ICD-10-CM 2027
ICD-10 code for insulin pump functional presence
From the official ICD-10-CM alphabetic index entry “Presence (of) › insulin pump (functional)”. Page updated September 29, 2026.
About coding insulin pump functional presence
The ICD-10-CM code for insulin pump functional presence is Z96.41 (Presence of insulin pump (external) (internal)).
Within Z96.4 (presence of endocrine implants), Z96.41 is specifically for presence of insulin pump (external) (internal). Related codes cover other endocrine implants (Z96.49).
It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.
In MS-DRG v44.0, it is part of the grouping logic for DRG 951 (Other Factors Influencing Health Status, relative weight 0.5577), in MDC 23 (Factors Influencing Health Status and Other Contacts with Health Services), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.
Common questions about insulin pump functional presence ICD-10 codes
What is the ICD-10 code for insulin pump functional presence?
- Z96.41 — Presence of insulin pump (external) (internal).
Is Z96.41 billable?
- Yes. Z96.41 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
Can Z96.41 be used as a principal diagnosis?
- No. It is not acceptable as the principal diagnosis for an inpatient stay; it may be reported as a secondary diagnosis.
Is Z96.41 a CC or MCC?
- No. Z96.41 is neither a CC nor an MCC under MS-DRG v44.0.