Z46: Encounter for fitting and adjustment of other devices
Z46.5: Encounter for fitting and adjustment of other gastrointestinal appliance and device

excludes1
encounter for attention to artificial openings of digestive tract (Z43.1-Z43.4)
Z46.51: Encounter for fitting and adjustment of gastric lap band
Z46.59: Encounter for fitting and adjustment of other gastrointestinal appliance and device

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