Z47.2
Billable codeEncounter for removal of internal fixation device
The ICD-10 code for encounter for removal of internal fixation device is Z47.2.
Clinical notes
Excludes1 (not coded here)
An Excludes1 note is a pure exclusion: the excluded condition and this code should never be reported together, because the two conditions cannot occur at the same time (e.g. a congenital form vs. an acquired form of the same disease).
- encounter for adjustment of internal fixation device for fracture treatment- code to fracture with appropriate 7th character
- encounter for removal of external fixation device- code to fracture with 7th character D
- infection or inflammatory reaction to internal fixation device (T84.6-)
- mechanical complication of internal fixation device (T84.1-)
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •Confirm the excluded condition(s) listed above are not also present — Excludes1 conditions cannot be coded together with this one.
- •This category requires a 7th character. Documentation should clearly indicate the episode of care (initial encounter, subsequent encounter, or sequela).
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Related codes in this category
- Z47.1Aftercare following joint replacement surgery
- Z47.3Aftercare following explantation of joint prosthesisnon-billable header
- Z47.8Encounter for other orthopedic aftercarenon-billable header
- Z47.2Encounter for removal of internal fixation device
ICD-9-CM equivalent
Informational only — GEM mappings are approximate, not guaranteed one-to-one equivalents. Verify before use in billing.
- V5401
Associated MS-DRGs
Z47.2 can serve as the principal diagnosis for these Medicare Severity Diagnosis-Related Groups.
Informational only — actual DRG assignment also depends on procedures, complications/comorbidities (CC/MCC), discharge status, and payer-specific rules not reflected here.