Encounter for other postprocedural aftercare
In Encounters for other specific health care (Z40-Z53), chapter 21: Factors Influencing Health Status and Contact with Health Services
23 billable codes under Z48: 6 are a CC; 5 map to HCC 221 (Heart Transplant Status/Complications), HCC 276 (Lung Transplant Status/Complications), HCC 62 (Liver Transplant Status/Complications) and 1 more HCCs.A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment. An HCC counts toward a Medicare Advantage patient's risk score.
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Instructional notes
Excludes1: not coded here, use a different code
- encounter for follow-up examination after completed treatment (Z08-Z09)
- encounter for aftercare following injury - code to Injury, by site, with appropriate 7th character for subsequent encounter
Also applies, from Encounters for other specific health care (Z40-Z53)
These notes sit on Z40-Z53 and apply to every code under it, including Z48.
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 Z48
Z48 can't be used on a claim. Pick a billable code below; grey headings group them.
- 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
Z48 MS-DRGs
As the principal diagnosis, the billable codes under Z48 group to MS-DRG 949, 950, or 951 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 949 Aftercare with CC/MCC (20 of 23 codes)
- DRG 950 Aftercare without CC/MCC (20 of 23 codes)
- DRG 951 Other Factors Influencing Health Status (3 of 23 codes)
Code history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
