CodeMap® 
150 North Wacker Drive
Suite 2360
Chicago, IL 60606
847-381-5465 Phone
847-381-4606 Fax
customerservice@codemap.com
      


2026 Printed Publications Early Bird Sale on Now through September 26, 2025!



User Information

Create New Account

Lost Password

Username:
Password:


Quick Links

LCDs and LCAs
by Contractor

PLA Codes

Laboratory Fee Schedule

2025
2024
QW Tests

Physician Fee Schedule

2025
2024

OPPS Fee Schedule

2025-July
2025-April

ASC Fee Schedule

2025-July
2025-April

APC Codes

2025-July
2025-April

DRG Codes

2025
2024

ASP Drug Pricing Files

2025-July
2025-April


CMS Transmittals




ICD-10 Code or Description Search:

Z96.5 Quick jump to specific ICD-10 (CM) Code: Z96.611


See Category: Factors influencing health status and contact with health services

See Header: Presence of orthopedic joint implants

ICD-10 (CM) Code and Descriptor

Z96.60 Presence of unspecified orthopedic joint implant
  • This code is considered unacceptable as a principal diagnosis.
  • Z9660 utilizaton on OPPS claims.*

    Primary
    ICD10 Code
    ICD10
    Position 2
    ICD10
    Position 3
    ICD10
    Position 4
    ICD10
    Position 5
    ICD10
    Position 6
    ICD10
    Position 7
    ICD10
    Position 8
    ICD10
    Position 9
    ICD10
    Position 10
    7.93% 8.61% 6.20% 7.01% 6.86% 6.39% 6.92% 6.74% 5.78% 5.59%

    * Medicare Part A utilization data is derived from the 100% 2023 Outpatient (Fee-for-Service) Standard Analytical File.

    Commonly Associated Procedure Codes for Z96.60*:

    CPT
    Description Number of Claims Sum Performed
    G0463
    HOSPITAL OUTPT CLINIC VISIT 517 517
    97110
    THERAPEUTIC EXERCISES 292 543
    73502
    X-RAY EXAM HIP UNI 2-3 VIEWS 108 108
    97140
    MANUAL THERAPY 1/> REGIONS 93 94
    36415
    COLL VENOUS BLD VENIPUNCTURE 85 85
    97530
    THERAPEUTIC ACTIVITIES 82 111
    97112
    NEUROMUSCULAR REEDUCATION 79 85
    73562
    X-RAY EXAM OF KNEE 3 73 73
    86140
    C-REACTIVE PROTEIN 58 58
    85025
    COMPLETE CBC W/AUTO DIFF WBC 47 47
    85652
    RBC SED RATE AUTOMATED 39 39
    85610
    PROTHROMBIN TIME 38 38
    77073
    BONE LENGTH STUDIES 38 38
    97116
    GAIT TRAINING THERAPY 36 39
    80053
    COMPREHEN METABOLIC PANEL 29 29
    Q3014
    TELEHEALTH FACILITY FEE 26 26
    73560
    X-RAY EXAM OF KNEE 1 OR 2 25 25
    97150
    GROUP THERAPEUTIC PROCEDURES 25 25
    85651
    RBC SED RATE NONAUTOMATED 17 17
    73564
    X-RAY EXAM KNEE 4 OR MORE 12 12

    * Derived from 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.



    Z96.60 related to the following DRG Codes:

    564-566






    CodeMap¨ is a Registered Trademark of Wheaton Partners, LLC.