Z45.018 Encounter for adjustment and management of other part of cardiac pacemaker
Instructional Notes:
Z45.018 Description: Encounter for adjustment and management of other part of cardiac pacemaker Exclude1:
presence of other part of cardiac pacemaker (Z95.0)
Exclude2:
presence of prosthetic and other devices (Z95.1-Z95.5, Z95.811-Z97)
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Z45.01 Description: Encounter for adjustment and management of cardiac pacemaker Exclude1:
encounter for adjustment and management of automatic implantable cardiac defibrillator with synchronous cardiac pacemaker (Z45.02)
Inclusion Term:
Encounter for adjustment and management of cardiac resynchronization therapy pacemaker (CRT-P)
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Z45.0 Description: Encounter for adjustment and management of cardiac device ↓
Z45 Description: Encounter for adjustment and management of implanted device Exclude1:
malfunction or other complications of device - see Alphabetical Index
Exclude2:
encounter for fitting and adjustment of non-implanted device (Z46.-)
Include:
removal or replacement of implanted device
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Z40-Z53 Description: Encounters for other specific health care (Z40-Z53) Exclude2:
follow-up examination for medical surveillance after treatment (Z08-Z09)
Inclusion Term:
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 state
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Z00-Z99 Description: Factors influencing health status and contact with health services 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:
(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.