2017/18 ICD-10-CM Diagnosis Code Z09

Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm

Applicable To
  • Medical surveillance following completed treatment
Use Additional
Use Additional Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • code to identify any applicable history of disease code (
    ICD-10-CM Diagnosis Code Z86
    • Z86 Personal history of certain other diseases
      • Z86.0 Personal history of in-situ and benign neopla...
        • Z86.00 Personal history of in-situ neoplasm
          • Z86.000 Personal history of in-situ neoplasm of breas...
          • Z86.001 Personal history of in-situ neoplasm of cervi...
          • Z86.008 Personal history of in-situ neoplasm of other...
        • Z86.01 Personal history of benign neoplasm
          • Z86.010 Personal history of colonic polyps
          • Z86.011 Personal history of benign neoplasm of the br...
          • Z86.012 Personal history of benign carcinoid tumor
          • Z86.018 Personal history of other benign neoplasm
        • Z86.03 Personal history of neoplasm of uncertain beh...
      • Z86.1 Personal history of infectious and parasitic ...
        • Z86.11 Personal history of tuberculosis
        • Z86.12 Personal history of poliomyelitis
        • Z86.13 Personal history of malaria
        • Z86.14 Personal history of Methicillin resistant Sta...
        • Z86.19 Personal history of other infectious and para...
      • Z86.2 Personal history of diseases of the blood and...
      • Z86.3 Personal history of endocrine, nutritional an...
        • Z86.31 Personal history of diabetic foot ulcer
        • Z86.32 Personal history of gestational diabetes
        • Z86.39 Personal history of other endocrine, nutritio...
      • Z86.5 Personal history of mental and behavioral dis...
        • Z86.51 Personal history of combat and operational st...
        • Z86.59 Personal history of other mental and behavior...
      • Z86.6 Personal history of diseases of the nervous s...
        • Z86.61 Personal history of infections of the central...
        • Z86.69 Personal history of other diseases of the ner...
      • Z86.7 Personal history of diseases of the circulato...
        • Z86.71 Personal history of venous thrombosis and emb...
          • Z86.711 Personal history of pulmonary embolism
          • Z86.718 Personal history of other venous thrombosis a...
        • Z86.72 Personal history of thrombophlebitis
        • Z86.73 Personal history of transient ischemic attack...
        • Z86.74 Personal history of sudden cardiac arrest
        • Z86.79 Personal history of other diseases of the cir...
    Z86.-
    .
    ICD-10-CM Diagnosis Code Z87
    • Z87 Personal history of other diseases and condit...
      • Z87.0 Personal history of diseases of the respirato...
        • Z87.01 Personal history of pneumonia (recurrent)
        • Z87.09 Personal history of other diseases of the res...
      • Z87.1 Personal history of diseases of the digestive...
        • Z87.11 Personal history of peptic ulcer disease
        • Z87.19 Personal history of other diseases of the dig...
      • Z87.2 Personal history of diseases of the skin and ...
      • Z87.3 Personal history of diseases of the musculosk...
        • Z87.31 Personal history of (healed) nontraumatic fra...
          • Z87.310 Personal history of (healed) osteoporosis fra...
          • Z87.311 Personal history of (healed) other pathologic...
          • Z87.312 Personal history of (healed) stress fracture
        • Z87.39 Personal history of other diseases of the mus...
      • Z87.4 Personal history of diseases of genitourinary...
        • Z87.41 Personal history of dysplasia of the female g...
          • Z87.410 Personal history of cervical dysplasia
          • Z87.411 Personal history of vaginal dysplasia
          • Z87.412 Personal history of vulvar dysplasia
        • Z87.42 Personal history of other diseases of the fem...
        • Z87.43 Personal history of diseases of male genital ...
          • Z87.430 Personal history of prostatic dysplasia
          • Z87.438 Personal history of other diseases of male ge...
        • Z87.44 Personal history of diseases of urinary syste...
          • Z87.440 Personal history of urinary (tract) infection...
          • Z87.441 Personal history of nephrotic syndrome
          • Z87.442 Personal history of urinary calculi
          • Z87.448 Personal history of other diseases of urinary...
      • Z87.5 Personal history of complications of pregnanc...
        • Z87.51 Personal history of pre-term labor
        • Z87.59 Personal history of other complications of pr...
      • Z87.7 Personal history of (corrected) congenital ma...
        • Z87.71 Personal history of (corrected) congenital ma...
          • Z87.710 Personal history of (corrected) hypospadias
          • Z87.718 Personal history of other specified (correcte...
        • Z87.72 Personal history of (corrected) congenital ma...
          • Z87.720 Personal history of (corrected) congenital ma...
          • Z87.721 Personal history of (corrected) congenital ma...
          • Z87.728 Personal history of other specified (correcte...
        • Z87.73 Personal history of (corrected) congenital ma...
          • Z87.730 Personal history of (corrected) cleft lip and...
          • Z87.738 Personal history of other specified (correcte...
        • Z87.74 Personal history of (corrected) congenital ma...
        • Z87.75 Personal history of (corrected) congenital ma...
        • Z87.76 Personal history of (corrected) congenital ma...
        • Z87.79 Personal history of other (corrected) congeni...
          • Z87.790 Personal history of (corrected) congenital ma...
          • Z87.798 Personal history of other (corrected) congeni...
      • Z87.8 Personal history of other specified condition...
        • Z87.81 Personal history of (healed) traumatic fractu...
        • Z87.82 Personal history of other (healed) physical i...
          • Z87.820 Personal history of traumatic brain injury
          • Z87.821 Personal history of retained foreign body ful...
          • Z87.828 Personal history of other (healed) physical i...
        • Z87.89 Personal history of other specified condition...
          • Z87.890 Personal history of sex reassignment
          • Z87.891 Personal history of nicotine dependence
          • Z87.892 Personal history of anaphylaxis
          • Z87.898 Personal history of other specified condition...
    Z87.-
    )
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as Z09. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • aftercare following medical care (
    ICD-10-CM Diagnosis Code Z43

    Encounter for attention to artificial openings

      2016 2017 2018 Non-Billable/Non-Specific Code
    Includes
    • closure of artificial openings
    • passage of sounds or bougies through artificial openings
    • reforming artificial openings
    • removal of catheter from artificial openings
    • toilet or cleansing of artificial openings
    Type 1 Excludes
    Type 2 Excludes
    • fitting and adjustment of prosthetic and other devices (Z44-Z46)
    Z43
    -
    ICD-10-CM Diagnosis Code Z49

    Encounter for care involving renal dialysis

      2016 2017 2018 Non-Billable/Non-Specific Code
    Code Also
    • associated end stage renal disease (N18.6)
    Z49
    ,
    ICD-10-CM Diagnosis Code Z51

    Encounter for other aftercare and medical care

      2016 2017 - Revised Code 2018 Non-Billable/Non-Specific Code
    Code Also
    • condition requiring care
    Type 1 Excludes
    • follow-up examination after treatment (Z08-Z09)
    Z51
    )
  • surveillance of contraception (
    ICD-10-CM Diagnosis Code Z30.4

    Encounter for surveillance of contraceptives

      2016 2017 2018 Non-Billable/Non-Specific Code
    Z30.4-
    )
  • surveillance of prosthetic and other medical devices (
    ICD-10-CM Diagnosis Code Z44

    Encounter for fitting and adjustment of external prosthetic device

      2016 2017 2018 Non-Billable/Non-Specific Code
    Includes
    • removal or replacement of external prosthetic device
    Type 1 Excludes
    • malfunction or other complications of device - see Alphabetical Index
    • presence of prosthetic device (Z97.-)
    Z44
    -
    ICD-10-CM Diagnosis Code Z46

    Encounter for fitting and adjustment of other devices

      2016 2017 2018 Non-Billable/Non-Specific Code
    Includes
    • removal or replacement of other device
    Type 1 Excludes
    • malfunction or other complications of device - see Alphabetical Index
    Type 2 Excludes
    • encounter for fitting and management of implanted devices (Z45.-)
    • issue of repeat prescription only (Z76.0)
    • presence of prosthetic and other devices (Z95-Z97)
    Z46
    )
The following code(s) above Z09 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to Z09:
  • Z00-Z99
    2018 ICD-10-CM Range Z00-Z99

    Factors influencing health status and contact with health services

    Note
    • Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
    • (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
    • (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.
    Factors influencing health status and contact with health services
  • Z00-Z13
    2018 ICD-10-CM Range Z00-Z13

    Persons encountering health services for examinations

    Note
    • Nonspecific abnormal findings disclosed at the time of these examinations are classified to categories R70-R94.
    Type 1 Excludes
    • examinations related to pregnancy and reproduction (Z30-Z36, Z39.-)
    Persons encountering health services for examinations
Approximate Synonyms Present On Admission
POA Help
"Present On Admission" is defined as present at the time the order for inpatient admission occurs — conditions that develop during an outpatient encounter, including emergency department, observation, or outpatient surgery, are considered POA.
ICD-10-CM Z09 is grouped within Diagnostic Related Group(s) (MS-DRG v35.0):

Convert Z09 to ICD-9-CM

Code History
Code annotations containing back-references to Z09:

Diagnosis Index entries containing back-references to Z09:

ICD-10-CM Codes Adjacent To Z09
Z05.43 Observation and evaluation of newborn for suspected immunologic condition ruled out
Z05.5 Observation and evaluation of newborn for suspected gastrointestinal condition ruled out
Z05.6 Observation and evaluation of newborn for suspected genitourinary condition ruled out
Z05.7 Observation and evaluation of newborn for suspected skin, subcutaneous, musculoskeletal and connective tissue condition ruled out
Z05.71 Observation and evaluation of newborn for suspected skin and subcutaneous tissue condition ruled out
Z05.72 Observation and evaluation of newborn for suspected musculoskeletal condition ruled out
Z05.73 Observation and evaluation of newborn for suspected connective tissue condition ruled out
Z05.8 Observation and evaluation of newborn for other specified suspected condition ruled out
Z05.9 Observation and evaluation of newborn for unspecified suspected condition ruled out
Z08 Encounter for follow-up examination after completed treatment for malignant neoplasm
Z09 Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm
Z11 Encounter for screening for infectious and parasitic diseases
Z11.0 Encounter for screening for intestinal infectious diseases
Z11.1 Encounter for screening for respiratory tuberculosis
Z11.2 Encounter for screening for other bacterial diseases
Z11.3 Encounter for screening for infections with a predominantly sexual mode of transmission
Z11.4 Encounter for screening for human immunodeficiency virus [HIV]
Z11.5 Encounter for screening for other viral diseases
Z11.51 Encounter for screening for human papillomavirus (HPV)
Z11.59 Encounter for screening for other viral diseases
Z11.6 Encounter for screening for other protozoal diseases and helminthiases

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.