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Chapter 21: Factors influencing health status and contact with health services
Z40-Z53

Encounters for other specific health care

Optimize your medical documentation with precise ICD-10 coding for encounters related to other specific health care (Z40-Z53). Enhance clinical workflows by accurately coding preoperative and postoperative care, organ donation, and rehabilitation services. Ensure coding specificity and improve searchability for healthcare professionals seeking detailed information on these essential healthcare encounters.

About This Range
218+
Total codes
162+
Billable codes
56+
Non-billable codes
21
Chapters
Codes in this Range (218+)
Chapter 21: Factors influencing health status and contact with health services Range: Z00-Z99
Z40
Encounter for prophylactic surgery
Z40.0
Encounter for prophylactic surgery for risk factors related to malignant neoplasms
Z40.00
Encounter for prophylactic removal of unspecified organ
Billable
Z40.01
Encounter for prophylactic removal of breast
Billable
Z40.02
Encounter for prophylactic removal of ovary(s)
Billable
Z40.03
Encounter for prophylactic removal of fallopian tube(s)
Billable
Z40.09
Encounter for prophylactic removal of other organ
Billable
Z40.8
Encounter for other prophylactic surgery
Billable
Z40.9
Encounter for prophylactic surgery, unspecified
Billable
Z41
Encounter for procedures for purposes other than remedying health state
Z41.1
Encounter for cosmetic surgery
Billable
Z41.2
Encounter for routine and ritual male circumcision
Billable
Z41.3
Encounter for ear piercing
Billable
Z41.8
Encounter for other procedures for purposes other than remedying health state
Billable
Z41.9
Encounter for procedure for purposes other than remedying health state, unspecified
Billable
Z42
Encounter for plastic and reconstructive surgery following medical procedure or healed injury
Z42.1
Encounter for breast reconstruction following mastectomy
Billable
Z42.8
Encounter for other plastic and reconstructive surgery following medical procedure or healed injury
Billable
Z43
Encounter for attention to artificial openings
Z43.0
Encounter for attention to tracheostomy
Billable
Z43.1
Encounter for attention to gastrostomy
Billable
Z43.2
Encounter for attention to ileostomy
Billable
Z43.3
Encounter for attention to colostomy
Billable
Z43.4
Encounter for attention to other artificial openings of digestive tract
Billable
Z43.5
Encounter for attention to cystostomy
Billable
Z43.6
Encounter for attention to other artificial openings of urinary tract
Billable
Z43.7
Encounter for attention to artificial vagina
Billable
Z43.8
Encounter for attention to other artificial openings
Billable
Z43.9
Encounter for attention to unspecified artificial opening
Billable
Z44
Encounter for fitting and adjustment of external prosthetic device
Z44.0
Encounter for fitting and adjustment of artificial arm
Z44.00
Encounter for fitting and adjustment of unspecified artificial arm
Z44.001
Encounter for fitting and adjustment of unspecified right artificial arm
Billable
Z44.002
Encounter for fitting and adjustment of unspecified left artificial arm
Billable
Z44.009
Encounter for fitting and adjustment of unspecified artificial arm, unspecified arm
Billable
Z44.01
Encounter for fitting and adjustment of complete artificial arm
Z44.011
Encounter for fitting and adjustment of complete right artificial arm
Billable
Z44.012
Encounter for fitting and adjustment of complete left artificial arm
Billable
Z44.019
Encounter for fitting and adjustment of complete artificial arm, unspecified arm
Billable
Z44.02
Encounter for fitting and adjustment of partial artificial arm
Z44.021
Encounter for fitting and adjustment of partial artificial right arm
Billable
Z44.022
Encounter for fitting and adjustment of partial artificial left arm
Billable
Z44.029
Encounter for fitting and adjustment of partial artificial arm, unspecified arm
Billable
Z44.1
Encounter for fitting and adjustment of artificial leg
Z44.10
Encounter for fitting and adjustment of unspecified artificial leg
Z44.101
Encounter for fitting and adjustment of unspecified right artificial leg
Billable
Z44.102
Encounter for fitting and adjustment of unspecified left artificial leg
Billable
Z44.109
Encounter for fitting and adjustment of unspecified artificial leg, unspecified leg
Billable
Z44.11
Encounter for fitting and adjustment of complete artificial leg
Z44.111
Encounter for fitting and adjustment of complete right artificial leg
Billable
Z44.112
Encounter for fitting and adjustment of complete left artificial leg
Billable
Z44.119
Encounter for fitting and adjustment of complete artificial leg, unspecified leg
Billable
Z44.12
Encounter for fitting and adjustment of partial artificial leg
Z44.121
Encounter for fitting and adjustment of partial artificial right leg
Billable
Z44.122
Encounter for fitting and adjustment of partial artificial left leg
Billable
Z44.129
Encounter for fitting and adjustment of partial artificial leg, unspecified leg
Billable
Z44.2
Encounter for fitting and adjustment of artificial eye
Z44.20
Encounter for fitting and adjustment of artificial eye, unspecified
Billable
Z44.21
Encounter for fitting and adjustment of artificial right eye
Billable
Z44.22
Encounter for fitting and adjustment of artificial left eye
Billable
Z44.3
Encounter for fitting and adjustment of external breast prosthesis
Z44.30
Encounter for fitting and adjustment of external breast prosthesis, unspecified breast
Billable
Z44.31
Encounter for fitting and adjustment of external right breast prosthesis
Billable
Z44.32
Encounter for fitting and adjustment of external left breast prosthesis
Billable
Z44.8
Encounter for fitting and adjustment of other external prosthetic devices
Billable
Z44.9
Encounter for fitting and adjustment of unspecified external prosthetic device
Billable
Z45
Encounter for adjustment and management of implanted device
Z45.0
Encounter for adjustment and management of cardiac device
Z45.01
Encounter for adjustment and management of cardiac pacemaker
Z45.010
Encounter for checking and testing of cardiac pacemaker pulse generator [battery]
Billable
Z45.018
Encounter for adjustment and management of other part of cardiac pacemaker
Billable
Z45.02
Encounter for adjustment and management of automatic implantable cardiac defibrillator
Billable
Z45.09
Encounter for adjustment and management of other cardiac device
Billable
Z45.1
Encounter for adjustment and management of infusion pump
Billable
Z45.2
Encounter for adjustment and management of vascular access device
Billable
Z45.3
Encounter for adjustment and management of implanted devices of the special senses
Z45.31
Encounter for adjustment and management of implanted visual substitution device
Billable
Z45.32
Encounter for adjustment and management of implanted hearing device
Z45.320
Encounter for adjustment and management of bone conduction device
Billable
Z45.321
Encounter for adjustment and management of cochlear device
Billable
Z45.328
Encounter for adjustment and management of other implanted hearing device
Billable
Z45.4
Encounter for adjustment and management of implanted nervous system device
Z45.41
Encounter for adjustment and management of cerebrospinal fluid drainage device
Billable
Z45.42
Encounter for adjustment and management of neurostimulator
Billable
Z45.49
Encounter for adjustment and management of other implanted nervous system device
Billable
Z45.8
Encounter for adjustment and management of other implanted devices
Z45.81
Encounter for adjustment or removal of breast implant
Z45.811
Encounter for adjustment or removal of right breast implant
Billable
Z45.812
Encounter for adjustment or removal of left breast implant
Billable
Z45.819
Encounter for adjustment or removal of unspecified breast implant
Billable
Z45.82
Encounter for adjustment or removal of myringotomy device (stent) (tube)
Billable
Z45.89
Encounter for adjustment and management of other implanted devices
Billable
Z45.9
Encounter for adjustment and management of unspecified implanted device
Billable
Z46
Encounter for fitting and adjustment of other devices
Z46.0
Encounter for fitting and adjustment of spectacles and contact lenses
Billable
Z46.1
Encounter for fitting and adjustment of hearing aid
Billable
Z46.2
Encounter for fitting and adjustment of other devices related to nervous system and special senses
Billable
Z46.3
Encounter for fitting and adjustment of dental prosthetic device
Billable
Z46.4
Encounter for fitting and adjustment of orthodontic device
Billable
Z46.5
Encounter for fitting and adjustment of other gastrointestinal appliance and device
Z46.51
Encounter for fitting and adjustment of gastric lap band
Billable
Z46.59
Encounter for fitting and adjustment of other gastrointestinal appliance and device
Billable
Z46.6
Encounter for fitting and adjustment of urinary device
Billable
Z46.8
Encounter for fitting and adjustment of other specified devices
Z46.81
Encounter for fitting and adjustment of insulin pump
Billable
Z46.82
Encounter for fitting and adjustment of non-vascular catheter
Billable
Z46.89
Encounter for fitting and adjustment of other specified devices
Billable
Z46.9
Encounter for fitting and adjustment of unspecified device
Billable
Z47
Orthopedic aftercare
Z47.1
Aftercare following joint replacement surgery
Billable
Z47.2
Encounter for removal of internal fixation device
Billable
Z47.3
Aftercare following explantation of joint prosthesis
Z47.31
Aftercare following explantation of shoulder joint prosthesis
Billable
Z47.32
Aftercare following explantation of hip joint prosthesis
Billable
Z47.33
Aftercare following explantation of knee joint prosthesis
Billable
Z47.8
Encounter for other orthopedic aftercare
Z47.81
Encounter for orthopedic aftercare following surgical amputation
Billable
Z47.82
Encounter for orthopedic aftercare following scoliosis surgery
Billable
Z47.89
Encounter for other orthopedic aftercare
Billable
Z48
Encounter for other postprocedural aftercare
Z48.0
Encounter for attention to dressings, sutures and drains
Z48.00
Encounter for change or removal of nonsurgical wound dressing
Billable
Z48.01
Encounter for change or removal of surgical wound dressing
Billable
Z48.02
Encounter for removal of sutures
Billable
Z48.03
Encounter for change or removal of drains
Billable
Z48.1
Encounter for planned postprocedural wound closure
Billable
Z48.2
Encounter for aftercare following organ transplant
Z48.21
Encounter for aftercare following heart transplant
Billable
Z48.22
Encounter for aftercare following kidney transplant
Billable
Z48.23
Encounter for aftercare following liver transplant
Billable
Z48.24
Encounter for aftercare following lung transplant
Billable
Z48.28
Encounter for aftercare following multiple organ transplant
Z48.280
Encounter for aftercare following heart-lung transplant
Billable
Z48.288
Encounter for aftercare following multiple organ transplant
Billable
Z48.29
Encounter for aftercare following other organ transplant
Z48.290
Encounter for aftercare following bone marrow transplant
Billable
Z48.298
Encounter for aftercare following other organ transplant
Billable
Z48.3
Aftercare following surgery for neoplasm
Billable
Z48.8
Encounter for other specified postprocedural aftercare
Z48.81
Encounter for surgical aftercare following surgery on specified body systems
Z48.810
Encounter for surgical aftercare following surgery on the sense organs
Billable
Z48.811
Encounter for surgical aftercare following surgery on the nervous system
Billable
Z48.812
Encounter for surgical aftercare following surgery on the circulatory system
Billable
Z48.813
Encounter for surgical aftercare following surgery on the respiratory system
Billable
Z48.814
Encounter for surgical aftercare following surgery on the teeth or oral cavity
Billable
Z48.815
Encounter for surgical aftercare following surgery on the digestive system
Billable
Z48.816
Encounter for surgical aftercare following surgery on the genitourinary system
Billable
Z48.817
Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue
Billable
Z48.89
Encounter for other specified surgical aftercare
Billable
Z49
Encounter for care involving renal dialysis
Z49.0
Preparatory care for renal dialysis
Z49.01
Encounter for fitting and adjustment of extracorporeal dialysis catheter
Billable
Z49.02
Encounter for fitting and adjustment of peritoneal dialysis catheter
Billable
Z49.3
Encounter for adequacy testing for dialysis
Z49.31
Encounter for adequacy testing for hemodialysis
Billable
Z49.32
Encounter for adequacy testing for peritoneal dialysis
Billable
Z51
Encounter for other aftercare and medical care
Z51.0
Encounter for antineoplastic radiation therapy
Billable
Z51.1
Encounter for antineoplastic chemotherapy and immunotherapy
Z51.11
Encounter for antineoplastic chemotherapy
Billable
Z51.12
Encounter for antineoplastic immunotherapy
Billable
Z51.5
Encounter for palliative care
Billable
Z51.6
Encounter for desensitization to allergens
Billable
Z51.8
Encounter for other specified aftercare
Z51.81
Encounter for therapeutic drug level monitoring
Billable
Z51.89
Encounter for other specified aftercare
Billable
Z51.A
Encounter for sepsis aftercare
Billable
Z52
Donors of organs and tissues
Z52.0
Blood donor
Z52.00
Unspecified blood donor
Z52.000
Unspecified donor, whole blood
Billable
Z52.001
Unspecified donor, stem cells
Billable
Z52.008
Unspecified donor, other blood
Billable
Z52.01
Autologous blood donor
Z52.010
Autologous donor, whole blood
Billable
Z52.011
Autologous donor, stem cells
Billable
Z52.018
Autologous donor, other blood
Billable
Z52.09
Other blood donor
Z52.090
Other blood donor, whole blood
Billable
Z52.091
Other blood donor, stem cells
Billable
Z52.098
Other blood donor, other blood
Billable
Z52.1
Skin donor
Z52.10
Skin donor, unspecified
Billable
Z52.11
Skin donor, autologous
Billable
Z52.19
Skin donor, other
Billable
Z52.2
Bone donor
Z52.20
Bone donor, unspecified
Billable
Z52.21
Bone donor, autologous
Billable
Z52.29
Bone donor, other
Billable
Z52.3
Bone marrow donor
Billable
Z52.4
Kidney donor
Billable
Z52.5
Cornea donor
Billable
Z52.6
Liver donor
Billable
Z52.8
Donor of other specified organs or tissues
Z52.81
Egg (Oocyte) donor
Z52.810
Egg (Oocyte) donor under age 35, anonymous recipient
Billable
Z52.811
Egg (Oocyte) donor under age 35, designated recipient
Billable
Z52.812
Egg (Oocyte) donor age 35 and over, anonymous recipient
Billable
Z52.813
Egg (Oocyte) donor age 35 and over, designated recipient
Billable
Z52.819
Egg (Oocyte) donor, unspecified
Billable
Z52.89
Donor of other specified organs or tissues
Billable
Z52.9
Donor of unspecified organ or tissue
Billable
Z53
Persons encountering health services for specific procedures and treatment, not carried out
Z53.0
Procedure and treatment not carried out because of contraindication
Z53.01
Procedure and treatment not carried out due to patient smoking
Billable
Z53.09
Procedure and treatment not carried out because of other contraindication
Billable
Z53.1
Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure
Billable
Z53.2
Procedure and treatment not carried out because of patient's decision for other and unspecified reasons
Z53.20
Procedure and treatment not carried out because of patient's decision for unspecified reasons
Billable
Z53.21
Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider
Billable
Z53.29
Procedure and treatment not carried out because of patient's decision for other reasons
Billable
Z53.3
Procedure converted to open procedure
Z53.31
Laparoscopic surgical procedure converted to open procedure
Billable
Z53.32
Thoracoscopic surgical procedure converted to open procedure
Billable
Z53.33
Arthroscopic surgical procedure converted to open procedure
Billable
Z53.39
Other specified procedure converted to open procedure
Billable
Z53.8
Procedure and treatment not carried out for other reasons
Billable
Z53.9
Procedure and treatment not carried out, unspecified reason
Billable

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Frequently Asked Questions
What are ICD-10 codes Z40-Z53 used for?

ICD-10 codes Z40-Z53 are used to classify encounters for specific health care services, such as prophylactic procedures, follow-up care, and rehabilitation. These codes help healthcare providers document and track patient visits for preventive measures and ongoing care.

How do ICD-10 codes Z40-Z53 assist in preventive healthcare?

ICD-10 codes Z40-Z53 assist in preventive healthcare by categorizing encounters for services like vaccinations, screenings, and prophylactic surgeries. This classification ensures accurate billing and helps track the effectiveness of preventive measures in patient populations.

Why is accurate coding important for encounters classified under Z40-Z53?

Accurate coding for encounters under Z40-Z53 is crucial for proper reimbursement, quality reporting, and patient care management. It ensures that healthcare services are correctly documented, facilitating better patient outcomes and resource allocation.