Z46.4
BillableEncounter for fitting and adjustment of orthodontic device
Encounter for fitting and adjustment of orthodontic device
Coding Notes
Includes
Conditions included under this code
- removal or replacement of other device
Excludes 1
Codes that cannot be used together with this code (mutual exclusion)
- malfunction or other complications of device - see Alphabetical Index
Excludes 2
Conditions not included here, but the patient may have both
Related Codes(8)
Z46.0Encounter for fit/adjst of spectacles and contact lenses
Z46.1Encounter for fitting and adjustment of hearing aid
Z46.2Encntr for fit/adjst of dev rel to nrv sys and specl senses
Z46.3Encounter for fit/adjst of dental prosthetic device
Z46.5Encounter for fit/adjst of GI appliance and device
Z46.6Encounter for fitting and adjustment of urinary device
Z46.8Encounter for fitting and adjustment of oth devices
Z46.9Encounter for fitting and adjustment of unspecified device
ICD-11 Equivalents(1)
ICD-11 Equivalents
View full mappingCorresponding ICD-11 codes from the WHO crosswalk mapping
Also Known As / Clinical Terms(25)
SNOMED CT
- Requires upper removable orthodontic appliance698533007
- Requires upper orthodontic retainer698534001
- Requires upper fixed orthodontic appliance698535000
- Requires soft occlusal appliance698536004
- Requires removable orthodontic appliance698537008
- Requires orthodontic retainer698538003
- Requires lower removable orthodontic appliance698539006
- Requires lower orthodontic retainer698540008
- Requires lower fixed orthodontic appliance698541007
- Requires hard occlusal appliance698542000
- Requires fixed orthodontic appliance698543005
- Requires functional orthodontic appliance698544004
Clinical Terms
- Requires upper removable orthodontic appliance
- Requires hard occlusal appliance
- Requires functional orthodontic appliance
- Requires lower orthodontic retainer
- Requires removable orthodontic appliance
- Requires orthodontic retainer
- Requires soft occlusal appliance
- Requires upper orthodontic retainer
- Requires upper fixed orthodontic appliance
- Requires lower fixed orthodontic appliance
- Requires lower removable orthodontic appliance
- Requires fixed orthodontic appliance
Frequently Asked Questions
What is the ICD-10 code for encounter for fitting and adjustment of orthodontic device?
The ICD-10-CM code for encounter for fitting and adjustment of orthodontic device is Z46.4. The full clinical description is "Encounter for fitting and adjustment of orthodontic device". Z46.4 is a billable/specific code that can be used on insurance claims and medical billing.
What does ICD-10 code Z46.4 mean?
ICD-10-CM code Z46.4 represents “Encounter for fitting and adjustment of orthodontic device”. It is classified under Chapter 22: Factors Influencing Health Status and Contact With Health Services and is a billable/specific code that can be used on a claim.
Is Z46.4 a billable code?
Yes, Z46.4 is a billable/specific ICD-10-CM code and can be used to indicate a diagnosis on a medical claim.
What chapter is Z46.4 in?
Z46.4 is in Chapter 22: Factors Influencing Health Status and Contact With Health Services (codes Z00-Z99).
What codes cannot be used with Z46.4?
Z46.4 has Excludes1 notes indicating codes that cannot be used together with it, including: malfunction or other complications of device - see Alphabetical Index.
What SNOMED CT codes does Z46.4 map to?
Z46.4 maps to 12 SNOMED CT concepts: 698543005, 698544004, 698542000, 698541007, 698540008, and 7 more. SNOMED CT is a clinical terminology used in electronic health records.
What are the UMLS CUIs for Z46.4?
Z46.4 is linked to 1 UMLS Concept Unique Identifier: C0260750. The UMLS (Unified Medical Language System) integrates multiple biomedical vocabularies maintained by the U.S. National Library of Medicine.
How does Z46.4 relate to ICF functioning codes?
ICF (International Classification of Functioning, Disability and Health) codes describe how conditions like encounter for fitting and adjustment of orthodontic device affect a person's functioning — body functions, activities, participation, and environmental factors. AutoICD provides ICF Core Sets for 12+ conditions and can map clinical text to ICF categories automatically. Browse the ICF directory to explore functioning codes.
What is the ICD-11 equivalent of Z46.4?
Z46.4 maps to the ICD-11 code: QB31.2 (Fitting or adjustment of orthodontic device).
Automate ICD-10 Coding With AI
Send clinical text to the AutoICD API and get back structured ICD-10 codes with confidence scores. Integrates into any EHR or billing system in minutes.
Includes SNOMED Clinical Terms® (SNOMED CT®) used by permission of SNOMED International. Includes content from the UMLS Metathesaurus, courtesy of the U.S. National Library of Medicine.