ICD-10-CM (2010)/CHAPTER 21
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- Z55-Z65 Persons with potential health hazards related to socioeconomic and psychosocial circumstances
- Z66 Do not resuscitate [DNR] status
- Z67 Blood type
- Z68 Body mass index (BMI)
- Z69-Z76 Persons encountering health services in other circumstances
- Z77-Z99 Persons with potential health hazards related to family and personal history and certain conditions influencing health status
Persons encountering health services for examinations (Z00-Z13)
[edit]- Note: Nonspecific abnormal findings disclosed at the time of these examinations are classified to categories R70-R94.
- Excludes1: examinations related to pregnancy and reproduction (Z30-Z36, Z39.-)
Z00 Encounter for general examination without complaint, suspected or reported diagnosis
[edit]- Excludes1: encounter for examination for administrative purposes (Z02.-)
- Excludes2: encounter for pre-procedural examinations (Z01.81-)
- special screening examinations (Z11-Z13)
- Z00.0 Encounter for general adult medical examination
- Encounter for adult periodic examination (annual) (physical) and any associated laboratory and radiologic examinations
- Excludes1: encounter for examination of sign or symptom- code to sign or symptom
- general health check-up of infant or child (Z00.12.-)
- Z00.00 Encounter for general adult medical examination without abnormal findings
- Encounter for adult health check-up NOS
- Z00.01 Encounter for general adult medical examination with abnormal findings
- Use additional code to identify abnormal findings
- Z00.1 Encounter for newborn, infant and child health examinations
- Z00.11 Newborn health examination
- Health check for child under 29 days old
- Use additional code to identify any abnormal findings
- Excludes1: health check for child over 28 days old (Z00.12-)
- Z00.110 Health examination for newborn under 8 days old
- Health check for newborn under 8 days old
- Z00.111 Health examination for newborn 8 to 28 days old
- Health check for newborn 8 to 28 days old
- Newborn weight check
- Z00.12 Encounter for routine child health examination
- Encounter for development testing of infant or child
- Health check (routine) for child over 28 days old
- Excludes1: health check for child under 29 days old (Z0.11-)
- health supervision of foundling or other healthy infant or child (Z76.1-Z76.2)
- newborn health examination (Z00.11-)
- Z00.121 Encounter for routine child health examination with abnormal findings
- Use additional code to identify abnormal findings
- Z00.129 Encounter for routine child health examination without abnormal findings
- Encounter for routine child health examination NOS
- Z00.11 Newborn health examination
- Z00.2 Encounter for examination for period of rapid growth in childhood
- Z00.3 Encounter for examination for adolescent development state
- Encounter for puberty development state
- Z00.5 Encounter for examination of potential donor of organ and tissue
- Z00.6 Encounter for examination for normal comparison and control in clinical research program
- Z00.7 Encounter for examination for period of delayed growth in childhood
- Z00.70 Encounter for examination for period of delayed growth in childhood without abnormal findings
- Z00.71 Encounter for examination for period of delayed growth in childhood with abnormal findings
- Use additional code to identify abnormal findings
- Z00.8 Encounter for other general examination
- Encounter for health examination in population surveys
Z01 Encounter for other special examination without complaint, suspected or reported diagnosis
[edit]- Includes: routine examination of specific system
- Note: Codes from category Z01 represent the reason for the encounter. A separate procedure code is required to identify any examinations or procedures performed
- Excludes1: encounter for examination for administrative purposes (Z02.-)
- encounter for examination for suspected conditions, proven not to exist (Z03.-)
- encounter for laboratory and radiologic examinations as a component of general medical examinations (Z00.0-)
- encounter for laboratory, radiologic and imaging examinations for sign(s) and symptom(s) - code to the sign(s) or symptom(s)
- Excludes2: screening examinations (Z11-Z13)
- Z01.0 Encounter for examination of eyes and vision
- Excludes1: examination for driving license (Z02.4)
- Z01. z01.00 Encounter for examination of eyes and vision without abnormal findings
- Encounter for examination of eyes and vision NOS
- Z01.01 Encounter for examination of eyes and vision with abnormal findings
- Use additional code to identify abnormal findings
- Z01.1 Encounter for examination of ears and hearing
- Z01.10 Encounter for examination of ears and hearing without abnormal findings
- Encounter for examination of ears and hearing NOS
- Z01.11 Encounter for examination of ears and hearing with abnormal findings
- Z01.110 Encounter for hearing examination following failed hearing screening
- Z01.118 Encounter for examination of ears and hearing with other abnormal findings
- Use additional code to identify abnormal findings
- Z01.12 Encounter for hearing conservation and treatment
- Z01.10 Encounter for examination of ears and hearing without abnormal findings
- Z01.2 Encounter for dental examination and cleaning
- Z01.20 Encounter for dental examination and cleaning without abnormal findings
- Encounter for dental examination and cleaning NOS
- Z01.21 Encounter for dental examination and cleaning with abnormal findings
- Use additional code to identify abnormal findings
- Z01.20 Encounter for dental examination and cleaning without abnormal findings
- Z01.3 Encounter for examination of blood pressure
- Z01.30 Encounter for examination of blood pressure without abnormal findings
- Encounter for examination of blood pressure NOS
- Z01.31 Encounter for examination of blood pressure with abnormal findings
- Use additional code to identify abnormal findings
- Z01.30 Encounter for examination of blood pressure without abnormal findings
- Z01.4 Encounter for gynecological examination
- Excludes2: pregnancy examination or test (Z32.0-)
- routine examination for contraceptive maintenance (Z30.4)
- Z01.41 Encounter for routine gynecological examination
- Encounter for general gynecological examination with or without cervical smear
- Encounter for gynecological examination (general) (routine) NOS
- Encounter for pelvic examination (annual) (periodic)
- Use additional code:
- for screening for human papillomavirus, if applicable, (Z11.51)
- for screening vaginal pap smear, if applicable (Z12.72)
- to identify acquired absence of uterus, if applicable (Z90.71-)
- Excludes1: gynecologic examination status-post hysterectomy for malignant condition (Z08)
- screening cervical pap smear not a part of a routine gynecological examination (Z12.4)
- Z01.411 Encounter for gynecological examination (general) (routine) with abnormal findings
- Z01.419 Encounter for gynecological examination (general) (routine) without abnormal findings
- Use additional code to identify abnormal findings
- Z01.42 Encounter for cervical smear to confirm findings of recent normal smear following initial abnormal smear
- Excludes2: pregnancy examination or test (Z32.0-)
- Z01.8 Encounter for other specified special examinations
- Z01.81 Encounter for preprocedural examinations
- Encounter for preoperative examinations
- Encounter for radiological and imaging examinations as part of preprocedural examination
- Z01.810 Encounter for preprocedural cardiovascular examination
- Z01.811 Encounter for preprocedural respiratory examination
- Z01.812 Encounter for preprocedural laboratory examination
- Blood and urine tests prior to treatment or procedure
- Z01.818 Encounter for other preprocedural examination
- Encounter for preprocedural examination NOS
- Encounter for examinations prior to antineoplastic chemotherapy
- Z01.82 Encounter for allergy testing
- Excludes1: encounter for antibody response examination (Z01.84)
- Z01.83 Encounter for blood typing
- Encounter for Rh typing
- Z01.84 Encounter for antibody response examination
- Encounter for immunity status testing
- Excludes1: encounter for allergy testing (Z01.82)
- Z01.89 Encounter for other specified special examinations
- Z01.81 Encounter for preprocedural examinations
Z02 Encounter for administrative examination
[edit]- Z02.0 Encounter for examination for admission to educational institution
- Encounter for examination for admission to preschool (education)
- Encounter for examination for re-admission to school following illness or medical treatment
- Z02.1 Encounter for pre-employment examination
- Z02.2 Encounter for examination for admission to residential institution
- Excludes1: examination for admission to prison (Z02.8)
- Z02.3 Encounter for examination for recruitment to armed forces
- Z02.4 Encounter for examination for driving license
- Z02.5 Encounter for examination for participation in sport
- Excludes1: blood-alcohol and blood-drug test (Z02.83)
- Z02.6 Encounter for examination for insurance purposes
- Z02.7 Encounter for issue of medical certificate
- Excludes1: encounter for general medical examination (Z00-Z01, Z02.0-Z02.6, Z02.8-Z02.9, )
- Z02.71 Encounter for disability determination
- Encounter for issue of medical certificate of incapacity
- Encounter for issue of medical certificate of invalidity
- Z02.79 Encounter for issue of other medical certificate
- Z02.8 Encounter for other administrative examinations
- Z02.81 Encounter for paternity testing
- Z02.82 Encounter for adoption services
- Z02.83 Encounter for blood-alcohol and blood-drug test
- Use additional code for findings of alcohol or drugs in blood (R78.-)
- Z02.89 Encounter for other administrative examinations
- Encounter for examination for admission to prison
- Encounter for examination for admission to summer camp
- Encounter for immigration examination
- Encounter for naturalization examination
- Encounter for premarital examination
- Excludes1: health supervision of foundling or other healthy infant or child (Z76.1-Z76.2)
- Z02.9 Encounter for administrative examinations, unspecified
Z03 Encounter for medical observation for suspected diseases and conditions ruled out
[edit]- This category is to be used when a person without a diagnosis is suspected of having an abnormal condition, without signs or symptoms, which requires study, but after examination and observation, is ruled out. This category is also for use for administrative and legal observation status.
- Excludes1: contact with and (suspected) exposures hazardous to health (Z77.-)
- newborn observation for suspected condition, ruled out (P00-P04)
- person with feared complaint in whom no diagnosis is made (Z71.1)
- signs or symptoms under study- code to signs or symptoms
- Z03.6 Encounter for observation for suspected toxic effect from ingested substance ruled out
- Encounter for observation for suspected adverse effect from drug
- Encounter for observation for suspected poisoning
- Z03.7 Encounter for suspected maternal and fetal conditions ruled out
- Encounter for suspected maternal and fetal conditions not found
- Excludes1: known or suspected fetal anomalies affecting management of mother, not ruled out (O26.-, O35.-, O36.-, O40.-, O41.-)
- Z03.71 Encounter for suspected problem with amniotic cavity and membrane ruled out
- Encounter for suspected oligohydramnios ruled out
- Encounter for suspected polyhydramnios ruled out
- Z03.72 Encounter for suspected placental problem ruled out
- Z03.73 Encounter for suspected fetal anomaly ruled out
- Z03.74 Encounter for suspected problem with fetal growth ruled out
- Z03.75 Encounter for suspected cervical shortening ruled out
- Z03.79 Encounter for other suspected maternal and fetal conditions ruled out
- Z03.8 Encounter for observation for other suspected diseases and conditions ruled out
- Z03.81 Encounter for observation for suspected exposure to biological agents ruled out
- Z03.810 Encounter for observation for suspected exposure to anthrax ruled out
- Z03.818 Encounter for observation for suspected exposure to other biological agents ruled out
- Z03.89 Encounter for observation for other suspected diseases and conditions ruled out
- Z03.81 Encounter for observation for suspected exposure to biological agents ruled out
Z04 Encounter for examination and observation for other reasons
[edit]- Includes: encounter for examination for medicolegal reasons
- This category is to be used when a person without a diagnosis is suspected of having an abnormal condition, without signs or symptoms, which requires study, but after examination and observation, is ruled-out. This category is also for use for administrative and legal observation status.
- Z04.1 Encounter for examination and observation following transport accident
- Excludes1: encounter for examination and observation following work accident (Z04.2)
- Z04.2 Encounter for examination and observation following work accident
- Z04.3 Encounter for examination and observation following other accident
- Z04.4 Encounter for examination and observation following alleged rape
- Encounter for examination and observation of victim following alleged rape
- Encounter for examination and observation of victim following alleged sexual abuse
- Z04.41 Encounter for examination and observation following alleged adult rape
- Suspected adult rape, ruled out
- Suspected adult sexual abuse, ruled out
- Z04.42 Encounter for examination and observation following alleged child rape
- Suspected child rape, ruled out
- Suspected child sexual abuse, ruled out
- Z04.6 Encounter for general psychiatric examination, requested by authority
- Z04.7 Encounter for examination and observation following alleged physical abuse
- Z04.71 Encounter for examination and observation following alleged adult physical abuse
- Suspected adult physical abuse, ruled out
- Excludes1: confirmed case of adult physical abuse (T74.-)
- encounter for examination and observation following alleged adult sexual abuse (Z04.41)
- suspected case of adult physical abuse, not ruled out (T76.-)
- Z04.72 Encounter for examination and observation following alleged child physical abuse
- Suspected child physical abuse, ruled out
- Excludes1: confirmed case of child physical abuse (T74.-)
- encounter for examination and observation following alleged child sexual abuse (Z04.42)
- suspected case of child physical abuse, not ruled out (T76.-)
- Z04.71 Encounter for examination and observation following alleged adult physical abuse
- Z04.8 Encounter for examination and observation for other specified reasons
- Encounter for examination and observation for request for expert evidence
- Z04.9 Encounter for examination and observation for unspecified reason
- Encounter for observation NOS
Z08 Encounter for follow-up examination after completed treatment for malignant neoplasm
[edit]- Includes: medical surveillance following completed treatment
- Use additional code to identify any acquired absence of organs (Z90.-)
- Use additional code to identify the personal history of malignant neoplasm (Z85.-)
- Excludes1: aftercare following medical care (Z43-Z49, Z51)
Z09 Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm
- Includes: medical surveillance following completed treatment
- Use additional code to identify any applicable history of disease code (Z86.-. Z87.-)
- Excludes1: aftercare following medical care (Z43-Z49, Z51)
- surveillance of contraception (Z30.4-)
- surveillance of prosthetic and other medical devices (Z44-Z46)
Z11 Encounter for screening for infectious and parasitic diseases
[edit]- Screening is the testing for disease or disease precursors in asymptomatic individuals so that early detection and treatment can be provided for those who test positive for the disease.
- Excludes1: encounter for diagnostic examination-code to sign or symptom
- Z11.0 Encounter for screening for intestinal infectious diseases
- Z11.1 Encounter for screening for respiratory tuberculosis
- Z11.2 Encounter for screening for other bacterial diseases
- Z11.3 Encounter for screening for infections with a predominantly sexual mode of transmission
- Excludes2: encounter for screening for human immunodeficiency virus [HIV] (Z11.4)
- encounter for screening for human papillomavirus (Z11.51)
- Excludes2: encounter for screening for human immunodeficiency virus [HIV] (Z11.4)
- Z11.4 Encounter for screening for human immunodeficiency virus [HIV]
- Z11.5 Encounter for screening for other viral diseases
- Excludes2: encounter for screening for viral intestinal disease (Z11.0)
- Z11.51 Encounter for screening for human papillomavirus (HPV)
- Z11.59 Encounter for screening for other viral diseases
- Z11.6 Encounter for screening for other protozoal diseases and helminthiases
- Excludes2: encounter for screening for protozoal intestinal disease (Z11.0)
- Z11.8 Encounter for screening for other infectious and parasitic diseases
- Encounter for screening for chlamydia
- Encounter for screening for rickettsial
- Encounter for screening for spirochetal
- Encounter for screening for mycoses
- Z11.9 Encounter for screening for infectious and parasitic diseases, unspecified
Z12 Encounter for screening for malignant neoplasms
[edit]- Screening is the testing for disease or disease precursors in asymptomatic individuals so that early detection and treatment can be provided for those who test positive for the disease.
- Use additional code to identify any family history of malignant neoplasm (Z80.-)
- Excludes1: encounter for diagnostic examination-code to sign or symptom
- Z12.0 Encounter for screening for malignant neoplasm of stomach
- Z12.1 Encounter for screening for malignant neoplasm of intestinal tract
- Z12.10 Encounter for screening for malignant neoplasm of intestinal tract, unspecified
- Z12.11 Encounter for screening for malignant neoplasm of colon
- Z12.12 Encounter for screening for malignant neoplasm of rectum
- Z12.13 Encounter for screening for malignant neoplasm of small intestine
- Z12.2 Encounter for screening for malignant neoplasm of respiratory organs
- Z12.3 Encounter for screening for malignant neoplasm of breast
- Z12.31 Encounter for screening mammogram for malignant neoplasm of breast
- Excludes1: inconclusive mammogram (R92.2)
- Z12.39 Encounter for other screening for malignant neoplasm of breast
- Z12.31 Encounter for screening mammogram for malignant neoplasm of breast
- Z12.4 Encounter for screening for malignant neoplasm of cervix
- Encounter for screening pap smear for malignant neoplasm of cervix
- Excludes1: encounter for screening for human papillomavirus (Z11.51)
- when screening is part of general gynecological examination (Z01.4-)
- Z12.5 Encounter for screening for malignant neoplasm of prostate
- Z12.6 Encounter for screening for malignant neoplasm of bladder
- Z12.7 Encounter for screening for malignant neoplasm of other genitourinary organs
- Z12.71 Encounter for screening for malignant neoplasm of testis
- Z12.72 Encounter for screening for malignant neoplasm of vagina
- Vaginal pap smear status-post hysterectomy for non-malignant condition
- Use additional code to identify acquired absence of uterus (Z90.71-)
- Excludes1: vaginal pap smear status-post hysterectomy for malignant conditions (Z08)
- Z12.73 Encounter for screening for malignant neoplasm of ovary
- Z12.79 Encounter for screening for malignant neoplasm of other genitourinary organs
- Z12.8 Encounter for screening for malignant neoplasm of other sites
- Z12. 81 Encounter for screening for malignant neoplasm of oral cavity
- Z12.82 Encounter for screening for malignant neoplasm of nervous system
- Z12.83 Encounter for screening for malignant neoplasm of skin
- Z12.89 Encounter for screening for malignant neoplasm of other sites
- Z12.9 Encounter for screening for malignant neoplasm, site unspecified
Z13 Encounter for screening for other diseases and disorders
[edit]- Screening is the testing for disease or disease precursors in asymptomatic individuals so that early detection and treatment can be provided for those who test positive for the disease.
- Excludes1: encounter for diagnostic examination-code to sign or symptom
- Z13.0 Encounter for screening for diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
- Z13.1 Encounter for screening for diabetes mellitus
- Z13.2 Encounter for screening for nutritional, metabolic and other endocrine disorders
- Z13.21 Encounter for screening for nutritional disorder
- Z13.22 Encounter for screening for metabolic disorder
- Z13.220 Encounter for screening for lipoid disorders
- Encounter for screening for cholesterol level
- Encounter for screening for hypercholesterolemia
- Encounter for screening for hyperlipidemia
- Z13.228 Encounter for screening for other metabolic disorders
- Z13.220 Encounter for screening for lipoid disorders
- Z13.29 Encounter for screening for other suspected endocrine disorder
- Excludes1: encounter for screening for diabetes mellitus (Z13.1)
- Z13.4 Encounter for screening for certain developmental disorders in childhood
- Encounter for screening for developmental handicaps in early childhood
- Excludes1: routine development testing of infant or child (Z00.1-)
- Z13.5 Encounter for screening for eye and ear disorders
- Excludes2: encounter for general hearing examination (Z01.1-)
- encounter for general vision examination (Z01.0-)
- Excludes2: encounter for general hearing examination (Z01.1-)
- Z13.6 Encounter for screening for cardiovascular disorders
- Z13.7 Encounter for screening for genetic and chromosomal anomalies
- Excludes1: genetic testing for procreative management (Z31.4-)
- Z13. 71 Encounter for nonprocreative screening for genetic disease carrier status
- Z13.79 Encounter for other screening for genetic and chromosomal anomalies
- Z13.8 Encounter for screening for other specified diseases and disorders
- Excludes2: screening for malignant neoplasms (Z12.-)
- Z13.81 Encounter for screening for digestive system disorders
- Z13.810 Encounter for screening for upper gastrointestinal disorder
- Z13.811 Encounter for screening for lower gastrointestinal disorder
- Excludes1: encounter for screening for intestinal infectious disease (Z11.0)
- Z13.818 Encounter for screening for other digestive system disorders
- Z13.82 Encounter for screening for musculoskeletal disorder
- Z13.820 Encounter for screening for osteoporosis
- Z13.828 Encounter for screening for other musculoskeletal disorder
- Z13.83 Encounter for screening for respiratory disorder NEC
- Excludes1: encounter for screening for respiratory tuberculosis (Z11.1)
- Z13.84 Encounter for screening for dental disorders
- Z13.85 Encounter for screening for nervous system disorders
- Z13.850 Encounter for screening for traumatic brain injury
- Z13.858 Encounter for screening for other nervous system disorders
- Z13.88 Encounter for screening for disorder due to exposure to contaminants
- Excludes1: those exposed to contaminants without suspected disorders (Z57-Z58)
- Z13.89 Encounter for screening for other disorder
- Encounter for screening for genitourinary disorders
- Z13.9 Encounter for screening, unspecified
Genetic carrier and genetic susceptibility to disease (Z14-Z15)
[edit]Z14 Genetic carrier
[edit]- Z14.0 Hemophilia A carrier
- Z14. 01 Asymptomatic hemophilia A carrier
- Z14.02 Symptomatic hemophilia A carrier
- Z14.1 Cystic fibrosis carrier
- Z14.8 Genetic carrier of other disease
Z15 Genetic susceptibility to disease
[edit]- Includes: Confirmed abnormal gene
- Use additional code, if applicable, for any associated family history of the disease (Z80-Z84)
- Z15.0 Genetic susceptibility to malignant neoplasm
- Code first, if applicable, any current malignant neoplasm (C00-C75, C81-C96)
- Use additional code, if applicable, for any personal history of malignant neoplasm (Z85.-)
- Z15.01 Genetic susceptibility to malignant neoplasm of breast
- Z15.02 Genetic susceptibility to malignant neoplasm of ovary
- Z15.03 Genetic susceptibility to malignant neoplasm of prostate
- Z15.04 Genetic susceptibility to malignant neoplasm of endometrium
- Z15.09 Genetic susceptibility to other malignant neoplasm
- Z15.8 Genetic susceptibility to other disease
- Z15.81 Genetic susceptibility to multiple endocrine neoplasia [MEN]
- Z15.89 Genetic susceptibility to other disease
Infection with drug resistant microorganisms (Z16)
[edit]Z16 Infection with drug resistant microorganisms
[edit]- This category is intended for use as an additional code for infectious conditions classified elsewhere to indicate the presence of drug-resistance of the infectious organism
- Code first the infection
Estrogen receptor status (Z17)
[edit]Z17 Estrogen receptor status
[edit]- Code first malignant neoplasm of breast (C50.-)
- Z17.0 Estrogen receptor positive status [ER+]
- Z17.1 Estrogen receptor negative status [ER-]
Persons with potential health hazards related to communicable diseases (Z20-Z28)
Z20 Contact with and (suspected) exposure to communicable diseases
[edit]- Excludes1: carrier of infectious disease (Z22.-)
- diagnosed current infectious or parasitic disease -see Alphabetic Index
- Excludes2: personal history of infectious and parasitic diseases (Z86.1-)
- Z20.0 Contact with and (suspected) exposure to intestinal infectious diseases
- Z20.01 Contact with and (suspected) exposure to intestinal infectious diseases due to Escherichia coli (E. coli)
- Z20.09 Contact with and (suspected) exposure to other intestinal infectious diseases
- Z20.1 Contact with and (suspected) exposure to tuberculosis
- Z20.2 Contact with and (suspected) exposure to infections with a predominantly sexual mode of transmission
- Z20.3 Contact with and (suspected) exposure to rabies
- Z20.4 Contact with and (suspected) exposure to rubella
- Z20.5 Contact with and (suspected) exposure to viral hepatitis
- Z20.6 Contact with and (suspected) exposure to human immunodeficiency virus [HIV]
- Excludes1: asymptomatic human immunodeficiency virus [HIV]
- HIV infection status (Z21)
- Excludes1: asymptomatic human immunodeficiency virus [HIV]
- Z20.7 Contact with and (suspected) exposure to pediculosis, acariasis and other infestations
- Z20.8 Contact with and (suspected) exposure to other communicable diseases
- Z20.81 Contact with and (suspected) exposure to other bacterial communicable diseases
- Z20.810 Contact with and (suspected) exposure to anthrax
- Z20.811 Contact with and (suspected) exposure to meningococcus
- Z20.818 Contact with and (suspected) exposure to other bacterial communicable diseases
- Z20.82 Contact with and (suspected) exposure to other viral communicable diseases
- Z20.820 Contact with and (suspected) exposure to varicella
- Z20.828 Contact with and (suspected) exposure to other viral communicable diseases
- Z20.89 Contact with and (suspected) exposure to other communicable diseases
- Z20.81 Contact with and (suspected) exposure to other bacterial communicable diseases
- Z20. 9 Contact with and (suspected) exposure to unspecified communicable disease
Z21 Asymptomatic human immunodeficiency virus [HIV] infection status
[edit]- Includes: HIV positive NOS
- Code first: Human immunodeficiency [HIV] disease complicating pregnancy, childbirth and the puerperium, if applicable (O98.7-)
- Excludes1: acquired immunodeficiency syndrome (B20)
- contact with human immunodeficiency virus [HIV] (Z20.6)
- exposure to human immunodeficiency virus [HIV] (Z20.6)
- human immunodeficiency virus [HIV] disease (B20)
- inconclusive laboratory evidence of human immunodeficiency virus [HIV] (R75)
Z22 Carrier of infectious disease
[edit]- Includes: colonization status
- suspected carrier
- Z22.0 Carrier of typhoid
- Z22.1 Carrier of other intestinal infectious diseases
- Z22.2 Carrier of diphtheria
- Z22.3 Carrier of other specified bacterial diseases
- Z22.31 Carrier of bacterial disease due to meningococci
- Z22.32 Carrier of bacterial disease due to staphylococci
- Z22.33 Carrier of bacterial disease due to streptococci
- Z22.330 Carrier of Group B streptococcus
- Z22.338 Carrier of other streptococcus
- Z22.39 Carrier of other specified bacterial diseases
- Z22.4 Carrier of infections with a predominantly sexual mode of transmission
- Z22.5 Carrier of viral hepatitis
- Z22.50 Carrier of unspecified viral hepatitis
- Z22.51 Carrier of viral hepatitis B
- Hepatitis B surface antigen [HBsAg] carrier
- Z22.52 Carrier of viral hepatitis C
- Z22.59 Carrier of other viral hepatitis
- Z22.6 Carrier of human T-lymphotropic virus type-1 [HTLV-1] infection
- Z22.8 Carrier of other infectious diseases
- Z22.9 Carrier of infectious disease, unspecified
Z23 Encounter for immunization
[edit]- Code first any routine childhood examination
- Note: procedure codes are required to identify the types of immunizations given
Z28 Immunization not carried out and underimmunization status
- Vaccination not carried out
- Z28.0 Immunization not carried out because of contraindication
- Z28.01 Immunization not carried out because of acute illness of patient
- Z28.02 Immunization not carried out because of chronic illness or condition of patient
- Z28.03 Immunization not carried out because of immune compromised state of patient
- Z28.04 Immunization not carried out because of patient allergy to vaccine or component
- Z28.09 Immunization not carried out because of other contraindication
- Z28.1 Immunization not carried out because of patient decision for reasons of belief or group pressure
- Immunization not carried out because of religious belief
- Z28.2 Immunization not carried out because of patient decision for other and unspecified reason
- Z28.20 Immunization not carried out because of patient decision for unspecified reason
- Z28.21 Immunization not carried out because of patient refusal
- Z28.29 Immunization not carried out because of patient decision for other reason
- Z28.3 Underimmunization status
- Delinquent immunization status
- Lapsed immunization schedule status
- Z28.8 Immunization not carried out for other reason
- Z28.81 Immunization not carried out due to patient having had the disease
- Z28.82 Immunization not carried out because of caregiver refusal
- Immunization not carried out because of guardian refusal
- Immunization not carried out because of parent refusal
- Excludes2: immunization not carried out because of caregiver refusal because of religious belief (Z28.1)
- Z28.89 Immunization not carried out for other reason
- Z28.9 Immunization not carried out for unspecified reason
Persons encountering health services in circumstances related to reproduction (Z30-Z39)
Z30 Encounter for contraceptive management
[edit]- Z30.0 Encounter for general counseling and advice on contraception
- Z30.01 Encounter for initial prescription of contraceptives
- Z30.011 Encounter for initial prescription of contraceptive pills
- Z30.012 Encounter for prescription of emergency contraception
- Encounter for postcoital contraception
- Z30.013 Encounter for initial prescription of injectable contraceptive
- Z30.014 Encounter for initial prescription of intrauterine contraceptive device
- Z30.018 Encounter for initial prescription of other contraceptives
- Z30.019 Encounter for initial prescription of contraceptives, unspecified
- Z30.02 Counseling and instruction in natural family planning to avoid pregnancy
- Z30.09 Encounter for other general counseling and advice on contraception
- Encounter for family planning advice NOS
- Z30.01 Encounter for initial prescription of contraceptives
- Z30.2 Encounter for sterilization
- Z30.4 Encounter for surveillance of contraceptives
- Z30.40 Encounter for surveillance of contraceptives, unspecified
- Z30.41 Encounter for surveillance of contraceptive pills
- Encounter for repeat prescription for contraceptive pill
- Z30.42 Encounter for surveillance of injectable contraceptive
- Z30.43 Encounter for surveillance of intrauterine contraceptive device
- Encounter for checking, reinsertion or removal of intrauterine contraceptive device
- Z30.49 Encounter for surveillance of other contraceptives
- Z30.8 Encounter for other contraceptive management
- Encounter for postvasectomy sperm count
- Encounter for routine examination for contraceptive maintenance
- Excludes1: sperm count following sterilization reversal (Z31.42)
- sperm count for fertility testing (Z31.41)
- Z30.9 Encounter for contraceptive management, unspecified
Z31 Encounter for procreative management
[edit]- Excludes1: complications associated with artificial fertilization (N98.-)
- female infertility (N97.-)
- male infertility (N46.-)
- Z31.0 Encounter for reversal of previous sterilization
- Z31.4 Encounter for procreative investigation and testing
- Excludes1: postvasectomy sperm count (Z30.8)
- Z31.41 Encounter for fertility testing
- Encounter for fallopian tube patency testing
- Encounter for sperm count for fertility testing
- Z31.42 Aftercare following sterilization reversal
- Sperm count following sterilization reversal
- Z31.43 Encounter for genetic testing of female for procreative management
- Use additional code for habitual aborter, if applicable (N96, O26.2-)
- Excludes1: nonprocreative genetic testing (Z13.7-)
- Z31.430 Encounter of female for testing for genetic disease carrier status for procreative management
- Z31.438 Encounter for other genetic testing of female for procreative managment
- Z31.44 Encounter for genetic testing of male for procreative management
- Excludes1: nonprocreative genetic testing (Z13.7-)
- Z31.440 Encounter of male for testing for genetic disease carrier status for procreative management
- Z31.441 Encounter for testing of male partner of habitual aborter
- Z31.448 Encounter for other genetic testing of male for procreative management
- Z31.49 Encounter for other procreative investigation and testing
- Z31.5 Encounter for genetic counseling
- Z31.6 Encounter for general counseling and advice on procreation
- Z31.61 Procreative counseling and advice using natural family planning
- Z31.62 Encounter for fertility preservation counseling
- Encounter for fertility preservation counseling prior to cancer therapy
- Encounter for fertility preservation counseling prior to surgical removal of gonads
- Z31.69 Encounter for other general counseling and advice on procreation
- Z31.8 Encounter for other procreative management
- Z31.81 Encounter for male factor infertility in female patient
- Z31.82 Encounter for Rh incompatibility status
- Z31. 83 Encounter for assisted reproductive fertility procedure cycle
- Patient undergoing in vitro fertilization cycle
- Use additional code to identify the type of infertility
- Excludes1: pre-cycle diagnosis and testing - code to reason for encounter
- Z31.84 Encounter for fertility preservation procedure
- Encounter for fertility preservation procedure prior to cancer therapy
- Encounter for fertility preservation procedure prior to surgical removal of gonads
- Z31.89 Encounter for other procreative management
- Z31.9 Encounter for procreative management, unspecified
Z32 Encounter for pregnancy test and childbirth and childcare instruction
[edit]- Z32.0 Encounter for pregnancy test
- Z32.00 Encounter for pregnancy test, result unknown
- Encounter for pregnancy test NOS
- Z32.01 Encounter for pregnancy test, result positive
- Z32.02 Encounter for pregnancy test, result negative
- Z32.00 Encounter for pregnancy test, result unknown
- Z32.2 Encounter for childbirth instruction
- Z32.3 Encounter for childcare instruction
- Encounter for prenatal or postpartum childcare instruction
Z33 Pregnant state
[edit]- Z33.1 Pregnant state, incidental
- Pregnant state NOS
- Excludes1: complications of pregnancy (O00-O99)
- Z33.2 Encounter for elective termination of pregnancy
- Excludes1: early fetal death with retention of dead fetus (O02.1)
- late fetal death (O36.4)
- spontaneous abortion (O03)
- Excludes1: early fetal death with retention of dead fetus (O02.1)
Z34 Encounter for supervision of normal pregnancy
[edit]- Excludes1: any complication of pregnancy (O00-O99)
- encounter for pregnancy test (Z32.0-)
- encounter for supervision of high risk pregnancy (O09.-)
- Z34.0 Encounter for supervision of normal first pregnancy
- Z34.00 Encounter for supervision of normal first pregnancy, unspecified trimester
- Z34.01 Encounter for supervision of normal first pregnancy, first trimester
- Z34.02 Encounter for supervision of normal first pregnancy, second trimester
- Z34.03 Encounter for supervision of normal first pregnancy, third trimester
- Z34. 8 Encounter for supervision of other normal pregnancy
- Z34.80 Encounter for supervision of other normal pregnancy, unspecified trimester
- Z34.81 Encounter for supervision of other normal pregnancy, first trimester
- Z34.82 Encounter for supervision of other normal pregnancy, second trimester
- Z34.83 Encounter for supervision of other normal pregnancy, third trimester
- Z34.9 Encounter for supervision of normal pregnancy, unspecified
- Z34.90 Encounter for supervision of normal pregnancy, unspecified, unspecified trimester
- Z34.91 Encounter for supervision of normal pregnancy, unspecified, first trimester
- Z34.92 Encounter for supervision of normal pregnancy, unspecified, second trimester
- Z34.93 Encounter for supervision of normal pregnancy, unspecified, third trimester
Z36 Encounter for antenatal screening of mother
[edit]- Excludes1: abnormal findings on antenatal screening of mother (O28.-)
- diagnostic examination- code to sign or symptom
- encounter for suspected maternal and fetal conditions ruled out (Z03.7-)
- suspected fetal condition affecting management of pregnancy - code to condition in Chapter 15
- Excludes2: genetic counseling and testing (Z31.43-, Z31.5)
- routine prenatal care (Z34)
Z37 Outcome of delivery
[edit]- This category is intended for use as an additional code to identify the outcome of delivery on the mother's record. It is not for use on the newborn record.
- Excludes1: stillbirth (P95)
- Z37.0 Single live birth
- Z37.1 Single stillbirth
- Z37.2 Twins, both liveborn
- Z37.3 Twins, one liveborn and one stillborn
- Z37.4 Twins, both stillborn
- Z37.5 Other multiple births, all liveborn
- Z37.50 Multiple births, unspecified, all liveborn
- Z37.51 Triplets, all liveborn
- Z37.52 Quadruplets, all liveborn
- Z37.53 Quintuplets, all liveborn
- Z37.54 Sextuplets, all liveborn
- Z37.59 Other multiple births, all liveborn
- Z37.6 Other multiple births, some liveborn
- Z37.60 Multiple births, unspecified, some liveborn
- Z37. 61 Triplets, some liveborn
- Z37.62 Quadruplets, some liveborn
- Z37.63 Quintuplets, some liveborn
- Z37.64 Sextuplets, some liveborn
- Z37.69 Other multiple births, some liveborn
- Z37.7 Other multiple births, all stillborn
- Z37.9 Outcome of delivery, unspecified
- Multiple birth NOS
- Single birth NOS
Z38 Liveborn infants according to place of birth and type of delivery
[edit]- This category is for use as the principal code on the initial record of a newborn baby. It is to be used for the initial birth record only. It is not to be used on the mother?s record.
- Z38.0 Single liveborn infant, born in hospital
- Single liveborn infant, born in birthing center or other health care facility
- Z38.00 Single liveborn infant, delivered vaginally
- Z38.01 Single liveborn infant, delivered by cesarean
- Z38.1 Single liveborn infant, born outside hospital
- Z38.2 Single liveborn infant, unspecified as to place of birth
- Single liveborn infant NOS
- Z38.3 Twin liveborn infant, born in hospital
- Z38.30 Twin liveborn infant, delivered vaginally
- Z38.31 Twin liveborn infant, delivered by cesarean
- Z38.4 Twin liveborn infant, born outside hospital
- Z38.5 Twin liveborn infant, unspecified as to place of birth
- Z38.6 Other multiple liveborn infant, born in hospital
- Z38.61 Triplet liveborn infant, delivered vaginally
- Z38.62 Triplet liveborn infant, delivered by cesarean
- Z38.63 Quadruplet liveborn infant, delivered vaginally
- Z38.64 Quadruplet liveborn infant, delivered by cesarean
- Z38.65 Quintuplet liveborn infant, delivered vaginally
- Z38.66 Quintuplet liveborn infant, delivered by cesarean
- Z38.68 Other multiple liveborn infant, delivered vaginally
- Z38.69 Other multiple liveborn infant, delivered by cesarean
- Z38.7 Other multiple liveborn infant, born outside hospital
- Z38.8 Other multiple liveborn infant, unspecified as to place of birth
Z39 Encounter for maternal postpartum care and examination
[edit]- Z39.0 Encounter for care and examination of mother immediately after delivery
- Care and observation in uncomplicated cases when the delivery occurs outside a healthcare facility
- Excludes1: care for postpartum complication- see Alphabetic index
- Z39.1 Encounter for care and examination of lactating mother
- Encounter for supervision of lactation
- Excludes1: disorders of lactation (O92.-)
- Z39.2 Encounter for routine postpartum follow-up
Encounters for other specific health care (Z40-Z53)
[edit]- Categories Z40-Z53 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 aftercare or prophylactic care, or care to consolidate the treatment, or to deal with a residual state
- Excludes2: follow-up examination for medical surveillance after treatment (Z08-Z09)
Z40 Encounter for prophylactic surgery
[edit]- Excludes1: organ donations (Z52.-)
- therapeutic organ removal-code to condition
- Z40.0 Encounter for prophylactic surgery for risk factors related to malignant neoplasms
- Admission for prophylactic organ removal
- Use additional code to identify risk factor
- Z40.00 Encounter for prophylactic removal of unspecified organ
- Z40.01 Encounter for prophylactic removal of breast
- Z40.02 Encounter for prophylactic removal of ovary
- Z40.09 Encounter for prophylactic removal of other organ
- Z40.8 Encounter for other prophylactic surgery
- Z40.9 Encounter for prophylactic surgery, unspecified
Z41 Encounter for procedures for purposes other than remedying health state
[edit]- Z41.1 Encounter for cosmetic surgery
- Encounter for cosmetic breast implant
- Encounter for cosmetic procedure
- Excludes1: encounter for breast reduction (N62)
- encounter for plastic and reconstructive surgery following medical procedure or healed injury (Z42.-)
- encounter for post-mastectomy breast implantation (Z42.1)
- Z41.2 Encounter for routine and ritual male circumcision
- Z41.3 Encounter for ear piercing
- Z41.8 Encounter for other procedures for purposes other than remedying health state
- Z41.9 Encounter for procedure for purposes other than remedying health state, unspecified
Z42 Encounter for plastic and reconstructive surgery following medical procedure or healed injury
[edit]- Excludes1: encounter for cosmetic plastic surgery (Z41.1)
- encounter for plastic surgery for treatment of current injury - code to relevent injury
- Z42.1 Encounter for breast reconstruction following mastectomy
- Excludes1: deformity and disproportion of reconstructed breast (N65.1-)
- Z42.8 Encounter for other plastic and reconstructive surgery following medical procedure or healed injury
Z43 Encounter for attention to artificial openings
[edit]- Includes: closure of artificial openings
- passage of sounds or bougies through artificial openings
- reforming artificial openings
- removal of catheter from artificial openings
- toilet or cleansing of artificial openings
- Excludes1: artificial opening status only, without need for care (Z93.-)
- complications of external stoma (J95.0-, K91.4-, K91.7-, N99.5-)
- Excludes2: fitting and adjustment of prosthetic and other devices (Z44-Z46)
- Z43.0 Encounter for attention to tracheostomy
- Z43.1 Encounter for attention to gastrostomy
- Z43.2 Encounter for attention to ileostomy
- Z43.3 Encounter for attention to colostomy
- Z43.4 Encounter for attention to other artificial openings of digestive tract
- Z43.5 Encounter for attention to cystostomy
- Z43.6 Encounter for attention to other artificial openings of urinary tract
- Encounter for attention to nephrostomy
- Encounter for attention to ureterostomy
- Encounter for attention to urethrostomy
- Z43.7 Encounter for attention to artificial vagina
- Z43.8 Encounter for attention to other artificial openings
- Z43.9 Encounter for attention to unspecified artificial opening
Z44 Encounter for fitting and adjustment of external prosthetic device
[edit]- Includes: removal or replacement of external prosthetic device
- Excludes1: malfunction or other complications of device - see Alphabetical Index
- presence of prosthetic device (Z97.-)
- Z44.0 Encounter for fitting and adjustment of artificial arm
- Z44.00 Encounter for fitting and adjustment of unspecified artificial arm
- Z44.001 Encounter for fitting and adjustment of unspecified right artificial arm
- Z44.002 Encounter for fitting and adjustment of unspecified left artificial arm
- Z44.009 Encounter for fitting and adjustment of unspecified artificial arm, unspecified arm
- Z44. 01 Encounter for fitting and adjustment of complete artificial arm
- Z44.011 Encounter for fitting and adjustment of complete right artificial arm
- Z44.012 Encounter for fitting and adjustment of complete left artificial arm
- Z44.019 Encounter for fitting and adjustment of complete artificial arm, unspecified arm
- Z44.02 Encounter for fitting and adjustment of partial artificial arm
- Z44.021 Encounter for fitting and adjustment of partial artificial right arm
- Z44.022 Encounter for fitting and adjustment of partial artificial left arm
- Z44.029 Encounter for fitting and adjustment of partial artificial arm, unspecified arm
- Z44.00 Encounter for fitting and adjustment of unspecified artificial arm
- Z44.1 Encounter for fitting and adjustment of artificial leg
- Z44.10 Encounter for fitting and adjustment of unspecified artificial leg
- Z44.101 Encounter for fitting and adjustment of unspecified right artificial leg
- Z44.102 Encounter for fitting and adjustment of unspecified left artificial leg
- Z44.109 Encounter for fitting and adjustment of unspecified artificial leg, unspecified leg
- Z44.11 Encounter for fitting and adjustment of complete artificial leg
- Z44.111 Encounter for fitting and adjustment of complete right artificial leg
- Z44.112 Encounter for fitting and adjustment of complete left artificial leg
- Z44.119 Encounter for fitting and adjustment of complete artificial leg, unspecified leg
- Z44.12 Encounter for fitting and adjustment of partial artificial leg
- Z44.121 Encounter for fitting and adjustment of partial artificial right leg
- Z44.122 Encounter for fitting and adjustment of partial artificial left leg
- Z44.129 Encounter for fitting and adjustment of partial artificial leg, unspecified leg
- Z44.10 Encounter for fitting and adjustment of unspecified artificial leg
- Z44.2 Encounter for fitting and adjustment of artificial eye
- Excludes1: mechanical complication of ocular prosthesis (T85.3)
- Z44.20 Encounter for fitting and adjustment of artificial eye, unspecified
- Z44.21 Encounter for fitting and adjustment of artificial right eye
- Z44. 22 Encounter for fitting and adjustment of artificial left eye
- Z44.3 Encounter for fitting and adjustment of external breast prosthesis
- Excludes1: complications of breast implant (T85.4-)
- encounter for adjustment or removal of breast implant (Z45.81-)
- encounter for initial breast implant insertion for cosmetic breast augmentation (Z41.1)
- encounter for breast reconstruction following mastectomy (Z42.1)
- Z44.30 Encounter for fitting and adjustment of external breast prosthesis, unspecified breast
- Z44.31 Encounter for fitting and adjustment of external right breast prosthesis
- Z44.32 Encounter for fitting and adjustment of external left breast prosthesis
- Excludes1: complications of breast implant (T85.4-)
- Z44.8 Encounter for fitting and adjustment of other external prosthetic devices
- Z44.9 Encounter for fitting and adjustment of unspecified external prosthetic device
Z45 Encounter for adjustment and management of implanted device
[edit]- Includes: removal or replacement of implanted device
- Excludes1: malfunction or other complications of device - see Alphabetical Index
- Excludes2: encounter for fitting and adjustment of non-implanted device (Z46.-)
- presence of prosthetic and other devices (Z95-Z97)
- Z45.0 Encounter for adjustment and management of cardiac device
- Z45.01 Encounter for adjustment and management of cardiac pacemaker
- Z45.010 Encounter for checking and testing of cardiac pacemaker pulse generator [battery]
- Encounter for replacing cardiac pacemaker pulse generator [battery]
- Z45.018 Encounter for adjustment and management of other part of cardiac pacemaker
- Z45.010 Encounter for checking and testing of cardiac pacemaker pulse generator [battery]
- Z45.02 Encounter for adjustment and management of automatic implantable cardiac defibrillator
- Z45.09 Encounter for adjustment and management of other cardiac device
- Z45.01 Encounter for adjustment and management of cardiac pacemaker
- Z45.1 Encounter for adjustment and management of infusion pump
- Z45.2 Encounter for adjustment and management of vascular access device
- Encounter for adjustment and management of vascular catheters
- Excludes1: encounter for adjustment and management of renal dialysis catheter (Z49.01)
- Z45.3 Encounter for adjustment and management of implanted devices of the special senses
- Z45.31 Encounter for adjustment and management of implanted visual substitution device
- Z45.32 Encounter for adjustment and management of implanted hearing device
- Excludes1: Encounter for fitting and adjustment of hearing aide (Z46.1)
- Z45.320 Encounter for adjustment and management of bone conduction device
- Z45.321 Encounter for adjustment and management of cochlear device
- Z45.328 Encounter for adjustment and management of other implanted hearing device
- Z45.4 Encounter for adjustment and management of implanted nervous system device
- Z45.41 Encounter for adjustment and management of cerebrospinal fluid drainage device
- Encounter for adjustment and management of cerebral ventricular (communicating) shunt
- Z45.42 Encounter for adjustment and management of neuropacemaker (brain) (peripheral nerve) (spinal cord)
- Z45.49 Encounter for adjustment and management of other implanted nervous system device
- Z45.41 Encounter for adjustment and management of cerebrospinal fluid drainage device
- Z45.8 Encounter for adjustment and management of other implanted devices
- Z45.81 Encounter for adjustment or removal of breast implant
- Encounter for elective implant exchange (different material) (different size)
- Encounter removal of tissue expander without synchronous insertion of permanent implant
- Excludes1: complications of breast implant (T85.4-)
- encounter for initial breast implant insertion for cosmetic breast augmentation (Z41.1)
- encounter for breast reconstruction following mastectomy (Z42.1)
- Z45.811 Encounter for adjustment or removal of right breast implant
- Z45.812 Encounter for adjustment or removal of left breast implant
- Z45. 819 Encounter for adjustment or removal of unspecified breast implant
- Z45.82 Encounter for adjustment or removal of myringotomy device (stent) (tube)
- Z45.89 Encounter for adjustment and management of other implanted devices
- Z45.81 Encounter for adjustment or removal of breast implant
- Z45.9 Encounter for adjustment and management of unspecified implanted device
Z46 Encounter for fitting and adjustment of other devices
[edit]- Includes: removal or replacement of other device
- Excludes1: malfunction or other complications of device - see Alphabetical Index
- Excludes2: encounter for fitting and management of implanted devices (Z45.-)
- issue of repeat prescription only (Z76.0)
- presence of prosthetic and other devices (Z95-Z97)
- Z46.0 Encounter for fitting and adjustment of spectacles and contact lenses
- Z46.1 Encounter for fitting and adjustment of hearing aid
- Excludes1: encounter for adjustment and management of implanted hearing device (Z45.32-)
- Z46.2 Encounter for fitting and adjustment of other devices related to nervous system and special senses
- Excludes2: encounter for adjustment and management of implanted nervous system device (Z45.4-)
- encounter for adjustment and management of implanted visual substitution device (Z45.31)
- Excludes2: encounter for adjustment and management of implanted nervous system device (Z45.4-)
- Z46.3 Encounter for fitting and adjustment of dental prosthetic device
- Encounter for fitting and adjustment of dentures
- Z46.4 Encounter for fitting and adjustment of orthodontic device
- 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
- Z46.6 Encounter for fitting and adjustment of urinary device
- Excludes2: attention to artificial openings of urinary tract (Z43.5, Z43.6)
- Z46.8 Encounter for fitting and adjustment of other specified devices
- Z46.81 Encounter for fitting and adjustment of insulin pump
- Encounter for insulin pump titration
- Encounter for insulin pump instruction and training
- Z46.82 Encounter for fitting and adjustment of non-vascular catheter
- Z46. 89 Encounter for fitting and adjustment of other specified devices
- Encounter for fitting and adjustment of wheelchair
- Z46.81 Encounter for fitting and adjustment of insulin pump
- Z46.9 Encounter for fitting and adjustment of unspecified device
Z47 Orthopedic aftercare
[edit]- Excludes1 aftercare for healing fracture-code to fracture with 7th character D
- Z47.1 Aftercare following joint replacement surgery
- Use additional code to identify the joint (Z96.6-)
- Z47.2 Encounter for removal of internal fixation device
- Excludes1: encounter for adjustment of internal fixation device for fracture treatment- code to fracture with appropriate 7th character
- encounter for removal of external fixation device- code to fracture with 7th character D
- infection or inflammatory reaction to internal fixation device (T84.6-)
- mechanical complication of internal fixation device (T84.1-)
- Excludes1: encounter for adjustment of internal fixation device for fracture treatment- code to fracture with appropriate 7th character
- Z47.8 Encounter for other orthopedic aftercare
- Z47.81 Encounter for orthopedic aftercare following surgical amputation
- Use additional code to identify the limb amputated (Z89.-)
- Z47.82 Encounter for orthopedic aftercare following scoliosis surgery
- Z47.89 Encounter for other orthopedic aftercare
- Z47.81 Encounter for orthopedic aftercare following surgical amputation
Z48 Encounter for other postprocedural aftercare
[edit]- Excludes1: encounter for follow-up examination after completed treatment (Z08-Z09)
- Excludes2: encounter for attention to artificial openings (Z43.-)
- encounter for fitting and adjustment of prosthetic and other devices (Z44-Z46)
- Z48.0 Encounter for attention to dressings, sutures and drains
- Excludes1: encounter for planned postprocedural wound closure (Z48.1)
- Z48.00 Encounter for change or removal of nonsurgical wound dressing
- Encounter for change or removal of wound dressing NOS
- Z48.01 Encounter for change or removal of surgical wound dressing
- Z48.02 Encounter for removal of sutures
- Encounter for removal of staples
- Z48.03 Encounter for change or removal of drains
- Z48.1 Encounter for planned postprocedural wound closure
- Excludes1: encounter for attention to dressings and sutures (Z48.0-)
- Z48.2 Encounter for aftercare following organ transplant
- Z48.21 Encounter for aftercare following heart transplant
- Z48.22 Encounter for aftercare following kidney transplant
- Z48.23 Encounter for aftercare following liver transplant
- Z48.24 Encounter for aftercare following lung transplant
- Z48.28 Encounter for aftercare following multiple organ transplant
- Z48.280 Encounter for aftercare following heart-lung transplant
- Z48.288 Encounter for aftercare following multiple organ transplant
- Z48.29 Encounter for aftercare following other organ transplant
- Z48.290 Encounter for aftercare following bone marrow transplant
- Z48.298 Encounter for aftercare following other organ transplant
- Z48.3 Aftercare following surgery for neoplasm
- Use additional code to identify the neoplasm
- Z48.8 Encounter for other specified postprocedural aftercare
- Z48.81 Encounter for surgical aftercare following surgery on specified body systems
- These codes identify the body system requiring aftercare. They are for use in conjunction with other aftercare codes to fully explain the aftercare encounter. The condition treated should also be coded if still present.
- Excludes1: aftercare for injury- code the injury with 7th character D
- Excludes2: aftercare following organ transplant (Z48.2-)
- aftercare following surgery for neoplasm (Z48.3)
- orthopedic aftercare (Z47.-)
- Z48.810 Encounter for surgical aftercare following surgery on the sense organs
- Z48.811 Encounter for surgical aftercare following surgery on the nervous system
- Excludes2: encounter for surgical aftercare following surgery on the sense organs (Z48.810)
- Z48.812 Encounter for surgical aftercare following surgery on the circulatory system
- Z48.813 Encounter for surgical aftercare following surgery on the respiratory system
- Z48.814 Encounter for surgical aftercare following surgery on the teeth or oral cavity
- Z48. 815 Encounter for surgical aftercare following surgery on the digestive system
- Z48.816 Encounter for surgical aftercare following surgery on the genitourinary system
- Excludes1: encounter for aftercare following sterilization reversal (Z31.42)
- Z48.817 Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue
- Z48.89 Encounter for other specified surgical aftercare
- Z48.81 Encounter for surgical aftercare following surgery on specified body systems
Z49 Encounter for care involving renal dialysis
[edit]- Code also associated end stage renal disease (N18.6)
- Z49.0 Preparatory care for renal dialysis
- Encounter for dialysis instruction and training
- Z49.01 Encounter for fitting and adjustment of extracorporeal dialysis catheter
- Removal or replacement of renal dialysis catheter
- Toilet or cleansing of renal dialysis catheter
- Z49.02 Encounter for fitting and adjustment of peritoneal dialysis catheter
- Z49.3 Encounter for adequacy testing for dialysis
- Z49.31 Encounter for adequacy testing for hemodialysis
- Z49.32 Encounter for adequacy testing for peritoneal dialysis
- Encounter for peritoneal equilibration test
Z51 Encounter for other aftercare
[edit]- Code also condition requiring care
- Excludes1: follow-up examination after treatment (Z08-Z09)
- Z51.0 Encounter for antineoplastic radiation therapy
- Z51.1 Encounter for antineoplastic chemotherapy and immunotherapy
- Excludes2: encounter for chemotherapy and immunotherapy for nonneoplastic condition - code to condition
- Z51.11 Encounter for antineoplastic chemotherapy
- Z51.12 Encounter for antineoplastic immunotherapy
- Z51.5 Encounter for palliative care
- Z51.8 Encounter for other specified aftercare
- Excludes1: holiday relief care (Z75.5)
- Z51.81 Encounter for therapeutic drug level monitoring
- Code also any long-term (current) drug therapy (Z79.-)
- Excludes1: encounter for blood-drug test for administrative or medicolegal reasons (Z02.83)
- Z51.89 Encounter for other specified aftercare
Z52 Donors of organs and tissues
[edit]- Includes: autologous and other living donors
- Excludes1: cadaveric donor - omit code
- examination of potential donor (Z00.5)
- Z52.0 Blood donor
- Z52.00 Unspecified blood donor
- Z52.000 Unspecified donor, whole blood
- Z52.001 Unspecified donor, stem cells
- Z52.008 Unspecified donor, other blood
- Z52.01 Autologous blood donor
- Z52.010 Autologous donor, whole blood
- Z52.011 Autologous donor, stem cells
- Z52.018 Autologous donor, other blood
- Z52.09 Other blood donor
- Volunteer donor
- Z52.090 Other blood donor, whole blood
- Z52.091 Other blood donor, stem cells
- Z52.098 Other blood donor, other blood
- Z52.00 Unspecified blood donor
- Z52.1 Skin donor
- Z52.10 Skin donor, unspecified
- Z52.11 Skin donor, autologous
- Z52.19 Skin donor, other
- Z52.2 Bone donor
- Z52.20 Bone donor, unspecified
- Z52.21 Bone donor, autologous
- Z52.29 Bone donor, other
- Z52.3 Bone marrow donor
- Z52.4 Kidney donor
- Z52.5 Cornea donor
- Z52.6 Liver donor
- Z52.8 Donor of other specified organs or tissues
- Z52.81 Egg (Oocyte) donor
- Z52.810 Egg (Oocyte) donor under age 35, anonymous recipient
- Egg donor under age 35 NOS
- Z52.811 Egg (Oocyte) donor under age 35, designated recipient
- Z52.812 Egg (Oocyte) donor age 35 and over, anonymous recipient
- Egg donor age 35 and over NOS
- Z52.813 Egg (Oocyte) donor age 35 and over, designated recipient
- Z52.819 Egg (Oocyte) donor, unspecified
- Z52.810 Egg (Oocyte) donor under age 35, anonymous recipient
- Z52.89 Donor of other specified organs or tissues
- Z52.81 Egg (Oocyte) donor
- Z52.9 Donor of unspecified organ or tissue
- Donor NOS
Z53 Persons encountering health services for specific procedures and treatment, not carried out
[edit]- Z53. 0 Procedure and treatment not carried out because of contraindication
- Z53.01 Procedure and treatment not carried out due to patient smoking
- Z53.09 Procedure and treatment not carried out because of other contraindication
- Z53.1 Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure
- Z53.2 Procedure and treatment not carried out because of patient's decision for other and unspecified reasons
- Z53.20 Procedure and treatment not carried out because of patient's decision for unspecified reasons
- Z53.21 Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider
- Z53.29 Procedure and treatment not carried out because of patient's decision for other reasons
- Z53.8 Procedure and treatment not carried out for other reasons
- Z53.9 Procedure and treatment not carried out, unspecified reason
Persons with potential health hazards related to socioeconomic and psychosocial circumstances (Z55-Z65)
[edit]Z55 Problems related to education and literacy
[edit]- Excludes1: disorders of psychological development (F80-F89)
- Z55.0 Illiteracy and low-level literacy
- Z55.1 Schooling unavailable and unattainable
- Z55.2 Failed school examinations
- Z55.3 Underachievement in school
- Z55.4 Educational maladjustment and discord with teachers and classmates
- Z55.8 Other problems related to education and literacy
- Problems related to inadequate teaching
- Z55.9 Problems related to education and literacy, unspecified
- Academic problems NOS
Z56 Problems related to employment and unemployment
[edit]- Excludes2: occupational exposure to risk factors (Z57.-)
- problems related to housing and economic circumstances (Z59.-)
- Z56.0 Unemployment, unspecified
- Z56.1 Change of job
- Z56.2 Threat of job loss
- Z56.3 Stressful work schedule
- Z56.4 Discord with boss and workmates
- Z56.5 Uncongenial work environment
- Difficult conditions at work
- Z56.6 Other physical and mental strain related to work
- Z56.8 Other problems related to employment
- Z56.81 Sexual harassment on the job
- Z56.82 Military deployment status
- Individual (civilian or military) currently deployed in theater or in support of military war, peacekeeping and humanitarian operations
- Z56.89 Other problems related to employment
- Z56.9 Unspecified problems related to employment
- Occupational problems NOS
Z57 Occupational exposure to risk factors
[edit]- Z57.0 Occupational exposure to noise
- Z57.1 Occupational exposure to radiation
- Z57.2 Occupational exposure to dust
- Z57.3 Occupational exposure to other air contaminants
- Z57.31 Occupational exposure to environmental tobacco smoke
- Excludes2: exposure to environmental tobacco smoke (Z77.22)
- Z57.39 Occupational exposure to other air contaminants
- Z57.31 Occupational exposure to environmental tobacco smoke
- Z57.4 Occupational exposure to toxic agents in agriculture
- Occupational exposure to solids, liquids, gases or vapors in agriculture
- Z57.5 Occupational exposure to toxic agents in other industries
- Occupational exposure to solids, liquids, gases or vapors in other industries
- Z57.6 Occupational exposure to extreme temperature
- Z57.7 Occupational exposure to vibration
- Z57.8 Occupational exposure to other risk factors
- Z57.9 Occupational exposure to unspecified risk factor
Z59 Problems related to housing and economic circumstances
[edit]- Excludes2: problems related to upbringing (Z62.-)
- Z59.0 Homelessness
- Z59.1 Inadequate housing
- Lack of heating
- Restriction of space
- Technical defects in home preventing adequate care
- Unsatisfactory surroundings
- Excludes1: problems related to the natural and physical environment (Z77.1-)
- Z59.2 Discord with neighbors, lodgers and landlord
- Z59.3 Problems related to living in residential institution
- Boarding-school resident
- Excludes1: institutional upbringing (Z62.2)
- Z59.4 Lack of adequate food and safe drinking water
- Inadequate drinking water supply
- Excludes1: effects of hunger (T73.0)
- inappropriate diet or eating habits (Z72.4)
- malnutrition (E40-E46)
- Z59.5 Extreme poverty
- Z59.6 Low income
- Z59.7 Insufficient social insurance and welfare support
- Z59.8 Other problems related to housing and economic circumstances
- Foreclosure on loan
- Isolated dwelling
- Problems with creditors
- Z59.9 Problem related to housing and economic circumstances, unspecified
Z60 Problems related to social environment
[edit]- Z60.0 Problems of adjustment to life-cycle transitions
- Empty nest syndrome
- Phase of life problem
- Problem with adjustment to retirement [pension]
- Z60.2 Problems related to living alone
- Z60.3 Acculturation difficulty
- Problem with migration
- Problem with social transplantation
- Z60.4 Social exclusion and rejection
- Exclusion and rejection on the basis of personal characteristics, such as unusual physical appearance, illness or behavior.
- Excludes1: target of adverse discrimination such as for racial or religious reasons (Z60.5)
- Z60.5 Target of (perceived) adverse discrimination and persecution
- Excludes1: social exclusion and rejection (Z60.4)
- Z60.8 Other problems related to social environment
- Z60.9 Problem related to social environment, unspecified
Z62 Problems related to upbringing
[edit]- Current and past negative life events in childhood
- Current and past problems of a child related to upbringing
- Excludes2: maltreatment syndrome (T74.-)
- problems related to housing and economic circumstances (Z59.-)
- Z62.0 Inadequate parental supervision and control
- Z62.1 Parental overprotection
- Z62.2 Upbringing away from parents
- Excludes1: problems with boarding school (Z59.3)
- Z62.21 Child in welfare custody
- Child in care of non-parental family member
- Child in foster care
- Excludes2: problem for parent due to child in welfare custody (Z63.5)
- Z62.22 Institutional upbringing
- Child living in orphanage or group home
- Z62.29 Other upbringing away from parents
- Z62.3 Hostility towards and scapegoating of child
- Z62.6 Inappropriate (excessive) parental pressure
- Z62.8 Other specified problems related to upbringing
- Z62.81 Personal history of abuse in childhood
- Z62.810 Personal history of physical and sexual abuse in childhood
- Excludes1: current child physical abuse (T74.12, T76.12)
- current child sexual abuse (T74. 12, T76.12)
- Excludes1: current child physical abuse (T74.12, T76.12)
- Z62.811 Personal history of psychological abuse in childhood
- Excludes1: current child psychological abuse (T74.32, T76.32)
- Z62.812 Personal history of neglect in childhood
- Excludes1: current child neglect (T74.02, T76.02)
- Z62.819 Personal history of unspecified abuse in childhood
- Excludes1: current child abuse NOS (T74.92, T76.92)
- Z62.810 Personal history of physical and sexual abuse in childhood
- Z62.82 Parent-child conflict
- Z62.820 Parent-biological child conflict
- Parent-child problem NOS
- Z62.821 Parent-adopted child conflict
- Z62.822 Parent-foster child conflict
- Z62.820 Parent-biological child conflict
- Z62.89 Other specified problems related to upbringing
- Z62.890 Parent-child estrangement NEC
- Z62.891 Sibling rivalry
- Z62.898 Other specified problems related to upbringing
- Z62.81 Personal history of abuse in childhood
- Z62.9 Problem related to upbringing, unspecified
Z63 Other problems related to primary support group, including family circumstances
[edit]- Excludes2: maltreatment syndrome (T74.-, T76)
- parent-child problems (Z62.-)
- problems related to negative life events in childhood (Z62.-)
- problems related to upbringing (Z62.-)
- Z63.0 Problems in relationship with spouse or partner
- Excludes1: counseling for spousal or partner abuse problems (Z69.1)
- counseling related to sexual attitude, behavior, and orientation (Z70.-)
- Excludes1: counseling for spousal or partner abuse problems (Z69.1)
- Z63.1 Problems in relationship with in-laws
- Z63.3 Absence of family member
- Excludes1: absence of family member due to disappearance and death (Z63.4)
- absence of family member due to separation and divorce (Z63.5)
- Z63.31 Absence of family member due to military deployment
- Individual or family affected by other family member being on military deployment
- Excludes1: family disruption due to return of family member from military deployment (Z63.71)
- Z63.32 Other absence of family member
- Excludes1: absence of family member due to disappearance and death (Z63.4)
- Z63.4 Disappearance and death of family member
- Assumed death of family member
- Bereavement
- Z63.5 Disruption of family by separation and divorce
- Marital estrangement
- Z63.6 Dependent relative needing care at home
- Z63.7 Other stressful life events affecting family and household
- Z63.71 Stress on family due to return of family member from military deployment
- Individual or family affected by family member having returned from military deployment (current or past conflict)
- Z63.72 Alcoholism and drug addiction in family
- Z63.79 Other stressful life events affecting family and household
- Anxiety (normal) about sick person in family
- Health problems within family
- Ill or disturbed family member
- Isolated family
- Z63.71 Stress on family due to return of family member from military deployment
- Z63.8 Other specified problems related to primary support group
- Family discord NOS
- Family estrangement NOS
- High expressed emotional level within family
- Inadequate family support NOS
- Inadequate or distorted communication within family
- Z63.9 Problem related to primary support group, unspecified
- Relationship disorder NOS
Z64 Problems related to certain psychosocial circumstances
[edit]- Z64.0 Problems related to unwanted pregnancy
- Z64.1 Problems related to multiparity
- Z64.4 Discord with counselors
- Discord with probation officer
- Discord with social worker
Z65 Problems related to other psychosocial circumstances
[edit]- Z65.0 Conviction in civil and criminal proceedings without imprisonment
- Z65.1 Imprisonment and other incarceration
- Z65.2 Problems related to release from prison
- Z65.3 Problems related to other legal circumstances
- Arrest
- Child custody or support proceedings
- Litigation
- Prosecution
- Z65.4 Victim of crime and terrorism
- Victim of torture
- Z65.5 Exposure to disaster, war and other hostilities
- Excludes1: target of perceived discrimination or persecution (Z60.5)
- Z65.8 Other specified problems related to psychosocial circumstances
- Z65.9 Problem related to unspecified psychosocial circumstances
Do not resuscitate status (Z66)
[edit]Z66 Do not resuscitate
[edit]- Includes: DNR status
Blood type (Z67)
[edit]Z67 Blood type
[edit]- Z67.1 Type A blood
- Z67.10 Type A blood, Rh positive
- Z67.11 Type A blood, Rh negative
- Z67.2 Type B blood
- Z67.20 Type B blood, Rh positive
- Z67.21 Type B blood, Rh negative
- Z67.3 Type AB blood
- Z67.30 Type AB blood, Rh positive
- Z67.31 Type AB blood, Rh negative
- Z67.4 Type O blood
- Z67.40 Type O blood, Rh positive
- Z67.41 Type O blood, Rh negative
- Z67.9 Unspecified blood type
- Z67.90 Unspecified blood type, Rh positive
- Z67.91 Unspecified blood type, Rh negative
Body mass index (BMI) (Z68)
Z68 Body mass index (BMI)
[edit]- Kilograms per meters squared
- Note: BMI adult codes are for use for persons 21 years of age or older
- BMI pediatric codes are for use for persons 2-20 years of age. These percentiles are based on the growth charts published by the Centers for Disease Control and Prevention (CDC)
- Z68.1 Body mass index (BMI) 19 or less, adult
- Z68.2 Body mass index (BMI) 20-29, adult
- Z68.20 Body mass index (BMI) 20.0-20.9, adult
- Z68.21 Body mass index (BMI) 21.0-21.9, adult
- Z68.22 Body mass index (BMI) 22.0-22.9, adult
- Z68.23 Body mass index (BMI) 23.0-23.9, adult
- Z68.24 Body mass index (BMI) 24.0-24.9, adult
- Z68.25 Body mass index (BMI) 25.0-25.9, adult
- Z68.26 Body mass index (BMI) 26.0-26.9, adult
- Z68.27 Body mass index (BMI) 27.0-27.9, adult
- Z68.28 Body mass index (BMI) 28.0-28.9, adult
- Z68.29 Body mass index (BMI) 29.0-29.9, adult
- Z68.3 Body mass index (BMI) 30-39, adult
- Z68.30 Body mass index (BMI) 30.0-30.9, adult
- Z68.31 Body mass index (BMI) 31.0-31.9, adult
- Z68.32 Body mass index (BMI) 32.0-32.9, adult
- Z68.33 Body mass index (BMI) 33.0-33.9, adult
- Z68.34 Body mass index (BMI) 34.0-34.9, adult
- Z68.35 Body mass index (BMI) 35.0-35.9, adult
- Z68.36 Body mass index (BMI) 36.0-36.9, adult
- Z68.37 Body mass index (BMI) 37.0-37.9, adult
- Z68.38 Body mass index (BMI) 38.0-38.9, adult
- Z68.39 Body mass index (BMI) 39.0-39.9, adult
- Z68.4 Body mass index (BMI) 40 or greater, adult
- Z68.5 Body mass index (BMI) pediatric
- Z68.51 Body mass index (BMI) pediatric, less than 5th percentile for age
- Z68.52 Body mass index (BMI) pediatric, 5th percentile to less than 85th percentile for age
- Z68.53 Body mass index (BMI) pediatric, 85th percentile to less than 95th percentile for age
- Z68.54 Body mass index (BMI) pediatric, greater than or equal to 95th percentile for age
Persons encountering health services in other circumstances (Z69-Z76)
Z69 Encounter for mental health services for victim and perpetrator of abuse
[edit]- Counseling for victims and perpetrators of abuse
- Z69.0 Encounter for mental health services for child abuse problems
- Z69.01 Encounter for mental health services for parental child abuse
- Z69.010 Encounter for mental health services for victim of parental child abuse
- Z69.011 Encounter for mental health services for perpetrator of parental child abuse
- Excludes1: encounter for mental health services for non-parental child abuse (Z69.02-)
- Z69.02 Encounter for mental health services for non-parental child abuse
- Z69.020 Encounter for mental health services for victim of non-parental child abuse
- Z69.021 Encounter for mental health services for perpetrator of non-parental child abuse
- Z69.01 Encounter for mental health services for parental child abuse
- Z69.1 Encounter for mental health services for spousal or partner abuse problems
- Z69.11 Encounter for mental health services for victim of spousal or partner abuse
- Z69.12 Encounter for mental health services for perpetrator of spousal or partner abuse
- Z69.8 Encounter for mental health services for victim or perpetrator of other abuse
- Z69.81 Encounter for mental health services for victim of other abuse
- Encounter for rape victim counseling
- Z69.82 Encounter for mental health services for perpetrator of other abuse
- Z69.81 Encounter for mental health services for victim of other abuse
Z70 Counseling related to sexual attitude, behavior and orientation
[edit]- Encounter for mental health services for sexual attitude, behavior and orientation
- Excludes2: contraceptive or procreative counseling (Z30-Z31)
- Z70.0 Counseling related to sexual attitude
- Z70.1 Counseling related to patient's sexual behavior and orientation
- Patient concerned regarding impotence
- Patient concerned regarding non-responsiveness
- Patient concerned regarding promiscuity
- Patient concerned regarding sexual orientation
- Z70.2 Counseling related to sexual behavior and orientation of third party
- Advice sought regarding sexual behavior and orientation of child
- Advice sought regarding sexual behavior and orientation of partner
- Advice sought regarding sexual behavior and orientation of spouse
- Z70.3 Counseling related to combined concerns regarding sexual attitude, behavior and orientation
- Z70.8 Other sex counseling
- Encounter for sex education
- Z70.9 Sex counseling, unspecified
Z71 Persons encountering health services for other counseling and medical advice, not elsewhere classified
[edit]- Excludes2: contraceptive or procreation counseling (Z30-Z31)
- sex counseling (Z70.-)
- Z71.0 Person encountering health services to consult on behalf of another person
- Person encountering health services to seek advice or treatment for non-attending third party
- Excludes2: anxiety (normal) about sick person in family (Z63.7)
- expectant (adoptive) parent(s) pre-birth pediatrician visit (Z76.81)
- Z71.1 Person with feared health complaint in whom no diagnosis is made
- Person encountering health services with feared condition which was not demonstrated
- Person encountering health services in which problem was normal state
- "Worried well"
- Excludes1: medical observation for suspected diseases and conditions proven not to exist (Z03.-)
- Z71.2 Person consulting for explanation of examination or test findings
- Z71.3 Dietary counseling and surveillance
- Use additional code for any associated underlying medical condition
- Use additional code to identify body mass index (BMI), if known (Z68.-)
- Z71.4 Alcohol abuse counseling and surveillance
- Use additional code for alcohol abuse or dependence (F10.-)
- Z71.41 Alcohol abuse counseling and surveillance of alcoholic
- Z71.42 Counseling for family member of alcoholic
- Counseling for significant other, partner, or friend of alcoholic
- Z71.5 Drug abuse counseling and surveillance
- Use additional code for drug abuse or dependence (F11-F16, F18-F19)
- Z71.51 Drug abuse counseling and surveillance of drug abuser
- Z71. 52 Counseling for family member of drug abuser
- Counseling for significant other, partner, or friend of drug abuser
- Z71.6 Tobacco abuse counseling
- Use additional code for nicotine dependence (F17.-)
- Z71.7 Human immunodeficiency virus [HIV] counseling
- Z71.8 Other specified counseling
- Excludes2: counseling for contraception (Z30.0-)
- counseling for genetics (Z31.5)
- counseling for procreative management (Z31.6-)
- Z71.81 Spiritual or religious counseling
- Z71.89 Other specified counseling
- Excludes2: counseling for contraception (Z30.0-)
- Z71.9 Counseling, unspecified
- Encounter for medical advice NOS
Z72 Problems related to lifestyle
[edit]- Excludes2: problems related to life-management difficulty (Z73.-)
- problems related to socioeconomic and psychosocial circumstances (Z55-Z65)
- Z72.0 Tobacco use
- Tobacco use NOS
- Excludes1: history of tobacco dependence (Z87.891)
- nicotine dependence (F17.2-)
- tobacco dependence (F17.2-)
- tobacco use during pregnancy (O99.33-)
- Z72.3 Lack of physical exercise
- Z72.4 Inappropriate diet and eating habits
- Excludes1: behavioral eating disorders of infancy or childhood (F98.2.- -F98.3)
- eating disorders (F50.-)
- lack of adequate food (Z59.4)
- malnutrition and other nutritional deficiencies (E40-E64)
- Excludes1: behavioral eating disorders of infancy or childhood (F98.2.- -F98.3)
- Z72.5 High risk sexual behavior
- Promiscuity
- Excludes1: paraphilias (F65)
- Z72.51 High risk heterosexual behavior
- Z72.52 High risk homosexual behavior
- Z72.53 High risk bisexual behavior
- Z72.6 Gambling and betting
- Excludes1: compulsive or pathological gambling (F63.0)
- Z72.8 Other problems related to lifestyle
- Z72.81 Antisocial behavior
- Excludes1: conduct disorders (F91.-)
- Z72.810 Child and adolescent antisocial behavior
- Antisocial behavior (child) (adolescent) without manifest psychiatric disorder
- Delinquency NOS
- Group delinquency
- Offenses in the context of gang membership
- Stealing in company with others
- Truancy from school
- Z72.811 Adult antisocial behavior
- Adult antisocial behavior without manifest psychiatric disorder
- Z72.82 Problems related to sleep
- Z72.820 Sleep deprivation
- Lack of adequate sleep
- Excludes1: insomnia (G47.0-)
- Z72.821 Inadequate sleep hygiene
- Bad sleep habits
- Irregular sleep habits
- Unhealthy sleep wake schedule
- Excludes1: insomnia (F51.0-, G47.0-)
- Z72.820 Sleep deprivation
- Z72.89 Other problems related to lifestyle
- Self-damaging behavior
- Z72.81 Antisocial behavior
- Z72.9 Problem related to lifestyle, unspecified
Z73 Problems related to life management difficulty
[edit]- Excludes2: problems related to socioeconomic and psychosocial circumstances (Z55-Z65)
- Z73.0 Burn-out
- Z73.1 Type A behavior pattern
- Z73.2 Lack of relaxation and leisure
- Z73.3 Stress, not elsewhere classified
- Physical and mental strain NOS
- Excludes1: stress related to employment or unemployment (Z56.-)
- Z73.4 Inadequate social skills, not elsewhere classified
- Z73.5 Social role conflict, not elsewhere classified
- Z73.6 Limitation of activities due to disability
- Excludes1: care-provider dependency (Z74.-)
- Z73.8 Other problems related to life management difficulty
- Z73.81 Behavioral insomnia of childhood
- Z73.810 Behavioral insomnia of childhood, sleep-onset association type
- Z73.811 Behavioral insomnia of childhood, limit setting type
- Z73.812 Behavioral insomnia of childhood, combined type
- Z73.819 Behavioral insomnia of childhood, unspecified type
- Z73.82 Dual sensory impairment
- Z73.89 Other problems related to life management difficulty
- Z73.81 Behavioral insomnia of childhood
- Z73.9 Problem related to life management difficulty, unspecified
Z74 Problems related to care provider dependency
- Excludes2: dependence on enabling machines or devices NEC (Z99.-)
- Z74.0 Reduced mobility
- Z74.01 Bed confinement status
- Bedridden
- Z74.09 Other reduced mobility
- Chairridden
- Reduced mobility NOS
- Excludes2: wheelchair dependence (Z99.3)
- Z74.01 Bed confinement status
- Z74.1 Need for assistance with personal care
- Z74.2 Need for assistance at home and no other household member able to render care
- Z74.3 Need for continuous supervision
- Z74.8 Other problems related to care provider dependency
- Z74.9 Problem related to care provider dependency, unspecified
Z75 Problems related to medical facilities and other health care
[edit]- Z75.0 Medical services not available in home
- Excludes1: no other household member able to render care (Z74.2)
- Z75.1 Person awaiting admission to adequate facility elsewhere
- Z75.2 Other waiting period for investigation and treatment
- Z75.3 Unavailability and inaccessibility of health-care facilities
- Excludes1: bed unavailable (Z75.1)
- Z75.4 Unavailability and inaccessibility of other helping agencies
- Z75.5 Holiday relief care
- Z75.8 Other problems related to medical facilities and other health care
- Z75.9 Unspecified problem related to medical facilities and other health care
Z76 Persons encountering health services in other circumstances
[edit]- Z76.0 Encounter for issue of repeat prescription
- Encounter for issue of repeat prescription for appliance
- Encounter for issue of repeat prescription for medicaments
- Encounter for issue of repeat prescription for spectacles
- Excludes2: issue of medical certificate (Z02.7)
- repeat prescription for contraceptive (Z30.4-)
- Z76.1 Encounter for health supervision and care of foundling
- Z76.2 Encounter for health supervision and care of other healthy infant and child
- Encounter for medical or nursing care or supervision of healthy infant under circumstances such as adverse socioeconomic conditions at home
- Encounter for medical or nursing care or supervision of healthy infant under circumstances such as awaiting foster or adoptive placement
- Encounter for medical or nursing care or supervision of healthy infant under circumstances such as maternal illness
- Encounter for medical or nursing care or supervision of healthy infant under circumstances such as number of children at home preventing or interfering with normal care
- Z76.3 Healthy person accompanying sick person
- Z76.4 Other boarder to healthcare facility
- Excludes1: homelessness (Z59.0)
- Z76.5 Malingerer [conscious simulation]
- Person feigning illness (with obvious motivation)
- Excludes1: factitious disorder (F68.1-)
- peregrinating patient (F68.1-)
- Z76.8 Persons encountering health services in other specified circumstances
- Z76.81 Expectant parent(s) prebirth pediatrician visit
- Pre-adoption pediatrician visit for adoptive parent(s)
- Z76.82 Awaiting organ transplant status
- Patient waiting for organ availability
- Z76.89 Persons encountering health services in other specified circumstances
- Persons encountering health services NOS
- Z76.81 Expectant parent(s) prebirth pediatrician visit
Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99)
[edit]- Code also any follow-up examination (Z08-Z09)
Z77 Other contact with and (suspected) exposures hazardous to health
[edit]- Includes: contact with and (suspected) exposures to potential hazards to health
- Excludes2: contact with and (suspected) exposure to communicable diseases (Z20.-)
- exposure to (parental) (environmental) tobacco smoke in the perinatal period (P96.81)
- newborn (suspected to be) affected by noxious substances transmitted via placenta or breast milk (P04.-)
- occupational exposure to risk factors (Z57.-)
- toxic effects of substances chiefly nonmedicinal as to source (T51-T65)
- Z77.0 Contact with and (suspected) exposure to hazardous, chiefly nonmedicinal, chemicals
- Z77.01 Contact with and (suspected) exposure to hazardous metals
- Z77.010 Contact with and (suspected) exposure to arsenic
- Z77.011 Contact with and (suspected) exposure to lead
- Z77. 018 Contact with and (suspected) exposure to other hazardous metals
- Contact with and (suspected) exposure to chromium compounds
- Contact with and (suspected) exposure to nickel dust
- Z77.02 Contact with and (suspected) exposure to hazardous aromatic compounds
- Z77.020 Contact with and (suspected) exposure to aromatic amines
- Z77.021 Contact with and (suspected) exposure to benzene
- Z77.028 Contact with and (suspected) exposure to other hazardous aromatic compounds
- Aromatic dyes NOS
- Polycyclic aromatic hydrocarbons
- Z77.09 Contact with and (suspected) exposure to other hazardous, chiefly nonmedicinal, chemicals
- Z77.090 Contact with and (suspected) exposure to asbestos
- Z77.098 Contact with and (suspected) exposure to other hazardous, chiefly nonmedicinal, chemicals
- Dyes NOS
- Z77.01 Contact with and (suspected) exposure to hazardous metals
- Z77.1 Contact with and (suspected) exposure to environmental pollution and hazards in the physical environment
- Z77.11 Contact with and (suspected) exposure to environmental pollution
- Z77.110 Contact with and (suspected) exposure to air pollution
- Z77.111 Contact with and (suspected) exposure to water pollution
- Z77.112 Contact with and (suspected) exposure to soil pollution
- Z77.118 Contact with and (suspected) exposure to other environmental pollution
- Z77.12 Contact with and (suspected) exposure to hazards in the physical environment
- Z77.120 Contact with and (suspected) exposure to mold (toxic)
- Z77.121 Contact with and (suspected) exposure to harmful algae and algae toxins
- Contact with and (suspected) exposure to (harmful) algae bloom NOS
- Contact with and (suspected) exposure to blue-green algae bloom
- Contact with and (suspected) exposure to brown tide
- Contact with and (suspected) exposure to cyanobacteria bloom
- Contact with and (suspected) exposure to Florida red tide
- Contact with and (suspected) exposure to pfiesteria piscicida
- Contact with and (suspected) exposure to red tide
- Z77.122 Contact with and (suspected) exposure to noise
- Z77.123 Contact with and (suspected) exposure to radon and other naturally occuring radiation
- Excludes2: radiation exposure as the cause of a confirmed condition (W88-W90, X39.0-)
- radiation sickness NOS (T66)
- Excludes2: radiation exposure as the cause of a confirmed condition (W88-W90, X39.0-)
- Z77.128 Contact with and (suspected) exposure to other hazards in the physical environment
- Z77.11 Contact with and (suspected) exposure to environmental pollution
- Z77.2 Contact with and (suspected ) exposure to other hazardous substances
- Z77.21 Contact with and (suspected) exposure to potentially hazardous body fluids
- Z77.22 Contact with and (suspected) exposure to environmental tobacco smoke (acute) (chronic)
- Exposure to second hand tobacco smoke (acute) (chronic)
- Passive smoking (acute) (chronic)
- Excludes1: nicotine dependence (F17.-)
- tobacco use (Z72.0)
- Excludes2: occupational exposure to environmental tobacco smoke (Z57.31)
- Z77.29 Contact with and (suspected ) exposure to other hazardous substances
- Z77.9 Other contact with and (suspected) exposures hazardous to health
Z78 Other specified health status
[edit]- Excludes2: asymptomatic human immunodeficiency virus [HIV] infection status (Z21)
- postprocedural status (Z93- Z99)
- sex reassignment status (Z87.890)
- Z78.0 Asymptomatic menopausal state
- Menopausal state NOS
- Postmenopausal status NOS
- Excludes2: symptomatic menopausal state (N95.1)
- Z78.9 Other specified health status
Z79 Long term (current) drug therapy
[edit]- Includes: long term (current) drug use for prophylactic purposes
- Code also any therapeutic drug level monitoring (Z51.81)
- Excludes2: drug abuse and dependence (F11-F19)
- drug use complicating pregnancy, childbirth, and the puerperium (O99.32-)
- Z79.0 Long term (current) use of anticoagulants and antithrombotics/antiplatelets
- Excludes2: long term (current) use of aspirin (Z79.83)
- Z79.01 Long term (current) use of anticoagulants
- Z79.02 Long term (current) use of antithrombotics/antiplatelets
- Z79.1 Long term (current) use of non-steroidal anti-inflammatories (NSAID)
- Excludes2: long term (current) use of aspirin (Z79.82)
- Z79.2 Long term (current) use of antibiotics
- Z79.3 Long term (current) use of hormonal contraceptives
- Long term (current) use of birth control pill or patch
- Z79.4 Long term (current) use of insulin
- Z79.5 Long term (current) use of steroids
- Z79.51 Long term (current) use of inhaled steroids
- Z79.52 Long term (current) use of systemic steroids
- Z79.8 Other long term (current) drug therapy
- Z79.81 Long term (current) use of agents affecting estrogen receptors and estrogen levels
- Code first, if applicable:
- malignant neoplasm of breast (C50.-)
- malignant neoplasm of prostate (C61)
- Use additional code, if applicable, to identify:
- estrogen receptor positive status (Z17.0)
- family history of breast cancer (Z80.3)
- genetic susceptibility to malignant neoplasm (cancer) (Z15.0-)
- personal history of breast cancer (Z85.3)
- personal history of prostate cancer (Z85.46)
- postmenopausal status (Z78.0)
- Excludes1: hormone replacement therapy (postmenopausal) (Z79.890)
- Z79.810 Long term (current) use of selective estrogen receptor modulators (SERMs)
- Long term (current) use of raloxifene (Evista)
- Long term (current) use of tamoxifen (Nolvadex)
- Long term (current) use of toremifene (Fareston)
- Z79.811 Long term (current) use of aromatase inhibitors
- Long term (current) use of anastrozole (Arimidex)
- Long term (current) use of exemestane (Aromasin)
- Long term (current) use of letrozole (Femara)
- Z79.818 Long term (current) use of other agents affecting estrogen receptors and estrogen levels
- Long term (current) use of estrogen receptor downregulators
- Long term (current) use of fulvestrant (Faslodex)
- Long term (current) use of gonadotropin-releasing hormone (GnRH) agonist
- Long term (current) use of goserelin acetate (Zoladex)
- Long term (current) use of leuprolide acetate (leuprorelin) (Lupron)
- Long term (current) use of megestrol acetate (Megace)
- Code first, if applicable:
- Z79.82 Long term (current) use of aspirin
- Z79.89 Other long term (current) drug therapy
- Z79.890 Hormone replacement therapy (postmenopausal)
- Z79.891 Long term (current) use of opiate analgesic
- Long term (current) use of methadone for pain management
- Excludes1: methodone use NOS (F11.2-)
- use of methodone for treatment of heroin addiction (F11.2-)
- Z79.899 Other long term (current) drug therapy
- Z79.81 Long term (current) use of agents affecting estrogen receptors and estrogen levels
Z80 Family history of primary malignant neoplasm
[edit]- Z80.0 Family history of malignant neoplasm of digestive organs
- Conditions classifiable to C15-C26
- Z80.1 Family history of malignant neoplasm of trachea, bronchus and lung
- Conditions classifiable to C33-C34
- Z80.2 Family history of malignant neoplasm of other respiratory and intrathoracic organs
- Conditions classifiable to C30-C32, C37-C39
- Z80.3 Family history of malignant neoplasm of breast
- Conditions classifiable to C50.-
- Z80.4 Family history of malignant neoplasm of genital organs
- Conditions classifiable to C51-C63
- Z80. 41 Family history of malignant neoplasm of ovary
- Z80.42 Family history of malignant neoplasm of prostate
- Z80.43 Family history of malignant neoplasm of testis
- Z80.49 Family history of malignant neoplasm of other genital organs
- Z80.5 Family history of malignant neoplasm of urinary tract
- Conditions classifiable to C64-C68
- Z80.51 Family history of malignant neoplasm of kidney
- Z80.52 Family history of malignant neoplasm of bladder
- Z80.59 Family history of malignant neoplasm of other urinary tract organ
- Z80.6 Family history of leukemia
- Conditions classifiable to C91-C95
- Z80.7 Family history of other malignant neoplasms of lymphoid, hematopoietic and related tissues
- Conditions classifiable to C81-C90, C96.-
- Z80.8 Family history of malignant neoplasm of other organs or systems
- Conditions classifiable to C00-C14, C40-C49, C69-C79
- Z80.9 Family history of malignant neoplasm, unspecified
- Conditions classifiable to C80.1
Z81 Family history of mental and behavioral disorders
[edit]- Z81.0 Family history of mental retardation
- Conditions classifiable to F70-F79
- Z81.1 Family history of alcohol abuse and dependence
- Conditions classifiable to F10.-
- Z81.2 Family history of tobacco abuse and dependence
- Conditions classifiable to F17.-
- Z81.3 Family history of other psychoactive substance abuse and dependence
- Conditions classifiable to F11-F16, F18-F19
- Z81.4 Family history of other substance abuse and dependence
- Conditions classifiable to F55
- Z81.8 Family history of other mental and behavioral disorders
- Conditions classifiable elsewhere in F01-F99
Z82 Family history of certain disabilities and chronic diseases (leading to disablement)
[edit]- Z82.0 Family history of epilepsy and other diseases of the nervous system
- Conditions classifiable to G00-G99
- Z82.1 Family history of blindness and visual loss
- Conditions classifiable to H54.-
- Z82.2 Family history of deafness and hearing loss
- Conditions classifiable to H90-H91
- Z82.3 Family history of stroke
- Conditions classifiable to I60-I64
- Z82.4 Family history of ischemic heart disease and other diseases of the circulatory system
- Conditions classifiable to I00-I52, I65-I99
- Z82.41 Family history of sudden cardiac death
- Z82.49 Family history of ischemic heart disease and other diseases of the circulatory system
- Z82.5 Family history of asthma and other chronic lower respiratory diseases
- Conditions classifiable to J40-J47
- Excludes2: family history of other diseases of the respiratory system (Z83.6)
- Z82.6 Family history of arthritis and other diseases of the musculoskeletal system and connective tissue
- Conditions classifiable to M00-M99
- Z82.61 Family history of arthritis
- Z82.62 Family history of osteoporosis
- Z82.69 Family history of other diseases of the musculoskeletal system and connective tissue
- Z82.7 Family history of congenital malformations, deformations and chromosomal abnormalities
- Conditions classifiable to Q00-Q99
- Z82.71 Family history of polycystic kidney
- Z82.79 Family history of other congenital malformations, deformations and chromosomal abnormalities
- Z82.8 Family history of other disabilities and chronic diseases leading to disablement, not elsewhere classified
Z83 Family history of other specific disorders
[edit]- Excludes2: contact with and (suspected) exposure to communicable disease in the family (Z20.-)
- Z83.0 Family history of human immunodeficiency virus [HIV] disease
- Conditions classifiable to B20
- Z83.1 Family history of other infectious and parasitic diseases
- Conditions classifiable to A00-B19, B25-B94, B99
- Z83.2 Family history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
- Conditions classifiable to D50-D89
- Z83.3 Family history of diabetes mellitus
- Conditions classifiable to E09-E13
- Z83.4 Family history of other endocrine, nutritional and metabolic diseases
- Conditions classifiable to E00-E07, E15-E90
- Z83.41 Family history of multiple endocrine neoplasia [MEN] syndrome
- Z83. 49 Family history of other endocrine, nutritional and metabolic diseases
- Z83.5 Family history of eye and ear disorders
- Conditions classifiable to H00-H53, H55-H83, H92-H95
- Excludes2: family history of blindness and visual loss (Z82.1)
- family history of deafness and hearing loss (Z82.2)
- Z83.6 Family history of other diseases of the respiratory system
- Conditions classifiable to J00-J39, J60-J99
- Excludes2: family history of asthma and other chronic lower respiratory diseases (Z82.5)
- Z83.7 Family history of diseases of the digestive system
- Conditions classifiable to K00-K93
- Z83.71 Family history of colonic polyps
- Excludes1: family history of malignant neoplasm of digestive organs (Z80.0)
- Z83.79 Family history of other diseases of the digestive system
Z84 Family history of other conditions
[edit]- Z84.0 Family history of diseases of the skin and subcutaneous tissue
- Conditions classifiable to L00-L99
- Z84.1 Family history of disorders of kidney and ureter
- Conditions classifiable to N00-N29
- Z84.2 Family history of other diseases of the genitourinary system
- Conditions classifiable to N30-N99
- Z84.3 Family history of consanguinity
- Z84.8 Family history of other specified conditions
- Z84.81 Family history of carrier of genetic disease
- Z84.89 Family history of other specified conditions
Z85 Personal history of malignant neoplasm
[edit]- Code first any follow-up examination after treatment of malignant neoplasm (Z08)
- Use additional code to identify:
- alcohol use and dependence (F10.-)
- exposure to environmental tobacco smoke (Z77.22)
- history of tobacco use (Z87.891)
- occupational exposure to environmental tobacco smoke (Z57.31)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
- Excludes2: personal history of benign neoplasm (Z86.01-)
- personal history of carcinoma-in-situ (Z86.00-)
- Z85.0 Personal history of malignant neoplasm of digestive organs
- Z85.00 Personal history of malignant neoplasm of unspecified digestive organ
- Z85.01 Personal history of malignant neoplasm of esophagus
- Conditions classifiable to C15
- Z85. 02 Personal history of malignant neoplasm of stomach
- Z85.020 Personal history of malignant carcinoid tumor of stomach
- Conditions classifiable to C7a.092
- Z85.028 Personal history of other malignant neoplasm of stomach
- Conditions classifiable to C16
- Z85.020 Personal history of malignant carcinoid tumor of stomach
- Z85.03 Personal history of malignant neoplasm of large intestine
- Z85.030 Personal history of malignant carcinoid tumor of large intestine
- Conditions classifiable to C7a.022-C7a.025, C7a.029
- Z85.038 Personal history of other malignant neoplasm of large intestine
- Conditions classifiable to C18
- Z85.030 Personal history of malignant carcinoid tumor of large intestine
- Z85.04 Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus
- Z85.040 Personal history of malignant carcinoid tumor of rectum
- Conditions classifiable to C7a.026
- Z85.048 Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus
- Conditions classifiable to C19-C21
- Z85.040 Personal history of malignant carcinoid tumor of rectum
- Z85.05 Personal history of malignant neoplasm of liver
- Conditions classifiable to C22
- Z85.06 Personal history of malignant neoplasm of small intestine
- Z85.060 Personal history of malignant carcinoid tumor of small intestine
- Conditions classifiable to C7a.01-
- Z85.068 Personal history of other malignant neoplasm of small intestine
- Conditions classifiable to C17
- Z85.060 Personal history of malignant carcinoid tumor of small intestine
- Z85.07 Personal history of malignant neoplasm of pancreas
- Conditions classifiable to C25
- Z85.09 Personal history of malignant neoplasm of other digestive organs
- Z85.1 Personal history of malignant neoplasm of trachea, bronchus and lung
- Z85.11 Personal history of malignant neoplasm of bronchus and lung
- Z85.110 Personal history of malignant carcinoid tumor of bronchus and lung
- Conditions classifiable to C7a.090
- Z85.118 Personal history of other malignant neoplasm of bronchus and lung
- Conditions classifiable to C34
- Z85.110 Personal history of malignant carcinoid tumor of bronchus and lung
- Z85.12 Personal history of malignant neoplasm of trachea
- Conditions classifiable to C33
- Z85.11 Personal history of malignant neoplasm of bronchus and lung
- Z85.2 Personal history of malignant neoplasm of other respiratory and intrathoracic organs
- Z85.20 Personal history of malignant neoplasm of unspecified respiratory organ
- Z85.21 Personal history of malignant neoplasm of larynx
- Conditions classifiable to C32
- Z85.22 Personal history of malignant neoplasm of nasal cavities, middle ear, and accessory sinuses
- Conditions classifiable to C30-C31
- Z85.23 Personal history of malignant neoplasm of thymus
- Z85.230 Personal history of malignant carcinoid tumor of thymus
- Conditions classifiable to C7a.091
- Z85.238 Personal history of malignant neoplasm of thymus
- Conditions classifiable to C37
- Z85.230 Personal history of malignant carcinoid tumor of thymus
- Z85.29 Personal history of malignant neoplasm of other respiratory and intrathoracic organs
- Z85.3 Personal history of malignant neoplasm of breast
- Conditions classifiable to C50.-
- Z85.4 Personal history of malignant neoplasm of genital organs
- Conditions classifiable to C51-C63
- Z85.40 Personal history of malignant neoplasm of unspecified female genital organ
- Z85.41 Personal history of malignant neoplasm of cervix uteri
- Z85.42 Personal history of malignant neoplasm of other parts of uterus
- Z85.43 Personal history of malignant neoplasm of ovary
- Z85.44 Personal history of malignant neoplasm of other female genital organs
- Z85.45 Personal history of malignant neoplasm of unspecified male genital organ
- Z85.46 Personal history of malignant neoplasm of prostate
- Z85.47 Personal history of malignant neoplasm of testis
- Z85.48 Personal history of malignant neoplasm of epididymis
- Z85.49 Personal history of malignant neoplasm of other male genital organs
- Z85.5 Personal history of malignant neoplasm of urinary tract
- Conditions classifiable to C64-C68
- Z85. 50 Personal history of malignant neoplasm of unspecified urinary tract organ
- Z85.51 Personal history of malignant neoplasm of bladder
- Z85.52 Personal history of malignant neoplasm of kidney
- Excludes1: personal history of malignant neoplasm of renal pelvis (Z85.53)
- Z85.520 Personal history of malignant carcinoid tumor of kidney
- Conditions classifiable to C7a.093
- Z85.528 Personal history of other malignant neoplasm of kidney
- Conditions classifiable to C64
- Z85.53 Personal history of malignant neoplasm of renal pelvis
- Z85.59 Personal history of malignant neoplasm of other urinary tract organ
- Z85.6 Personal history of leukemia
- Conditions classifiable to C91-C95
- Excludes1: leukemia in remission C91.0-C95.9 with 5th character 1
- Z85.7 Personal history of other malignant neoplasms of lymphoid, hematopoietic and related tissues
- Z85.71 Personal history of Hodgkin lymphoma
- Conditions classifiable to C81
- Z85.72 Personal history of non-Hodgkin lymphomas
- Conditions classifiable to C82-C85
- Z85.79 Personal history of other malignant neoplasms of lymphoid, hematopoietic and related tissues
- Conditions classifiable to C88-C90, C96
- Excludes1: multiple myeloma in remission (C90.01)
- plasma cell leukemia in remission (C90.11)
- plasmacytoma in remission (C90.21)
- Z85.71 Personal history of Hodgkin lymphoma
- Z85.8 Personal history of malignant neoplasms of other organs and systems
- Conditions classifiable to C00-C14, C40-C49, C69-C79, C7a.098
- Z85.81 Personal history of malignant neoplasm of lip, oral cavity, and pharynx
- Z85.810 Personal history of malignant neoplasm of tongue
- Z85.818 Personal history of malignant neoplasm of other sites of lip, oral cavity, and pharynx
- Z85.819 Personal history of malignant neoplasm of unspecified site of lip, oral cavity, and pharynx
- Z85.82 Personal history of malignant neoplasm of skin
- Z85. 820 Personal history of malignant melanoma of skin
- Conditions classifiable to C43
- Z85.821 Personal history of Merkel cell carcinoma
- Conditions classifiable to C4a
- Z85.828 Personal history of other malignant neoplasm of skin
- Conditions classifiable to C44
- Z85. 820 Personal history of malignant melanoma of skin
- Z85.83 Personal history of malignant neoplasm of bone and soft tissue
- Z85.830 Personal history of malignant neoplasm of bone
- Z85.831 Personal history of malignant neoplasm of soft tissue
- Excludes2: personal history of malignant neoplasm of skin (Z85.82-)
- Z85.84 Personal history of malignant neoplasm of eye and nervous tissue
- Z85.840 Personal history of malignant neoplasm of eye
- Z85.841 Personal history of malignant neoplasm of brain
- Z85.848 Personal history of malignant neoplasm of other parts of nervous tissue
- Z85.85 Personal history of malignant neoplasm of endocrine glands
- Z85.850 Personal history of malignant neoplasm of thyroid
- Z85.858 Personal history of malignant neoplasm of other endocrine glands
- Z85.89 Personal history of malignant neoplasm of other organs and systems
- Z85.9 Personal history of malignant neoplasm, unspecified
- Conditions classifiable to C7a.00, C80.1
Z86 Personal history of certain other diseases
[edit]- Code first any follow-up examination after treatment (Z09)
- Z86.0 Personal history of in-situ and benign neoplasms and neoplasms of uncertain behavior
- Excludes2: personal history of malignant neoplasms (Z85.-)
- Z86.00 Personal history of in-situ neoplasm
- Z86.000 Personal history of in-situ neoplasm of breast
- Z86.001 Personal history of in-situ neoplasm of cervix uteri
- Z86.008 Personal history of in-situ neoplasm of other site
- Z86. 01 Personal history of benign neoplasm
- Z86.010 Personal history of colonic polyps
- Z86.011 Personal history of benign neoplasm of the brain
- Z86.012 Personal history of benign carcinoid tumor
- Z86.018 Personal history of other benign neoplasm
- Z86.03 Personal history of neoplasm of uncertain behavior
- Z86.1 Personal history of infectious and parasitic diseases
- Conditions classifiable to A00-B89, B99
- Excludes1: personal history of infectious diseases specific to a body system
- sequelae of infectious and parasitic diseases (B90-B94)
- Z86.11 Personal history of tuberculosis
- Z86.12 Personal history of poliomyelitis
- Z86.13 Personal history of malaria
- Z86.19 Personal history of other infectious and parasitic diseases
- Z86.2 Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
- Conditions classifiable to D50-D89
- Z86.3 Personal history of endocrine, nutritional and metabolic diseases
- Conditions classifiable to E00-E90
- Z86.31 Personal history of diabetic foot ulcer
- Excludes2: current diabetic foot ulcer (E09.640, E10.640, E11.640, E13.640)
- Z86.39 Personal history of other endocrine, nutritional and metabolic disease
- Z86.6 Personal history of diseases of the nervous system and sense organs
- Conditions classifiable to G00-G99, H00-H95
- Z86.61 Personal history of infections of the central nervous system
- Personal history of encephalitis
- Personal history of meningitis
- Z86.69 Personal history of other diseases of the nervous system and sense organs
- Z86.7 Personal history of diseases of the circulatory system
- Conditions classifiable to I00-I99
- Excludes2: old myocardial infarction (I25.2)
- postmyocardial infarction syndrome (I24.1)
- Z86.71 Personal history of venous thrombosis and embolism
- Z86.72 Personal history of thrombophlebitis
- Z86.73 Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits
- Personal history of prolonged reversible ischemic neurological deficit (PRIND)
- Personal history of stroke NOS without residual deficits
- Excludes1: personal history of traumatic brain injury (Z87.820)
- sequelae of cerebrovascular disease (I69.-)
- Z86.74 Personal history of sudden cardiac arrest
- Personal history of sudden cardiac death sucessfully resuscitated
- Z86.79 Personal history of other diseases of the circulatory system
Z87 Personal history of other diseases and conditions
[edit]- Code first any: follow-up examination after treatment (Z09)
- Z87.0 Personal history of diseases of the respiratory system
- Conditions classifiable to J00-J99
- Z87.01 Personal history of pneumonia (recurrent)
- Z87.09 Personal history of other diseases of the respiratory system
- Z87.1 Personal history of diseases of the digestive system
- Conditions classifiable to K00-K93
- Z87.11 Personal history of peptic ulcer disease
- Z87.19 Personal history of other diseases of the digestive system
- Z87.2 Personal history of diseases of the skin and subcutaneous tissue
- Conditions classifiable to L00-L99
- Excludes2: personal history of diabetic foot ulcer (Z86.31)
- Z87.3 Personal history of diseases of the musculoskeletal system and connective tissue
- Conditions classifiable to M00-M99
- Excludes2: personal history of (healed) traumatic fracture (Z87.81)
- Z87.31 Personal history of (healed) nontraumatic fracture
- Z87.310 Personal history of (healed) osteoporosis fracture
- Personal history of (healed) fragility fracture
- Personal history of (healed) collapsed vertebra due to osteoporosis
- Z87.311 Personal history of (healed) other pathological fracture
- Personal history of (healed) collapsed vertebra NOS
- Excludes2: personal history of osteoporosis fracture (Z87.310)
- Z87.312 Personal history of (healed) stress fracture
- Personal history of (healed) fatigue fracture
- Z87.310 Personal history of (healed) osteoporosis fracture
- Z87. 39 Personal history of other diseases of the musculoskeletal system and connective tissue
- Z87.4 Personal history of diseases of the genitourinary system
- Conditions classifiable to N00-N99
- Z87.41 Personal history of urinary (tract) infection(s)
- Z87.42 Personal history of nephrotic syndrome
- Z87.43 Personal history of urinary calculi
- Z87.44 Personal history of cervical dysplasia
- Excludes1: personal history of malignant neoplasm of cervix uteri (Z85.41)
- Z87.49 Personal history of other diseases of the genitourinary system
- Z87.5 Personal history of complications of pregnancy, childbirth and the puerperium
- Conditions classifiable to O00-O99
- Excludes2: habitual aborter (N96)
- Z87.51 Personal history of pre-term labor
- Excludes1: current pregnancy with history of pre-term labor (O09.21-)
- Z87.59 Personal history of other complications of pregnancy, childbirth and the puerperium
- Personal history of trophoblastic disease
- Z87.7 Personal history of congenital malformations and deformations
- Conditions classifiable to Q00-Q89 that have been repaired or corrected
- Z87.71 Personal history of hypospadias
- Z87.79 Personal history of other congenital malformations and deformations
- Z87.8 Personal history of other specified conditions
- Excludes2: personal history of self harm (Z91.5)
- Z87.81 Personal history of (healed) traumatic fracture
- Excludes2: personal history of (healed) nontraumatic fracture (Z87.31-)
- Z87.82 Personal history of other (healed) physical injury and trauma
- Conditions classifiable to S00-T98, except traumatic fractures
- Z87.820 Personal history of traumatic brain injury
- Excludes1: personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits (Z86.73)
- Z87.828 Personal history of other (healed) physical injury and trauma
- Z87.89 Personal history of other specified conditions
- Z87.890 Personal history of sex reassignment
- Z87. 891 Personal history of nicotine dependence
- Excludes1: current nicotine dependence (F17.2-)
- Z87.898 Personal history of other specified conditions
Z88 Allergy status to drugs, medicaments and biological substances
[edit]- Excludes2: Allergy status, other than to drugs and biological substances (Z91.0-)
- Z88.0 Allergy status to penicillin
- Z88.1 Allergy status to other antibiotic agents status
- Z88.2 Allergy status to sulfonamides status
- Z88.3 Allergy status to other anti-infective agents status
- Z88.4 Allergy status to anesthetic agent status
- Z88.5 Allergy status to narcotic agent status
- Z88.6 Allergy status to analgesic agent status
- Z88.7 Allergy status to serum and vaccine status
- Z88.8 Allergy status to other drugs, medicaments and biological substances status
- Z88.9 Allergy status to unspecified drugs, medicaments and biological substances status
Z89 Acquired absence of limb
[edit]- Includes: amputation status
- postprocedural loss of limb
- post-traumatic loss of limb
- Excludes1: acquired deformities of limbs (M20-M21)
- congenital absence of limbs (Q71-Q73)
- Z89.0 Acquired absence of thumb and other finger(s)
- Z89.01 Acquired absence of thumb
- Z89.011 Acquired absence of right thumb
- Z89.012 Acquired absence of left thumb
- Z89.019 Acquired absence of unspecified thumb
- Z89.02 Acquired absence of other finger(s)
- Excludes2: acquired absence of thumb (Z89.01-)
- Z89.021 Acquired absence of right finger(s)
- Z89.022 Acquired absence of left finger(s)
- Z89.029 Acquired absence of unspecified finger(s)
- Z89.01 Acquired absence of thumb
- Z89.1 Acquired absence of hand and wrist
- Z89.11 Acquired absence of hand
- Z89.111 Acquired absence of right hand
- Z89.112 Acquired absence of left hand
- Z89.119 Acquired absence of unspecified hand
- Z89.12 Acquired absence of wrist
- Disarticulation at wrist
- Z89.121 Acquired absence of right wrist
- Z89.122 Acquired absence of left wrist
- Z89. 129 Acquired absence of unspecified wrist
- Z89.11 Acquired absence of hand
- Z89.2 Acquired absence of upper limb above wrist
- Z89.20 Acquired absence of upper limb, unspecified level
- Z89.201 Acquired absence of right upper limb, unspecified level
- Z89.202 Acquired absence of left upper limb, unspecified level
- Z89.209 Acquired absence of unspecified upper limb, unspecified level
- Acquired absence of arm NOS
- Z89.21 Acquired absence of upper limb below elbow
- Z89.211 Acquired absence of right upper limb below elbow
- Z89.212 Acquired absence of left upper limb below elbow
- Z89.219 Acquired absence of unspecified upper limb below elbow
- Z89.22 Acquired absence of upper limb above elbow
- Disarticulation at elbow
- Z89.221 Acquired absence of right upper limb above elbow
- Z89.222 Acquired absence of left upper limb above elbow
- Z89.229 Acquired absence of unspecified upper limb above elbow
- Z89.23 Acquired absence of shoulder
- Z89.231 Acquired absence of right shoulder
- Z89.232 Acquired absence of left shoulder
- Z89.239 Acquired absence of unspecified shoulder
- Z89.20 Acquired absence of upper limb, unspecified level
- Z89.4 Acquired absence of toe(s), foot, and ankle
- Z89.41 Acquired absence of great toe
- Z89.411 Acquired absence of right great toe
- Z89.412 Acquired absence of left great toe
- Z89.419 Acquired absence of unspecified great toe
- Z89.42 Acquired absence of other toe(s)
- Excludes2: acquired absence of great toe (Z89.41-)
- Z89.421 Acquired absence of other right toe(s)
- Z89.422 Acquired absence of other left toe(s)
- Z89.429 Acquired absence of other toe(s), unspecified side
- Z89.43 Acquired absence of foot
- Z89.431 Acquired absence of right foot
- Z89.432 Acquired absence of left foot
- Z89. 439 Acquired absence of unspecified foot
- Z89.44 Acquired absence of ankle
- Disarticulation of ankle
- Z89.441 Acquired absence of right ankle
- Z89.442 Acquired absence of left ankle
- Z89.449 Acquired absence of unspecified ankle
- Z89.41 Acquired absence of great toe
- Z89.5 Acquired absence of leg below knee
- Z89.50 Acquired absence of leg knee, unspecified side
- Z89.51 Acquired absence of right leg below knee
- Z89.52 Acquired absence of left leg below knee
- Z89.6 Acquired absence of leg above knee
- Z89.61 Acquired absence of leg above knee
- Acquired absence of leg NOS
- Disarticulation at knee
- Z89.611 Acquired absence of right leg above knee
- Z89.612 Acquired absence of left leg above knee
- Z89.619 Acquired absence of unspecified leg above knee
- Z89.62 Acquired absence of hip
- Disarticulation at hip
- Z89.621 Acquired absence of right hip
- Z89.622 Acquired absence of left hip
- Z89.629 Acquired absence of unspecified hip
- Z89.61 Acquired absence of leg above knee
- Z89.9 Acquired absence of limb, unspecified
Z90 Acquired absence of organs, not elsewhere classified
[edit]- Includes: postprocedural or post-traumatic loss of body part NEC
- Excludes1: congenital absence - see Alphabetical Index
- Excludes2: postprocedural absence of endocrine glands (E89.-)
- Z90.0 Acquired absence of part of head and neck
- Z90.01 Acquired absence of eye
- Z90.02 Acquired absence of larynx
- Z90.09 Acquired absence of other part of head and neck
- Acquired absence of nose
- Excludes2: teeth (K08.1)
- Z90.1 Acquired absence of breast and nipple
- Z90.10 Acquired absence of unspecified breast and nipple
- Z90.11 Acquired absence of right breast and nipple
- Z90.12 Acquired absence of left breast and nipple
- Z90.13 Acquired absence of bilateral breasts and nipples
- Z90.2 Acquired absence of lung [part of]
- Z90.3 Acquired absence of stomach [part of]
- Z90.4 Acquired absence of other parts of digestive tract
- Z90.5 Acquired absence of kidney
- Z90.6 Acquired absence of other parts of urinary tract
- Acquired absence of bladder
- Z90.7 Acquired absence of genital organ(s)
- Excludes1: personal history of sex reassignment (Z87.890)
- Excludes2: female genital mutilation status (N90.81-)
- Z90.71 Acquired absence of cervix and uterus
- Z90.710 Acquired absence of both cervix and uterus
- Acquired absence of uterus NOS
- Status post total hysterectomy
- Z90.711 Acquired absence of uterus with remaining cervical stump
- Status post partial hysterectomy with remaining cervical stump
- Z90.712 Acquired absence of cervix with remaining uterus
- Z90.710 Acquired absence of both cervix and uterus
- Z90.72 Acquired absence of ovaries
- Z90.721 Acquired absence of ovaries, unilateral
- Z90.722 Acquired absence of ovaries, bilateral
- Z90.79 Acquired absence of other genital organ(s)
- Z90.8 Acquired absence of other organs
- Z90.81 Acquired absence of spleen
- Z90.89 Acquired absence of other organs
Z91 Personal risk factors, not elsewhere classified
[edit]- Excludes2: contact with and (suspected) exposures hazardous to health (Z77.-)
- exposure to pollution and other problems related to physical environment (Z77.1-)
- personal history of physical injury and trauma (Z87.81, Z87.82-)
- occupational exposure to risk factors (Z57.-)
- Z91.0 Allergy status, other than to drugs and biological substances
- Excludes2: Allergy status to drugs, medicaments, and biological substances (Z88.-)
- Z91.01 Food allergy status
- Excludes2: food additives allergy status (Z91.02)
- Z91.010 Allergy to peanuts
- Z91.011 Allergy to milk products
- Excludes1: lactose intolerance (E73.-)
- Z91.012 Allergy to eggs
- Z91.013 Allergy to seafood
- Allergy to shellfish
- Allergy to octopus or squid ink
- Z91.018 Allergy to other foods
- Allergy to nuts other than peanuts
- Z91.02 Food additives allergy status
- Z91.03 Insect allergy status
- Z91.030 Bee allergy status
- Z91.038 Other insect allergy status
- Z91.04 Nonmedicinal substance allergy status
- Z91.040 Latex allergy status
- Latex sensitivity status
- Z91. 041 Radiographic dye allergy status
- Allergy status to contrast media used for diagnostic x-ray procedure
- Z91.048 Other nonmedicinal substance allergy status
- Z91.040 Latex allergy status
- Z91.09 Other allergy status, other than to drugs and biological substances
- Z91.1 Patient's noncompliance with medical treatment and regimen
- Z91.11 Patient's noncompliance with dietary regimen
- Z91.12 Patient's intentional underdosing of medication regimen
- Code first underdosing of medication (T36-T50) with fifth or sixth character 6
- Excludes1: adverse effect of prescribed drug taken as directed- code to adverse effect
- poisoning (overdose) -code to poisoning
- Z91.120 Patient's intentional underdosing of medication regimen due to financial hardship
- Z91.128 Patient's intentional underdosing of medication regimen for other reason
- Z91.13 Patient's unintentional underdosing of medication regimen
- Code first underdosing of medication (T36-T50) with fifth or sixth character 6
- Excludes1: adverse effect of prescribed drug taken as directed- code to adverse effect
- poisoning (overdose) -code to poisoning
- Z91.130 Patient's unintentional underdosing of medication regimen due to age-related debility
- Z91.138 Patient's unintentional underdosing of medication regimen for other reason
- Z91.14 Patient's other noncompliance with medication regimen
- Patient's underdosing of medication NOS
- Z91.15 Patient's noncomplicance with renal dialysis
- Z91.19 Patient's noncompliance with other medical treatment and regimen
- Z91.4 Personal history of psychological trauma, not elsewhere classified
- Z91.41 Personal history of adult abuse
- Excludes2: personal history of abuse in childhood (Z62.81-)
- Z91.410 Personal history of adult physical and sexual abuse
- Excludes1: current adult physical abuse (T74.11, T76.11)
- current adult sexual abuse (T74. 21, T76.11)
- Excludes1: current adult physical abuse (T74.11, T76.11)
- Z91.411 Personal history of adult psychological abuse
- Z91.412 Personal history of adult neglect
- Excludes1: current adult neglect (T74.01, T76.01)
- Z91.419 Personal history of unspecified adult abuse
- Z91.49 Other personal history of psychological trauma, not elsewhere classified
- Z91.41 Personal history of adult abuse
- Z91.5 Personal history of self-harm
- Personal history of parasuicide
- Personal history of self-poisoning
- Personal history of suicide attempt
- Z91.8 Other specified personal risk factors, not elsewhere classified
- Z91.81 History of falling
- At risk for falling
- Z91.82 Personal history of military deployment
- Individual (civilian or military) with past history of military war, peacekeeping and humanitarian deployment (current or past conflict)
- Returned from military deployment
- Z91.89 Other specified personal risk factors, not elsewhere classified
- Z91.81 History of falling
Z92 Personal history of medical treatment
[edit]- Excludes2: postprocedural states (Z98.-)
- Z92.0 Personal history of contraception
- Excludes1: counseling or management of current contraceptive practices (Z30.-)
- long term (current) use of contraception (Z79.3)
- presence of (intrauterine) contraceptive device (Z97.5)
- Excludes1: counseling or management of current contraceptive practices (Z30.-)
- Z92.2 Personal history of drug therapy
- Excludes2: long term (current) drug therapy (Z79.-)
- Z92.21 Personal history of antineoplastic chemotherapy
- Z92.22 Personal history of monoclonal drug therapy
- Z92.23 Personal history of estrogen therapy
- Z92.24 Personal history of steroid therapy
- Z92.240 Personal history of inhaled steroid therapy
- Z92.241 Personal history of systemic steroid therapy
- Personal history of steroid therapy NOS
- Z92.25 Personal history of immunosupression therapy
- Excludes2: personal history of steroid therapy (Z92.24)
- Z92.29 Personal history of other drug therapy
- Z92.3 Personal history of irradiation
- Personal history of exposure to therapeutic radiation
- Excludes1: exposure to radiation in the physical environment (Z77.12)
- occupational exposure to radiation (Z57.1)
- Z92.8 Personal history of other medical treatment
- Z92.81 Personal history of extracorporeal membrane oxygenation (ECMO)
- Z92.82 Status post administration of tPA (rtPA) in a different facility within the last 24 hours prior to admission to current facility
- Code first condition requiring tPA administration, such as:
- acute cerebral infarction (I63.-)
- acute myocardial infarction (I21.-, I22.-)
- Code first condition requiring tPA administration, such as:
- Z92.83 Personal history of failed moderate sedation
- Personal history of failed conscious sedation
- Excludes2: failed moderate sedation during procedure (T88.52)
- Z92.89 Personal history of other medical treatment
Z93 Artificial opening status
[edit]- Excludes1: artificial openings requiring attention or management (Z43.-)
- complications of external stoma (J95.0-, K91.4-, K91.7-, N99.5-)
- Z93.0 Tracheostomy status
- Z93.1 Gastrostomy status
- Z93.2 Ileostomy status
- Z93.3 Colostomy status
- Z93.4 Other artificial openings of gastrointestinal tract status
- Z93.5 Cystostomy status
- Z93.50 Unspecified cystostomy status
- Z93.51 Cutaneous-vesicostomy status
- Z93.52 Appendico-vesicostomy status
- Z93.59 Other cystostomy status
- Z93.6 Other artificial openings of urinary tract status
- Nephrostomy status
- Ureterostomy status
- Urethrostomy status
- Z93.8 Other artificial opening status
- Z93.9 Artificial opening status, unspecified
Z94 Transplanted organ and tissue status
[edit]- Includes: organ or tissue replaced by heterogenous or homogenous transplant
- Excludes1: complications of transplanted organ or tissue - see Alphabetical Index
- Excludes2: presence of vascular grafts (Z95.-)
- Z94.0 Kidney transplant status
- Z94.1 Heart transplant status
- Excludes1: artificial heart status (Z95.811)
- heart-valve replacement status (Z95.2-Z95.4)
- Excludes1: artificial heart status (Z95.811)
- Z94.2 Lung transplant status
- Z94. 3 Heart and lungs transplant status
- Z94.4 Liver transplant status
- Z94.5 Skin transplant status
- Autogenous skin transplant status
- Z94.6 Bone transplant status
- Z94.7 Corneal transplant status
- Z94.8 Other transplanted organ and tissue status
- Z94.81 Bone marrow transplant status
- Z94.82 Intestine transplant status
- Z94.83 Pancreas transplant status
- Z94.84 Stem cells transplant status
- Z94.89 Other transplanted organ and tissue status
- Z94.9 Transplanted organ and tissue status, unspecified
Z95 Presence of cardiac and vascular implants and grafts
[edit]- Excludes1: complications of cardiac and vascular devices, implants and grafts (T82.-)
- Z95.0 Presence of cardiac pacemaker
- Excludes1: adjustment or management of cardiac pacemaker (Z45.0)
- Z95.1 Presence of aortocoronary bypass graft
- Z95.2 Presence of prosthetic heart valve
- Presence of heart valve NOS
- Z95.3 Presence of xenogenic heart valve
- Z95.4 Presence of other heart-valve replacement
- Z95.5 Presence of coronary angioplasty implant and graft
- Excludes1: coronary angioplasty status without implant and graft (Z98.61)
- Z95.8 Presence of other cardiac and vascular implants and grafts
- Z95.81 Presence of other cardiac implants and grafts
- Z95.810 Presence of automatic (implantable) cardiac defibrillator
- Z95.811 Presence of heart assist device
- Z95.812 Presence of fully implantable artificial heart
- Z95.818 Presence of other cardiac implants and grafts
- Z95.82 Presence of other vascular implants and grafts
- Z95.820 Peripheral vascular angioplasty status with implants and grafts
- Excludes1: peripheral vascular angioplasty without implant and graft (Z98.62)
- Z95.828 Presence of other vascular implants and grafts
- Presence of intravascular prosthesis NEC
- Z95.820 Peripheral vascular angioplasty status with implants and grafts
- Z95.81 Presence of other cardiac implants and grafts
- Z95. 9 Presence of cardiac and vascular implant and graft, unspecified
Z96 Presence of other functional implants
[edit]- Excludes1: complications of internal prosthetic devices, implants and grafts (T82-T85)
- fitting and adjustment of prosthetic and other devices (Z44-Z46)
- Z96.0 Presence of urogenital implants
- Z96.1 Presence of intraocular lens
- Presence of pseudophakia
- Z96.2 Presence of otological and audiological implants
- Z96.20 Presence of otological and audiological implant, unspecified
- Z96.21 Cochlear implant status
- Z96.22 Myringotomy tube(s) status
- Z96.29 Presence of other otological and audiological implants
- Presence of bone-conduction hearing device
- Presence of eustachian tube stent
- Stapes replacement
- Z96.3 Presence of artificial larynx
- Z96.4 Presence of endocrine implants
- Z96.41 Presence of insulin pump (external) (internal)
- Z96.49 Presence of other endocrine implants
- Z96.5 Presence of tooth-root and mandibular implants
- Z96.6 Presence of orthopedic joint implants
- Z96.60 Presence of unspecified orthopedic joint implant
- Z96.61 Presence of artificial shoulder joint
- Z96.611 Presence of right artificial shoulder joint
- Z96.612 Presence of left artificial shoulder joint
- Z96.619 Presence of unspecified artificial shoulder joint
- Z96.62 Presence of artificial elbow joint
- Z96.621 Presence of right artificial elbow joint
- Z96.622 Presence of left artificial elbow joint
- Z96.629 Presence of unspecified artificial elbow joint
- Z96.63 Presence of artificial wrist joint
- Z96.631 Presence of right artificial wrist joint
- Z96.632 Presence of left artificial wrist joint
- Z96.639 Presence of unspecified artificial wrist joint
- Z96.64 Presence of artificial hip joint
- Hip-joint replacement (partial) (total)
- Z96.641 Presence of right artificial hip joint
- Z96.642 Presence of left artificial hip joint
- Z96.643 Presence of artificial hip joint, bilateral
- Z96.649 Presence of unspecified artificial hip joint
- Z96.65 Presence of artificial knee joint
- Z96. 651 Presence of right artificial knee joint
- Z96.652 Presence of left artificial knee joint
- Z96.653 Presence of artificial knee joint, bilateral
- Z96.659 Presence of unspecified artificial knee joint
- Z96.66 Presence of artificial ankle joint
- Z96.661 Presence of right artificial ankle joint
- Z96.662 Presence of left artificial ankle joint
- Z96.669 Presence of unspecified artificial ankle joint
- Z96.69 Presence of other orthopedic joint implants
- Z96.691 Finger-joint replacement of right hand
- 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
- Presence of skull plate
- Z96.8 Presence of other specified functional implants
- Z96.81 Presence of artificial skin
- Z96.89 Presence of other specified functional implants
- Z96.9 Presence of functional implant, unspecified
Z97 Presence of other devices
[edit]- Excludes1: complications of internal prosthetic devices, implants and grafts (T82-T85)
- fitting and adjustment of prosthetic and other devices (Z44-Z46)
- Excludes2: presence of cerebrospinal fluid drainage device (Z98.2)
- Z97.0 Presence of artificial eye
- Z97.1 Presence of artificial limb (complete) (partial)
- Z97.10 Presence of artificial limb (complete) (partial), unspecified
- Z97.11 Presence of artificial right arm (complete) (partial)
- Z97.12 Presence of artificial left arm (complete) (partial)
- Z97.13 Presence of artificial right leg (complete) (partial)
- Z97.14 Presence of artificial left leg (complete) (partial)
- Z97.15 Presence of artificial arms, bilateral (complete) (partial)
- Z97.16 Presence of artificial legs, bilateral (complete) (partial)
- Z97.2 Presence of dental prosthetic device (complete) (partial)
- Presence of dentures (complete) (partial)
- Z97.3 Presence of spectacles and contact lenses
- Z97.4 Presence of external hearing-aid
- Z97.5 Presence of (intrauterine) contraceptive device
- Excludes1: checking, reinsertion or removal of contraceptive device (Z30.44)
- Z97.8 Presence of other specified devices
Z98 Other postprocedural states
[edit]- Excludes2: aftercare (Z43-Z49, Z51)
- follow-up medical care (Z08- Z09)
- postprocedural complication - see Alphabetical Index
- Z98.0 Intestinal bypass and anastomosis status
- Excludes2: bariatric surgery status (Z98.84)
- gastric bypass status (Z98.84)
- obesity surgery status (Z98.84)
- Excludes2: bariatric surgery status (Z98.84)
- Z98.1 Arthrodesis status
- Z98.2 Presence of cerebrospinal fluid drainage device
- Presence of CSF shunt
- Z98.3 Post therapeutic collapse of lung status
- Code first underlying disease
- Z98.4 Cataract extraction status
- Use additional code to identify intraocular lens implant status (Z96.1)
- Excludes1: aphakia (H27.0)
- Z98.41 Cataract extraction status, right eye
- Z98.42 Cataract extraction status, left eye
- Z98.49 Cataract extraction status, unspecified eye
- Z98.5 Sterilization status
- Excludes1: female infertility (N97.-)
- male infertility (N46.-)
- Z98.51 Tubal ligation status
- Z98.52 Vasectomy status
- Excludes1: female infertility (N97.-)
- Z98.6 Angioplasty status
- Z98.61 Coronary angioplasty status
- Excludes1: coronary angioplasty status with implant and graft (Z95.5)
- Z98.62 Peripheral vascular angioplasty status
- Excludes1: peripheral vascular angioplasty status with implant and graft (Z95.820)
- Z98.61 Coronary angioplasty status
- Z98.8 Other specified postprocedural states
- Z98.81 Dental procedure status
- Z98.810 Dental sealant status
- Z98.811 Dental restoration status
- Dental crown status
- Dental fillings status
- Z98.818 Other dental procedure status
- Z98.82 Breast implant status
- Excludes1: breast implant removal status (Z98.86)
- Z98.83 Filtering (vitreous) bleb after glaucoma surgery status
- Excludes1: Inflammation (infection) of postprocedural bleb (H59.4-)
- Z98.84 Bariatric surgery status
- Gastric banding status
- Gastric bypass status for obesity
- Obesity surgery status
- Excludes1: bariatric surgery status complicating pregnancy, childbirth, or the puerperium (O99.84)
- Excludes2: intestinal bypass and anastomosis status (Z98.0)
- Z98.85 Transplanted organ removal status
- Transplanted organ previously removed due to complication, failure, rejection or infection
- Excludes1: encounter for removal of transplanted organ -code to complication of transplanted organ (T86.-)
- Z98.86 Personal history of breast implant removal
- Z98.87 Personal history of in utero procedure
- Z98.870 Personal history of in utero procedure during pregnancy
- Excludes2: complications from in utero procedure for current pregnancy (O35.7))
- supervision of current pregnancy with history of in utero procedure during previous pregnancy (O09.82-)
- Z98.871 Personal history of in utero procedure while a fetus
- Z98.870 Personal history of in utero procedure during pregnancy
- Z98.89 Other specified postprocedural states
- Personal history of surgery, not elsewhere classified
- Z98.81 Dental procedure status
Z99 Dependence on enabling machines and devices, not elsewhere classified
[edit]- Excludes1: cardiac pacemaker status (Z95.0)
- Z99.0 Dependence on aspirator
- Z99.1 Dependence on respirator
- Dependence on ventilator
- Z99.11 Dependence on respirator [ventilator] status
- Z99.12 Encounter for respirator [ventilator] dependence during power failure
- Excludes1: mechanical complication of respirator [ventilator] (J95.850)
- Z99.2 Dependence on renal dialysis
- Hemodialysis status
- Peritoneal dialysis status
- Presence of arteriovenous shunt for dialysis
- Renal dialysis status NOS
- Excludes1: encounter for fitting and adjustment of dialysis catheter (Z49.0-)
- noncompliance with renal dialysis (Z91.15)
- Z99.3 Dependence on wheelchair