Z40

Non-Billable
ChapterZ00–Z99
Rankcategory
Official Description

Encounter for prophylactic surgery

Metadata & Insights
  • Non-billable category (requires more specific sub-code).
  • Chapter 21: Factors Influencing Health Status and Contact with Health Services (Z00-Z99).

Z40-Z53 Parent Instructions

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.)
  • follow-up examination for medical surveillance after treatment (Z08-Z09)

Instructional Notes

Excludes1(Not coded here. Use a different code.)
  • organ donations (Z52.-)
  • therapeutic organ removal-code to condition

Clinical Hierarchy

BillableHas subcodes
CH21Factors influencing health status and contact with health services (Z00-Z99)
Z40-Z53Encounters for other specific health care (Z40-Z53)
Z40Encounter for prophylactic surgeryNot billable
Z40.0Encounter for prophylactic surgery for risk factors related to malignant neoplasmsSubcodes
Z40.8Encounter for other prophylactic surgerySubcodes
Z40.9Encounter for prophylactic surgery, unspecifiedBillable

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to Z40:

blockZ40-Z53
Encounters for other specific health care (Z40-Z53)
View context instructions

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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