Z96.3: Presence of artificial larynx
Z96.3, presence of artificial larynx, is listed as a covered diagnosis in 4 Medicare billing and coding articles that apply to 76 HCPCS Level II codes, including A9999 (Miscellaneous dme supply or accessory, not otherwise…), A7501 (Tracheostoma valve, including diaphragm, each), A7520 (Tracheostomy/laryngectomy tube, non-cuffed…). 38 of these codes have a 2026 DMEPOS fee schedule amount; A7501 pays $149.66 to $179.61 depending on the state. The articles come from 3 Medicare contractors. A listed diagnosis supports medical necessity only; coverage still depends on the LCD's criteria and on documentation in the medical record.
HCPCS Level II codes with Z96.3 as a covered diagnosis
| Code | Description | Medicare coverage | DMEPOS fee 2026 (state range) | Articles listing it |
|---|---|---|---|---|
| A9999 | Miscellaneous dme supply or accessory, not otherwise specified | Carrier judgment | — | 2 |
| A7501 | Tracheostoma valve, including diaphragm, each | Special coverage instructions apply | $149.66–$179.61 | 1 |
| A7520 | Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each | Carrier judgment | $67.66–$81.18 | 1 |
| A7521 | Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each | Carrier judgment | $67.04–$80.49 | 1 |
| A7522 | Tracheostomy/laryngectomy tube, stainless steel or equal (sterilizable and reusable), each | Carrier judgment | $64.36–$77.22 | 1 |
| A4625 | Tracheostomy care kit for new tracheostomy | Special coverage instructions apply | $8.39–$63.09 | 1 |
| A7503 | Filter holder or filter cap, reusable, for use in a tracheostoma heat and moisture exchange system, each | Special coverage instructions apply | $16.17–$19.42 | 1 |
| A4629 | Tracheostomy care kit for established tracheostomy | Special coverage instructions apply | $6.59–$7.73 | 1 |
| A7526 | Tracheostomy tube collar/holder, each | Carrier judgment | $4.83–$5.71 | 1 |
| A7508 | Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange system and/or with a tracheostoma valve, each | Special coverage instructions apply | $4.09–$4.95 | 1 |
| A4626 | Tracheostomy cleaning brush, each | Special coverage instructions apply | $1.75–$4.54 | 1 |
| A7507 | Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each | Special coverage instructions apply | $3.56–$4.34 | 1 |
| A7509 | Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each | Special coverage instructions apply | $2.01–$2.37 | 1 |
| A7504 | Filter for use in a tracheostoma heat and moisture exchange system, each | Special coverage instructions apply | $0.97–$1.15 | 1 |
| A4481 | Tracheostoma filter, any type, any size, each | Special coverage instructions apply | $0.51–$0.77 | 1 |
| A4452 | Tape, waterproof, per 18 square inches | Special coverage instructions apply | $0.50–$0.58 (AU) | 1 |
| A7506 | Adhesive disc for use in a heat and moisture exchange system and/or with tracheostoma valve, any type each | Special coverage instructions apply | $0.46–$0.52 | 1 |
| A5120 | Skin barrier, wipes or swabs, each | Special coverage instructions apply | $0.14–$0.38 (AU) | 1 |
| A4450 | Tape, non-waterproof, per 18 square inches | Special coverage instructions apply | $0.10–$0.14 (AU) | 1 |
| E1399 | Durable medical equipment, miscellaneous | Carrier judgment | — | 1 |
| A4483 | Moisture exchanger, disposable, for use with invasive mechanical ventilation | Special coverage instructions apply | — | 1 |
| G0451 | Development testing, with interpretation and report, per standardized instrument form | Carrier judgment | — | 1 |
| K0730 | Controlled dose inhalation drug delivery system | Carrier judgment | $245.69 (RR) | 1 |
| E1372 | Immersion external heater for nebulizer | Special coverage instructions apply | $136.61–$208.94 (NU) | 1 |
| A7017 | Nebulizer, durable, glass or autoclavable plastic, bottle type, not used with oxygen | Special coverage instructions apply | $130.82–$194.58 (NU) | 1 |
51 more codes are listed. See every code with payment by region in Caduvo.
Medicare policy articles listing Z96.3
- A52492: Tracheostomy Care Supplies - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC); 21 Level II codes). LCD with the same title: L33832
- A52866: Billing and Coding: Speech-Language Pathology (Wellpoint Federal (MAC - Part A, MAC - Part B); 1 Level II codes). LCD with the same title: L33580, L34046
- A52466: Nebulizers - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC); 53 Level II codes). LCD with the same title: L33370
- A53052: Billing and Coding: Home Health Speech-Language Pathology (Palmetto GBA (HHH MAC); 2 Level II codes). LCD with the same title: L34563
A diagnosis listed as covered in a billing and coding article supports medical necessity for the article's codes; it does not guarantee payment. Coverage depends on the LCD's criteria, the contractor's jurisdiction and documentation in the medical record.
Other Z96 diagnoses (Presence of other functional implants)
- Z96.612 — Presence of left artificial shoulder joint
- Z96.622 — Presence of left artificial elbow joint
- Z96.631 — Presence of right artificial wrist joint
- Z96.641 — Presence of right artificial hip joint
- Z96.642 — Presence of left artificial hip joint
- Z96.643 — Presence of artificial hip joint, bilateral
- Z96.651 — Presence of right artificial knee joint
- Z96.652 — Presence of left artificial knee joint
- Z96.653 — Presence of artificial knee joint, bilateral
- Z96.661 — Presence of right artificial ankle joint
- Z96.662 — Presence of left artificial ankle joint
- Z96.692 — Finger-joint replacement of left hand
- Z96.693 — Finger-joint replacement, bilateral
- Z96.698 — Presence of other orthopedic joint implants
- Z96.7 — Presence of other bone and tendon implants
Frequently asked questions
Does Medicare cover Z96.3 (Presence of artificial larynx)?
Medicare covers items and services, not diagnoses. 4 Medicare billing and coding articles list Z96.3 as a covered diagnosis for 76 HCPCS Level II codes: the diagnosis can support medical necessity for those codes, but payment still depends on the LCD's coverage criteria and the medical record.
Which HCPCS codes can be billed with ICD-10 Z96.3?
The Level II codes from the policies most specific to this diagnosis are A9999 (Miscellaneous dme supply or accessory, not otherwise…, 2 articles); A7501 (Tracheostoma valve, including diaphragm, each, 1 article); A7520 (Tracheostomy/laryngectomy tube, non-cuffed…, 1 article); A7521 (Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride…, 1 article); A7522 (Tracheostomy/laryngectomy tube, stainless steel or equal…, 1 article). Code choice depends on the item supplied; check each code's descriptor.
What does Medicare pay for equipment billed with Z96.3?
Under the 2026 DMEPOS fee schedule (non-rural state fees): A7501 $149.66 to $179.61; A7520 $67.66 to $81.18; A7521 $67.04 to $80.49; A7522 $64.36 to $77.22. Medicare pays 80% of the allowed amount after the Part B deductible.
Which Medicare policy articles list Z96.3?
A52492 (Tracheostomy Care Supplies - Policy Article); A52866 (Billing and Coding: Speech-Language Pathology); A52466 (Nebulizers - Policy Article), and 1 more article.
What is ICD-10-CM code Z96.3?
Z96.3 is the ICD-10-CM code for presence of artificial larynx, in category Z96 (Presence of other functional implants), chapter 22: Factors influencing health status and contact with health services.
Next steps
- Run a reimbursement report for a device billed under A9999
- Watch A9999 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for A9999
Sources: CMS Medicare Coverage Database billing and coding articles (covered ICD-10 code lists and HCPCS links); ICD-10-CM FY2026; CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule 2026 (non-rural state fees). Not billing or legal advice.
Chapter 22: Factors influencing health status and contact with health services · All diagnoses · HCPCS lookup