z97.12 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 Z97.12 a CC or MCC?

No. Z97.12 is neither a CC nor an MCC under MS-DRG v44.0.

What DRG does Z97.12 group to?

Z97.12 is used in the MS-DRG v44.0 logic for MS-DRG 564 (Other Musculoskeletal System and Connective Tissue Diagnoses with MCC), MS-DRG 565 (Other Musculoskeletal System and Connective Tissue Diagnoses with CC) and MS-DRG 566 (Other Musculoskeletal System and Connective Tissue Diagnoses 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 Z97.12?

The CMS General Equivalence Mappings map Z97.12 to ICD-9-CM V43.7.