Z40-Z53
Non-Billable
ChapterZ00–Z99
Rankblock
Official Description
Encounters for other specific health care (Z40-Z53)
Use a more specific code (0 billable, 13 non-billable)
Z40Encounter for prophylactic surgeryhas subcodesZ41Encounter for procedures for purposes other than remedying health statehas subcodesZ42Encounter for plastic and reconstructive surgery following medical procedure or healed injuryhas subcodesZ43Encounter for attention to artificial openingshas subcodesZ44Encounter for fitting and adjustment of external prosthetic devicehas subcodesZ45Encounter for adjustment and management of implanted devicehas subcodesZ46Encounter for fitting and adjustment of other deviceshas subcodesZ47Orthopedic aftercarehas subcodesZ48Encounter for other postprocedural aftercarehas subcodesZ49Encounter for care involving renal dialysishas subcodesZ51Encounter for other aftercare and medical carehas subcodesZ52Donors of organs and tissueshas subcodesZ53Persons encountering health services for specific procedures and treatment, not carried outhas subcodes
Metadata & Insights
- •Non-billable category (requires more specific sub-code).
- •Chapter 21: Factors Influencing Health Status and Contact with Health Services (Z00-Z99).
Instructional Notes
Includes
- 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(Not included here. Code separately if applicable.)
Clinical Hierarchy
BillableHas subcodes
CH21Factors influencing health status and contact with health services (Z00-Z99)
Z40-Z53Encounters for other specific health care (Z40-Z53)Not billable
Z42Encounter for plastic and reconstructive surgery following medical procedure or healed injurySubcodes
Z53Persons encountering health services for specific procedures and treatment, not carried outSubcodes
MS-DRG Classification
No direct MS-DRG triggers identified.
Cross Reference
Find Procedures (ICD-10-PCS)
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