Chapter 21

Z00–Z99: Factors Influencing Health Status and Contact with Health Services

Factors Influencing Health Status and Contact with Health Services diagnostic classification updated for 2026.

Internal Codes
  • Z40.82

    Encounter for prophylactic surgery for removal of fallopian tube(s) for persons without known genetic/familial risk factors

  • Z40.89

    Encounter for other prophylactic surgery

  • Z40.9

    Encounter for prophylactic surgery, unspecified

  • Z41.1

    Encounter for cosmetic surgery

  • Z41.2

    Encounter for routine and ritual male circumcision

  • Z41.3

    Encounter for ear piercing

  • Z41.8

    Encounter for other procedures for purposes other than remedying health state

  • Z41.9

    Encounter for procedure for purposes other than remedying health state, unspecified

  • Z42.1

    Encounter for breast reconstruction following mastectomy

  • Z42.8

    Encounter for other plastic and reconstructive surgery following medical procedure or healed injury

  • Z43.0

    Encounter for attention to tracheostomy

  • Z43.1

    Encounter for attention to gastrostomy

  • Z43.2

    Encounter for attention to ileostomy

  • Z43.3

    Encounter for attention to colostomy

  • Z43.4

    Encounter for attention to other artificial openings of digestive tract

  • Z43.5

    Encounter for attention to cystostomy

  • Z43.6

    Encounter for attention to other artificial openings of urinary tract

  • Z43.7

    Encounter for attention to artificial vagina

  • Z43.8

    Encounter for attention to other artificial openings

  • Z43.9

    Encounter for attention to unspecified artificial opening

  • Z44.001

    Encounter for fitting and adjustment of unspecified right artificial arm

  • Z44.002

    Encounter for fitting and adjustment of unspecified left artificial arm

  • Z44.009

    Encounter for fitting and adjustment of unspecified artificial arm, unspecified arm

  • Z44.011

    Encounter for fitting and adjustment of complete right artificial arm

  • Z44.012

    Encounter for fitting and adjustment of complete left artificial arm

  • Z44.019

    Encounter for fitting and adjustment of complete artificial arm, unspecified arm

  • Z44.021

    Encounter for fitting and adjustment of partial artificial right arm

  • Z44.022

    Encounter for fitting and adjustment of partial artificial left arm

  • Z44.029

    Encounter for fitting and adjustment of partial artificial arm, unspecified arm

  • Z44.101

    Encounter for fitting and adjustment of unspecified right artificial leg

  • Z44.102

    Encounter for fitting and adjustment of unspecified left artificial leg

  • Z44.109

    Encounter for fitting and adjustment of unspecified artificial leg, unspecified leg

  • Z44.111

    Encounter for fitting and adjustment of complete right artificial leg

  • Z44.112

    Encounter for fitting and adjustment of complete left artificial leg

  • Z44.119

    Encounter for fitting and adjustment of complete artificial leg, unspecified leg

  • Z44.121

    Encounter for fitting and adjustment of partial artificial right leg

  • Z44.122

    Encounter for fitting and adjustment of partial artificial left leg

  • Z44.129

    Encounter for fitting and adjustment of partial artificial leg, unspecified leg

  • Z44.20

    Encounter for fitting and adjustment of artificial eye, unspecified

  • Z44.21

    Encounter for fitting and adjustment of artificial right eye

  • Z44.22

    Encounter for fitting and adjustment of artificial left eye

  • Z44.30

    Encounter for fitting and adjustment of external breast prosthesis, unspecified breast

  • Z44.31

    Encounter for fitting and adjustment of external right breast prosthesis

  • Z44.32

    Encounter for fitting and adjustment of external left breast prosthesis

  • Z44.8

    Encounter for fitting and adjustment of other external prosthetic devices

  • Z44.9

    Encounter for fitting and adjustment of unspecified external prosthetic device

  • Z45.010

    Encounter for checking and testing of cardiac pacemaker pulse generator [battery]

  • Z45.018

    Encounter for adjustment and management of other part of cardiac pacemaker

  • Z45.02

    Encounter for adjustment and management of automatic implantable cardiac defibrillator

  • Z45.09

    Encounter for adjustment and management of other cardiac device

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