Z98Not billable, use a more specific code below

Other postprocedural states

In Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99), chapter 21: Factors Influencing Health Status and Contact with Health Services

23 billable codes under Z98: none are a CC or MCC; none map to an HCC.

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Instructional notes

Excludes2: not included here, code separately if applicable

  • aftercare (Z43-Z49, Z51)
  • follow-up medical care (Z08-Z09)
  • Fontan related circulation (I27.84-)
  • postprocedural complication - see Alphabetical Index

Also applies, from Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99)

These notes sit on Z77-Z99 and apply to every code under it, including Z98.

Code also: add a code for this too, order depends on the encounter

  • any follow-up examination (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.

Read Section I.C.21 (page 92)

Z98 MS-DRG

As the principal diagnosis, all 23 billable codes under Z98 group to MS-DRG 951 (v44.0).

Other codes that refer to Z98

Notes on these codes point to Z98.

  • Z87.7 Excludes2: other postprocedural states (Z98.-)
  • Z92 Excludes2: postprocedural states (Z98.-)

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.