Z46.89 Encounter for fitting and adjustment of other specified devices
Billable ICD-10-CM code, FY2026. Exempt from present-on-admission (POA) reporting.
Applicable to
Encounter for fitting and adjustment of wheelchair
Applies from Z46 Encounter for fitting and adjustment of other devices
Includes
removal or replacement of other device
Excludes1 (never code together)
malfunction or other complications of device - see Alphabetical Index
Excludes2 (not included here)
encounter for fitting and management of implanted devices (Z45.-)
issue of repeat prescription only (Z76.0)
presence of prosthetic and other devices (Z95-Z97)
MS-DRG index
Defines the logic of DRG(s) 951 in MDC 23.
Approximate ICD-9-CM (GEMs)
V53.7 Fitting and adjustment of orthopedic devices (approximate)
V53.8 Fitting and adjustment of wheelchair (approximate)
V53.99 Fitting and adjustment, other device (approximate)
Medicare Code Edits (MCE v43.1 (April 2026))
Unacceptable principal diagnosis: These codes describe a circumstance which influences care but is not a current illness or injury, or capture only an underlying condition, and are unacceptable as principal diagnosis.
Code annotations containing back-references to Z46.89
Back-references to Z46
Type 1 Excludes: Z08 Encounter for follow-up examination after completed treatment for malignant neoplasm ("aftercare following medical care (Z43-Z49, Z51)")
Type 1 Excludes: Z09 Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm ("aftercare following medical care (Z43-Z49, Z51)")
Type 1 Excludes: Z09 Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm ("surveillance of prosthetic and other medical devices (Z44-Z46)")
Type 2 Excludes: Z43 Encounter for attention to artificial openings ("fitting and adjustment of prosthetic and other devices (Z44-Z46)")
Type 2 Excludes: Z45 Encounter for adjustment and management of implanted device ("encounter for fitting and adjustment of non-implanted device (Z46.-)")
Type 2 Excludes: Z48 Encounter for other postprocedural aftercare ("encounter for fitting and adjustment of prosthetic and other devices (Z44-Z46)")
Type 2 Excludes: Z96 Presence of other functional implants ("fitting and adjustment of prosthetic and other devices (Z44-Z46)")
Type 2 Excludes: Z97 Presence of other devices ("fitting and adjustment of prosthetic and other devices (Z44-Z46)")
Type 2 Excludes: Z98 Other postprocedural states ("aftercare (Z43-Z49, Z51)")
Diagnosis Index entries for Z46.89
Admission (for) › adjustment (of) › colostomy belt
Admission (for) › adjustment (of) › device NEC › abdominal