Z46.4 ICD-10-CA code: Fitting and adjustment of orthodontic device
Z46.4 is the ICD-10-CA code for “Fitting and adjustment of orthodontic device” in CIHI’s FY 2026–2027 release, in effect from Apr 1, 2026.
Official description
Z46.4Fitting and adjustment of orthodontic device
Short description: Fitting & adjustment of orthodontic dev
ICD-10-CA · Canada · Also written Z464
Index terms
Entries in CIHI’s alphabetical index that lead to Z46.4. Searching the index by the condition the note names is how coders reach this code.
- Orthodontics, fitting
- Orthodontics, adjustment
- Fitting (of), device NEC (related to), orthodontic
Notes for Z46.4
As CIHI prints them, with any note Z46.4 takes from the headings above it.
Excludes
Conditions classified elsewhere.
- Issue of repeat prescription only (Z76.0)malfunction or other complications of device - see Alphabetical Indexpresence of prosthetic and other devices (Z95-Z97)From Z46 Fitting and adjustment of other devices
- Follow-up examination for medical surveillance after treatment (Z08-Z09)From Z40-Z54 Persons encountering health services for specific procedures and health care
Note
- Categories (Z40-Z54) are intended for use to indicate a reason for care. They may be used for patients who have already been treated for a disease or injury, but who are receiving follow-up or prophylactic care, convalescent care, or care to consolidate the treatment, to deal with residual states, to ensure that the condition has not recurred, or to prevent recurrence.From Z40-Z54 Persons encountering health services for specific procedures and health care
- This chapter should not be used for international comparison or for primary mortality coding.Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as "diagnoses" or "problems". This can arise in two main ways:(a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination or to discuss a problem which is in itself not a disease or injury.(b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury. Such factors may be elicited during population surveys, when the person may or may not be currently sick, or be recorded as an additional factor to be borne in mind when the person is receiving care for some illness or injury.From Chapter 21: Factors influencing health status and contact with health services (Z00-Z99)
Where Z46.4 sits
- 1ChapterChapter 21: Factors influencing health status and contact with health services (Z00-Z99)
- 2Block Z40-Z54Persons encountering health services for specific procedures and health care
- 3Category Z46Fitting and adjustment of other devices
- 4Valid code Z46.4Fitting and adjustment of orthodontic device
Source and release
- Data release
- ICD-10-CA · FY 2026–2027
- Effective date
- Apr 1, 2026
- Publisher
- CIHI
This page is built from the ICD-10-CA catalog that Vero Codes reads when it suggests codes: Canadian Institute for Health Information’s FY 2026–2027 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
What does ICD-10-CA code Z46.4 mean?
Z46.4 is the ICD-10-CA code for “Fitting and adjustment of orthodontic device” in CIHI’s ICD-10-CA FY 2026–2027 release.
Where is Z46.4 in ICD-10-CA?
Z46.4 sits under Z46 Fitting and adjustment of other devices, within Z40-Z54 Persons encountering health services for specific procedures and health care, within Chapter 21: Factors influencing health status and contact with health services (Z00-Z99).
What coding notes apply to Z46.4?
ICD-10-CA lists Excludes, Note notes for Z46.4, including those from the headings it sits under. They are listed on this page with where each one comes from.
Which ICD-10-CA release does this page use?
It uses CIHI’s FY 2026–2027 release, in effect from Apr 1, 2026 to Mar 31, 2027. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.
Codes beside Z46.4
View Z46Z46.0Fitting and adjustment of spectacles and contact lensesZ46.1Fitting and adjustment of hearing aidZ46.2Fitting and adjustment of other devices related to nervous system and special sensesZ46.3Fitting and adjustment of dental prosthetic deviceZ46.5Fitting and adjustment of ileostomy and other intestinal appliancesZ46.6Fitting and adjustment of urinary deviceZ46.7Fitting and adjustment of orthopaedic deviceZ46.8Fitting and adjustment of other specified devicesZ46.9Fitting and adjustment of unspecified device