Z96.41 Presence of insulin pump (external) (internal)

Billable ICD-10-CM code, FY2026.

Applies from Z96 Presence of other functional implants

Excludes2 (not included here)

• complications of internal prosthetic devices, implants and grafts (T82-T85)
• fitting and adjustment of prosthetic and other devices (Z44-Z46)

MS-DRG index

Defines the logic of DRG(s) 951 in MDC 23.

Approximate ICD-9-CM (GEMs)

• V45.85 Insulin pump status

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 Z96.41

Back-references to Z96

• Type 2 Excludes: M96 Intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified ("presence of functional implants and other devices (Z96-Z97)")
• Type 1 Excludes: Z18 Retained foreign body fragments ("organ or tissue replaced by means other than transplant (Z96.-, Z97.-)")
• Type 2 Excludes: Z46 Encounter for fitting and adjustment of other devices ("presence of prosthetic and other devices (Z95-Z97)")
• Type 2 Excludes: Z78 Other specified health status ("postprocedural status (Z93-Z99)")
• Type 2 Excludes: Z87.7 Personal history of (corrected) congenital malformations ("presence of other functional implants (Z96.-)")

Diagnosis Index entries for Z96.41

• Presence (of) › implanted device (artificial) (functional) (prosthetic) › insulin pump
• Presence (of) › insulin pump (functional)

Nearby codes

• Z96.21 Cochlear implant status
• Z96.22 Myringotomy tube(s) status
• Z96.29 Presence of other otological and audiological implants
• Z96.3 Presence of artificial larynx
• Z96.4 Presence of endocrine implants
• Z96.41 Presence of insulin pump (external) (internal) (this code)
• Z96.49 Presence of other endocrine implants
• Z96.5 Presence of tooth-root and mandibular implants
• Z96.6 Presence of orthopedic joint implants
• Z96.60 Presence of unspecified orthopedic joint implant
• Z96.61 Presence of artificial shoulder joint