Presence of left artificial hip joint

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201620172018201920202021Billable/Specific Code

• Z96.642 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
• The 2021 edition of ICD-10-CM Z96.642 became effective on October 1, 2020.
• This is the American ICD-10-CM version of Z96.642 - other international versions of ICD-10 Z96.642 may differ.

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The following code(s) above

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Z96.642 contain annotation back-references

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In this context, annotation back-references refer to codes that contain:

• Applicable To annotations, or
• Code Also annotations, or
• Code First annotations, or
• Excludes1 annotations, or
• Excludes2 annotations, or
• Includes annotations, or
• Note annotations, or
• Use Additional annotations

that may be applicable to Z96.642:

• Z00-Z99
  2021 ICD-10-CM Range Z00-Z99

  Factors influencing health status and contact with health services

  Note

  • Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
  • (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
  • (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.
  Factors influencing health status and contact with health services
• Z77-Z99
  2021 ICD-10-CM Range Z77-Z99

  Persons with potential health hazards related to family and personal history and certain conditions influencing health status

  Persons with potential health hazards related to family and personal history and certain conditions influencing health status
• Z96

  Presence of other functional implants

  201620172018201920202021Non-Billable/Non-Specific Code

  Type 2 Excludes

  • complications of internal prosthetic devices, implants and grafts (T82-T85)
  • fitting and adjustment of prosthetic and other devices (Z44-Z46)
  Presence of other functional implants
• Z96.64
  ICD-10-CM Diagnosis Code Z96.64

  Presence of artificial hip joint

  201620172018201920202021Non-Billable/Non-Specific Code

  Applicable To

  • Hip-joint replacement (partial) (total)
  Presence of artificial hip joint

Approximate Synonyms

• Chronic pain due to left total hip arthroplasty
• Chronic pain following left total hip arthroplasty
• History of hemiarthroplasty of left hip
• History of implantation of artificial left hip joint
• History of left hip arthroplasty
• History of left hip bipolar hemiarthroplasty
• History of left hip hemiarthroplasty
• History of left hip replacement
• History of left total hip arthroplasty
• History of left total hip replacement
• History of revision of bilateral total hip arthroplasty
• History of revision of left total hip arthroplasty
• History of total replacement of left hip joint
• Hx of revision of bilateral total hip arthroplasty
• Pain due to left hip arthroplasty

ICD-10-CM Z96.642 is grouped within Diagnostic Related Group(s) (MS-DRG v38.0):

• 564 Other musculoskeletal system and connective tissue diagnoses with mcc
• 565 Other musculoskeletal system and connective tissue diagnoses with cc
• 566 Other musculoskeletal system and connective tissue diagnoses without cc/mcc

Convert Z96.642 to ICD-9-CM

Code History

• 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
• 2017 (effective 10/1/2016): No change
• 2018 (effective 10/1/2017): No change
• 2019 (effective 10/1/2018): No change
• 2020 (effective 10/1/2019): No change
• 2021 (effective 10/1/2020): No change

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

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