Z40-Z53Not billable, use a more specific code below
Encounters for other specific health care (Z40-Z53)
chapter 21: Factors Influencing Health Status and Contact with Health Services
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Instructional notes
Includes: conditions that are coded here
- 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
- follow-up examination for medical surveillance after treatment (Z08-Z09)
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
Covers when and how to use Z codes (Z00-Z99) for encounters and supplementary information, including contact, status, history, screening, aftercare, exams, and social determinants of health.
All codes under Z40-Z53
Z40-Z53 can't be used on a claim. Pick a billable code below; grey headings group them.
- Z40Encounter for prophylactic surgery
- Z40.0Encounter for prophylactic surgery for risk factors related to malignant neoplasms
- Z40.00Encounter for prophylactic removal of unspecified organ
- Z40.01Encounter for prophylactic removal of breast
- Z40.02Encounter for prophylactic removal of ovary(s)
- Z40.03Encounter for prophylactic removal of fallopian tube(s)
- Z40.09Encounter for prophylactic removal of other organ
- Z40.8Encounter for other prophylactic surgery
- Z40.81Encounter for prophylactic surgery for removal of ovary(s) for persons without known genetic/familial risk factors
- Z40.82Encounter for prophylactic surgery for removal of fallopian tube(s) for persons without known genetic/familial risk factors
- Z40.89Encounter for other prophylactic surgery
- Z40.9Encounter for prophylactic surgery, unspecified
- Z41Encounter for procedures for purposes other than remedying health state
- Z41.1Encounter for cosmetic surgery
- Z41.2Encounter for routine and ritual male circumcision
- Z41.3Encounter for ear piercing
- Z41.8Encounter for other procedures for purposes other than remedying health state
- Z41.9Encounter for procedure for purposes other than remedying health state, unspecified
- Z42Encounter for plastic and reconstructive surgery following medical procedure or healed injury
- Z42.1Encounter for breast reconstruction following mastectomy
- Z42.8Encounter for other plastic and reconstructive surgery following medical procedure or healed injury
- Z43Encounter for attention to artificial openings
- Z43.0Encounter for attention to tracheostomy
- Z43.1Encounter for attention to gastrostomy
- Z43.2Encounter for attention to ileostomy
- Z43.3Encounter for attention to colostomy
- Z43.4Encounter for attention to other artificial openings of digestive tract
- Z43.5Encounter for attention to cystostomy
- Z43.6Encounter for attention to other artificial openings of urinary tract
- Z43.7Encounter for attention to artificial vagina
- Z43.8Encounter for attention to other artificial openings
- Z43.9Encounter for attention to unspecified artificial opening
- Z44Encounter for fitting and adjustment of external prosthetic device
- Z44.0Encounter for fitting and adjustment of artificial arm
- Z44.00Encounter for fitting and adjustment of unspecified artificial arm
- Z44.001Encounter for fitting and adjustment of unspecified right artificial arm
- Z44.002Encounter for fitting and adjustment of unspecified left artificial arm
- Z44.009Encounter for fitting and adjustment of unspecified artificial arm, unspecified arm
- Z44.01Encounter for fitting and adjustment of complete artificial arm
- Z44.011Encounter for fitting and adjustment of complete right artificial arm
- Z44.012Encounter for fitting and adjustment of complete left artificial arm
- Z44.019Encounter for fitting and adjustment of complete artificial arm, unspecified arm
- Z44.02Encounter for fitting and adjustment of partial artificial arm
- Z44.021Encounter for fitting and adjustment of partial artificial right arm
- Z44.022Encounter for fitting and adjustment of partial artificial left arm
- Z44.029Encounter for fitting and adjustment of partial artificial arm, unspecified arm
- Z44.1Encounter for fitting and adjustment of artificial leg
- Z44.10Encounter for fitting and adjustment of unspecified artificial leg
- Z44.101Encounter for fitting and adjustment of unspecified right artificial leg
- Z44.102Encounter for fitting and adjustment of unspecified left artificial leg
- Z44.109Encounter for fitting and adjustment of unspecified artificial leg, unspecified leg
- Z44.11Encounter for fitting and adjustment of complete artificial leg
- Z44.111Encounter for fitting and adjustment of complete right artificial leg
- Z44.112Encounter for fitting and adjustment of complete left artificial leg
- Z44.119Encounter for fitting and adjustment of complete artificial leg, unspecified leg
- Z44.12Encounter for fitting and adjustment of partial artificial leg
- Z44.121Encounter for fitting and adjustment of partial artificial right leg
- Z44.122Encounter for fitting and adjustment of partial artificial left leg
- Z44.129Encounter for fitting and adjustment of partial artificial leg, unspecified leg
- Z44.2Encounter for fitting and adjustment of artificial eye
- Z44.20Encounter for fitting and adjustment of artificial eye, unspecified
- Z44.21Encounter for fitting and adjustment of artificial right eye
- Z44.22Encounter for fitting and adjustment of artificial left eye
- Z44.3Encounter for fitting and adjustment of external breast prosthesis
- Z44.30Encounter for fitting and adjustment of external breast prosthesis, unspecified breast
- Z44.31Encounter for fitting and adjustment of external right breast prosthesis
- Z44.32Encounter for fitting and adjustment of external left breast prosthesis
- Z44.8Encounter for fitting and adjustment of other external prosthetic devices
- Z44.9Encounter for fitting and adjustment of unspecified external prosthetic device
- Z45Encounter for adjustment and management of implanted device
- Z45.0Encounter for adjustment and management of cardiac device
- Z45.01Encounter for adjustment and management of cardiac pacemaker
- Z45.010Encounter for checking and testing of cardiac pacemaker pulse generator [battery]
- Z45.018Encounter for adjustment and management of other part of cardiac pacemaker
- Z45.02Encounter for adjustment and management of automatic implantable cardiac defibrillator
- Z45.09Encounter for adjustment and management of other cardiac device
- Z45.1Encounter for adjustment and management of infusion pump
- Z45.2Encounter for adjustment and management of vascular access device
- Z45.3Encounter for adjustment and management of implanted devices of the special senses
- Z45.31Encounter for adjustment and management of implanted visual substitution device
- Z45.32Encounter for adjustment and management of implanted hearing device
- Z45.320Encounter for adjustment and management of bone conduction device
- Z45.321Encounter for adjustment and management of cochlear device
- Z45.328Encounter for adjustment and management of other implanted hearing device
- Z45.4Encounter for adjustment and management of implanted nervous system device
- Z45.41Encounter for adjustment and management of cerebrospinal fluid drainage device
- Z45.42Encounter for adjustment and management of neurostimulator
- Z45.49Encounter for adjustment and management of other implanted nervous system device
- Z45.8Encounter for adjustment and management of other implanted devices
- Z45.81Encounter for adjustment or removal of breast implant
- Z45.811Encounter for adjustment or removal of right breast implant
- Z45.812Encounter for adjustment or removal of left breast implant
- Z45.819Encounter for adjustment or removal of unspecified breast implant
- Z45.82Encounter for adjustment or removal of myringotomy device (stent) (tube)
- Z45.89Encounter for adjustment and management of other implanted devices
- Z45.9Encounter for adjustment and management of unspecified implanted device
- Z46Encounter for fitting and adjustment of other devices
- Z46.0Encounter for fitting and adjustment of spectacles and contact lenses
- Z46.1Encounter for fitting and adjustment of hearing aid
- Z46.2Encounter for fitting and adjustment of other devices related to nervous system and special senses
- Z46.3Encounter for fitting and adjustment of dental prosthetic device
- Z46.4Encounter for fitting and adjustment of orthodontic device
- Z46.5Encounter for fitting and adjustment of other gastrointestinal appliance and device
- Z46.51Encounter for fitting and adjustment of gastric lap band
- Z46.59Encounter for fitting and adjustment of other gastrointestinal appliance and device
- Z46.6Encounter for fitting and adjustment of urinary device
- Z46.8Encounter for fitting and adjustment of other specified devices
- Z46.81Encounter for fitting and adjustment of insulin pump
- Z46.82Encounter for fitting and adjustment of non-vascular catheter
- Z46.89Encounter for fitting and adjustment of other specified devices
- Z46.9Encounter for fitting and adjustment of unspecified device
- Z47Orthopedic aftercare
- Z47.1Aftercare following joint replacement surgery
- Z47.2Encounter for removal of internal fixation device
- Z47.3Aftercare following explantation of joint prosthesis
- Z47.31Aftercare following explantation of shoulder joint prosthesis
- Z47.32Aftercare following explantation of hip joint prosthesis
- Z47.33Aftercare following explantation of knee joint prosthesis
- Z47.8Encounter for other orthopedic aftercare
- Z47.81Encounter for orthopedic aftercare following surgical amputation
- Z47.82Encounter for orthopedic aftercare following scoliosis surgery
- Z47.89Encounter for other orthopedic aftercare
- Z48Encounter for other postprocedural aftercare
- Z48.0Encounter for attention to dressings, sutures and drains
- Z48.00Encounter for change or removal of nonsurgical wound dressing
- Z48.01Encounter for change or removal of surgical wound dressing
- Z48.02Encounter for removal of sutures
- Z48.03Encounter for change or removal of drains
- Z48.1Encounter for planned postprocedural wound closure
- Z48.2Encounter for aftercare following organ transplant
- Z48.21Encounter for aftercare following heart transplant
- Z48.22Encounter for aftercare following kidney transplant
- Z48.23Encounter for aftercare following liver transplant
- Z48.24Encounter for aftercare following lung transplant
- Z48.28Encounter for aftercare following multiple organ transplant
- Z48.280Encounter for aftercare following heart-lung transplant
- Z48.288Encounter for aftercare following multiple organ transplant
- Z48.29Encounter for aftercare following other organ transplant
- Z48.290Encounter for aftercare following bone marrow transplant
- Z48.298Encounter for aftercare following other organ transplant
- Z48.3Aftercare following surgery for neoplasm
- Z48.8Encounter for other specified postprocedural aftercare
- Z48.81Encounter for surgical aftercare following surgery on specified body systems
- Z48.810Encounter for surgical aftercare following surgery on the sense organs
- Z48.811Encounter for surgical aftercare following surgery on the nervous system
- Z48.812Encounter for surgical aftercare following surgery on the circulatory system
- Z48.813Encounter for surgical aftercare following surgery on the respiratory system
- Z48.814Encounter for surgical aftercare following surgery on the teeth or oral cavity
- Z48.815Encounter for surgical aftercare following surgery on the digestive system
- Z48.816Encounter for surgical aftercare following surgery on the genitourinary system
- Z48.817Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue
- Z48.89Encounter for other specified surgical aftercare
- Z49Encounter for care involving renal dialysis
- Z49.0Preparatory care for renal dialysis
- Z49.01Encounter for fitting and adjustment of extracorporeal dialysis catheter
- Z49.02Encounter for fitting and adjustment of peritoneal dialysis catheter
- Z49.3Encounter for adequacy testing for dialysis
- Z49.31Encounter for adequacy testing for hemodialysis
- Z49.32Encounter for adequacy testing for peritoneal dialysis
- Z51Encounter for other aftercare and medical care
- Z51.0Encounter for antineoplastic radiation therapy
- Z51.1Encounter for antineoplastic chemotherapy and immunotherapy
- Z51.11Encounter for antineoplastic chemotherapy
- Z51.12Encounter for antineoplastic immunotherapy
- Z51.5Encounter for palliative care
- Z51.6Encounter for desensitization to allergens
- Z51.8Encounter for other specified aftercare
- Z51.81Encounter for therapeutic drug level monitoring
- Z51.89Encounter for other specified aftercare
- Z51.AEncounter for sepsis aftercare
- Z52Donors of organs and tissues
- Z52.0Blood donor
- Z52.00Unspecified blood donor
- Z52.000Unspecified donor, whole blood
- Z52.001Unspecified donor, stem cells
- Z52.008Unspecified donor, other blood
- Z52.01Autologous blood donor
- Z52.010Autologous donor, whole blood
- Z52.011Autologous donor, stem cells
- Z52.018Autologous donor, other blood
- Z52.09Other blood donor
- Z52.090Other blood donor, whole blood
- Z52.091Other blood donor, stem cells
- Z52.098Other blood donor, other blood
- Z52.1Skin donor
- Z52.10Skin donor, unspecified
- Z52.11Skin donor, autologous
- Z52.19Skin donor, other
- Z52.2Bone donor
- Z52.20Bone donor, unspecified
- Z52.21Bone donor, autologous
- Z52.29Bone donor, other
- Z52.3Bone marrow donor
- Z52.4Kidney donor
- Z52.5Cornea donor
- Z52.6Liver donor
- Z52.8Donor of other specified organs or tissues
- Z52.81Egg (Oocyte) donor
- Z52.810Egg (Oocyte) donor under age 35, anonymous recipient
- Z52.811Egg (Oocyte) donor under age 35, designated recipient
- Z52.812Egg (Oocyte) donor age 35 and over, anonymous recipient
- Z52.813Egg (Oocyte) donor age 35 and over, designated recipient
- Z52.819Egg (Oocyte) donor, unspecified
- Z52.89Donor of other specified organs or tissues
- Z52.9Donor of unspecified organ or tissue
- Z53Persons encountering health services for specific procedures and treatment, not carried out
- Z53.0Procedure and treatment not carried out because of contraindication
- Z53.01Procedure and treatment not carried out due to patient smoking
- Z53.09Procedure and treatment not carried out because of other contraindication
- Z53.1Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure
- Z53.2Procedure and treatment not carried out because of patient's decision for other and unspecified reasons
- Z53.20Procedure and treatment not carried out because of patient's decision for unspecified reasons
- Z53.21Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider
- Z53.29Procedure and treatment not carried out because of patient's decision for other reasons
- Z53.3Procedure converted to open procedure
- Z53.31Laparoscopic surgical procedure converted to open procedure
- Z53.32Thoracoscopic surgical procedure converted to open procedure
- Z53.33Arthroscopic surgical procedure converted to open procedure
- Z53.39Other specified procedure converted to open procedure
- Z53.8Procedure and treatment not carried out for other reasons
- Z53.9Procedure and treatment not carried out, unspecified reason
Z40-Z53 MS-DRGs
This code does not group to an MS-DRG as a principal diagnosis.
