ICD-10 code for joint implant presence

The ICD-10-CM code for joint implant presence is Z96.60 (Presence of unspecified orthopedic joint implant). The official index lists 1 more specific code, so check the documentation for details such as type, cause, site or severity before settling on Z96.60.

Within Z96.6, choose Z96.60 (unspecified orthopedic joint implant) only when documentation doesn't support a more specific option: artificial shoulder joint (Z96.61), artificial elbow joint (Z96.62), artificial wrist joint (Z96.63), artificial hip joint (Z96.64), artificial knee joint (Z96.65), artificial ankle joint (Z96.66) and other orthopedic joint implants (Z96.69).

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.