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


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-April
2025-January

ASC Fee Schedule

2025-April
2025-January

APC Codes

2025-April
2025-January

DRG Codes

2025
2024

ASP Drug Pricing Files

2025-April
2025-January


CMS Transmittals



.

ICD-10 Code or Description Search:

Z97.12 Quick jump to specific ICD-10 (CM) Code: Z97.14


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

See Header: Presence of artificial limb (complete) (partial)

ICD-10 (CM) Code and Descriptor

Z97.13 Presence of artificial right leg (complete) (partial)
  • This code is considered unacceptable as a principal diagnosis.
  • Z9713 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
    12.01% 21.83% 12.28% 9.28% 9.14% 4.64% 3.96% 4.64% 3.55% 3.14%

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

    Commonly Associated Procedure Codes for Z97.13*:

    CPT
    Description Number of Claims Sum Performed
    97110
    THERAPEUTIC EXERCISES 95 167
    97112
    NEUROMUSCULAR REEDUCATION 71 82
    97530
    THERAPEUTIC ACTIVITIES 64 110
    97116
    GAIT TRAINING THERAPY 25 33
    97150
    GROUP THERAPEUTIC PROCEDURES 20 20
    97761
    PROSTHETIC TRAING 1ST ENC 14 35
    99213
    OFFICE O/P EST LOW 20 MIN 13 13
    97162
    PT EVAL MOD COMPLEX 30 MIN 9 9
    97535
    SELF CARE MNGMENT TRAINING 8 13
    G2025
    DIS SITE TELE SVCS RHC/FQHC 5 5
    G0463
    HOSPITAL OUTPT CLINIC VISIT 4 4
    97163
    PT EVAL HIGH COMPLEX 45 MIN 3 3
    99212
    OFFICE O/P EST SF 10 MIN 3 3
    G0467
    FQHC VISIT, ESTAB PT 2 2
    73718
    MRI LOWER EXTREMITY W/O DYE 1 1
    36415
    COLL VENOUS BLD VENIPUNCTURE 1 1
    85651
    RBC SED RATE NONAUTOMATED 1 1
    86140
    C-REACTIVE PROTEIN 1 1
    97542
    WHEELCHAIR MNGMENT TRAINING 1 1
    97161
    PT EVAL LOW COMPLEX 20 MIN 1 1

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



    Z97.13 related to the following DRG Codes:

    564-566






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