InnovaRx Innova Health Strategies

Z46.2

Encounter for fitting and adjustment of other devices related to nervous system and special senses

Billable FY2026 2025-10-01 → 2026-09-30
Exclusions 7 never code together
Z46.2code
Excludes2
  • encounter for adjustment and management of implanted nervous system device (Z45.4-)Z45.4-Z45.4-
  • encounter for adjustment and management of implanted visual substitution device (Z45.31)Z45.31Z45.31
Z46code
Excludes1
  • malfunction or other complications of device - see Alphabetical Index
Excludes2
  • encounter for fitting and management of implanted devices (Z45.-)Z45.-
  • issue of repeat prescription only (Z76.0)Z76.0
  • presence of prosthetic and other devices (Z95-Z97)Z95-Z97
Z40-Z53block
Excludes2
  • follow-up examination for medical surveillance after treatment (Z08-Z09)Z08-Z09

Excludes1 — never code together. The excluded condition and this one are mutually exclusive.

Excludes2 — not included here, but the patient may have both. Code both when documented.

Instructional notes 5
Z46code
Includes
  • removal or replacement of other device
Z40-Z53block
Inclusion terms
  • Categories Z40-Z53 are intended for use to indicate a reason for care. They may be used for patients who have already been treated for a disease or injury, but who are receiving aftercare or prophylactic care, or care to consolidate the treatment, or to deal with a residual stateZ40-Z53
Z00-Z99chapter
Notes
  • 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:Z00-Z99A00-Y89
  • (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.
Index entries leading here 6
  • Admission (for) — see also Encounter (for)
    • adjustment (of)
      • brain neuropacemaker Z46.2
      • device NEC
      • neuropacemaker (brain) (peripheral nerve) (spinal cord) Z46.2
      • pacemaker (cardiac resynchronization therapy (CRT-P))
    • change of
      • neuropacemaker device (brain) (peripheral nerve) (spinal cord) Z46.2
    • fitting (of)
      • brain neuropacemaker Z46.2
      • device NEC
      • neuropacemaker (brain) (peripheral nerve) (spinal cord) Z46.2
    • removal of
      • neuropacemaker (brain) (peripheral nerve) (spinal cord) Z46.2
  • Aftercare Z51.89
    • neuropacemaker (brain) (peripheral nerve) (spinal cord) Z46.2
  • Fitting (and adjustment) (of)
    • device NOS Z46.9
    • brain neuropacemaker Z46.2
    • pacemaker (cardiac) (cardiac resynchronization therapy (CRT-P)) Z45.018
      • nervous system (brain) (peripheral nerve) (spinal cord) Z46.2
    • neuropacemaker Z46.2
  • Removal (from) (of)
    • nervous system device NEC Z46.2
      • brain neuropacemaker Z46.2
      • visual substitution device Z46.2
  • Encounter (with health service) (for) Z76.89
    • removal (of) — see also Removal
      • nervous system device NEC Z46.2
        • brain neuropacemaker Z46.2
        • visual substitution device Z46.2
  • Interrogation
Alongside this code 8 same parent — Z46
Medications 5

MED-RT files conditions by MeSH, which carves the world differently from ICD-10. These are name matches on this code's description, offered as candidates — not as an assertion that they are this code.

Additional references
AHA Coding Clinic® Licence required

Official coding advice for this code. Published by the American Hospital Association. Not included in this installation.

Risk adjustment

Maps to no condition category in any loaded model.

Presence is a property of the code. Untick a model to hide it everywhere.

This code

Billable
yes
Code set
FY2026
Parent
Z46
Block
Z40-Z53
Siblings
8

Present FY2024–FY2027.