Z46
Header — not billableEncounter for fitting and adjustment of other devices
The ICD-10 code for encounter for fitting and adjustment of other devices is Z46.
Z46 is a non-billable header code. It groups related conditions but cannot be used on its own for reimbursement — select one of the 9 more specific codes below.
Clinical notes
Excludes1 (not coded here)
An Excludes1 note is a pure exclusion: the excluded condition and this code should never be reported together, because the two conditions cannot occur at the same time (e.g. a congenital form vs. an acquired form of the same disease).
- malfunction or other complications of device - see Alphabetical Index
Excludes2 (not included here)
An Excludes2 note means the excluded condition is not part of this one, but a patient can have both at the same time — in that case both codes may be reported together.
Includes
Terms listed here further define or give examples of the conditions grouped under this code — they describe what the code covers, not a separate diagnosis.
- removal or replacement of other device
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •This is a non-billable header code. Documentation must support a more specific child code before this diagnosis can be reported on a claim.
- •Confirm the excluded condition(s) listed above are not also present — Excludes1 conditions cannot be coded together with this one.
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Child codes under Z46
- Z46.0Encounter for fitting and adjustment of spectacles and contact lenses
- Z46.1Encounter for fitting and adjustment of hearing aid
- Z46.2Encounter for fitting and adjustment of other devices related to nervous system and special senses
- Z46.3Encounter for fitting and adjustment of dental prosthetic device
- Z46.4Encounter for fitting and adjustment of orthodontic device
- Z46.5Encounter for fitting and adjustment of other gastrointestinal appliance and devicenon-billable header
- Z46.6Encounter for fitting and adjustment of urinary device
- Z46.8Encounter for fitting and adjustment of other specified devicesnon-billable header
- Z46.9Encounter for fitting and adjustment of unspecified device
Related codes in this category
- Z40Encounter for prophylactic surgerynon-billable header
- Z41Encounter for procedures for purposes other than remedying health statenon-billable header
- Z42Encounter for plastic and reconstructive surgery following medical procedure or healed injurynon-billable header
- Z43Encounter for attention to artificial openingsnon-billable header
- Z44Encounter for fitting and adjustment of external prosthetic devicenon-billable header
- Z45Encounter for adjustment and management of implanted devicenon-billable header
- Z47Orthopedic aftercarenon-billable header
- Z48Encounter for other postprocedural aftercarenon-billable header
- Z49Encounter for care involving renal dialysisnon-billable header
- Z51Encounter for other aftercare and medical carenon-billable header
- Z52Donors of organs and tissuesnon-billable header
- Z53Persons encountering health services for specific procedures and treatment, not carried outnon-billable header
- Z46Encounter for fitting and adjustment of other devicesnon-billable header