Is Z95.2 a billable ICD-10-CM code?

Yes. Z95.2 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does Z95.2 sit in the tabular list?

Factors influencing health status and contact with health services (Z00-Z99), in the block Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99).

Z95.2

Z95.2 — Presence of prosthetic heart valve

Billable / specific codeICD-10-CMPOA exempt

Z95.2 is a billable, specific ICD-10-CM code for presence of prosthetic heart valve. It is valid for submission on a claim.

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Presence of heart valve NOS

Other codes that can never be billed with Z95.2

These codes carry an Excludes1 note pointing at Z95.2. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Z95.2 alone.

Z94.1Heart transplant status

Risk adjustment

Z95.2 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Medicare coverage

Z95.2 is named in 14 Medicare coverage policies — 14 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A52868Billing and Coding: Transesophageal Echocardiography (TEE)
A53775Billing and Coding: Frequency and Duration for Cardiac Rehabilitation and Intensive Cardiac Rehabilitation
A56505Billing and Coding: Transesophageal Echocardiography (TEE)
A56625Billing and Coding: Echocardiography

How Z95.2 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to Z95.2.

Presence›heart valve implant(functional)
Presence›heart valve implant›prosthetic
Presence›implanted device›heart valve
Replacement by artificial or mechanical device or prosthesis of›heart›valve
Transplant›heart›valve
Presence›artificial›heart›valve
Presence›implanted device›heart valve›prosthetic
Replacement by artificial or mechanical device or prosthesis of›heart›valve›prosthetic
Transplant›heart›valve›prosthetic
Status›organ replacement›by artificial or mechanical device or prosthesis of›heart›valve

Related codes at this level

Codes that share Z95. If Z95.2 is not quite right, the correct code is usually one of these.

Questions about Z95.2

Is Z95.2 a billable ICD-10-CM code?: Yes. Z95.2 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does Z95.2 sit in the tabular list?: Factors influencing health status and contact with health services (Z00-Z99), in the block Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99).