2017/18 ICD-10-CM Diagnosis Code Z47.81

Encounter for orthopedic aftercare following surgical amputation

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 the limb amputated (
    ICD-10-CM Diagnosis Code Z89
    • Z89 Acquired absence of limb
      • Z89.0 Acquired absence of thumb and other finger(s)...
        • Z89.01 Acquired absence of thumb
          • Z89.011 Acquired absence of right thumb
          • Z89.012 Acquired absence of left thumb
          • Z89.019 Acquired absence of unspecified thumb
        • Z89.02 Acquired absence of other finger(s)
          • Z89.021 Acquired absence of right finger(s)
          • Z89.022 Acquired absence of left finger(s)
          • Z89.029 Acquired absence of unspecified finger(s)
      • Z89.1 Acquired absence of hand and wrist
        • Z89.11 Acquired absence of hand
          • Z89.111 Acquired absence of right hand
          • Z89.112 Acquired absence of left hand
          • Z89.119 Acquired absence of unspecified hand
        • Z89.12 Acquired absence of wrist
          • Z89.121 Acquired absence of right wrist
          • Z89.122 Acquired absence of left wrist
          • Z89.129 Acquired absence of unspecified wrist
      • Z89.2 Acquired absence of upper limb above wrist
        • Z89.20 Acquired absence of upper limb, unspecified l...
          • Z89.201 Acquired absence of right upper limb, unspeci...
          • Z89.202 Acquired absence of left upper limb, unspecif...
          • Z89.209 Acquired absence of unspecified upper limb, u...
        • Z89.21 Acquired absence of upper limb below elbow
          • Z89.211 Acquired absence of right upper limb below el...
          • Z89.212 Acquired absence of left upper limb below elb...
          • Z89.219 Acquired absence of unspecified upper limb be...
        • Z89.22 Acquired absence of upper limb above elbow
          • Z89.221 Acquired absence of right upper limb above el...
          • Z89.222 Acquired absence of left upper limb above elb...
          • Z89.229 Acquired absence of unspecified upper limb ab...
        • Z89.23 Acquired absence of shoulder
          • Z89.231 Acquired absence of right shoulder
          • Z89.232 Acquired absence of left shoulder
          • Z89.239 Acquired absence of unspecified shoulder
      • Z89.4 Acquired absence of toe(s), foot, and ankle
        • Z89.41 Acquired absence of great toe
          • Z89.411 Acquired absence of right great toe
          • Z89.412 Acquired absence of left great toe
          • Z89.419 Acquired absence of unspecified great toe
        • Z89.42 Acquired absence of other toe(s)
          • Z89.421 Acquired absence of other right toe(s)
          • Z89.422 Acquired absence of other left toe(s)
          • Z89.429 Acquired absence of other toe(s), unspecified...
        • Z89.43 Acquired absence of foot
          • Z89.431 Acquired absence of right foot
          • Z89.432 Acquired absence of left foot
          • Z89.439 Acquired absence of unspecified foot
        • Z89.44 Acquired absence of ankle
          • Z89.441 Acquired absence of right ankle
          • Z89.442 Acquired absence of left ankle
          • Z89.449 Acquired absence of unspecified ankle
      • Z89.5 Acquired absence of leg below knee
        • Z89.51 Acquired absence of leg below knee
          • Z89.511 Acquired absence of right leg below knee
          • Z89.512 Acquired absence of left leg below knee
          • Z89.519 Acquired absence of unspecified leg below kne...
        • Z89.52 Acquired absence of knee
          • Z89.521 Acquired absence of right knee
          • Z89.522 Acquired absence of left knee
          • Z89.529 Acquired absence of unspecified knee
      • Z89.6 Acquired absence of leg above knee
        • Z89.61 Acquired absence of leg above knee
          • Z89.611 Acquired absence of right leg above knee
          • Z89.612 Acquired absence of left leg above knee
          • Z89.619 Acquired absence of unspecified leg above kne...
        • Z89.62 Acquired absence of hip
          • Z89.621 Acquired absence of right hip joint
          • Z89.622 Acquired absence of left hip joint
          • Z89.629 Acquired absence of unspecified hip joint
      • Z89.9 Acquired absence of limb, unspecified
    Z89.-
    )
The following code(s) above Z47.81 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 Z47.81:
  • 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
  • Z40-Z53
    2018 ICD-10-CM Range Z40-Z53

    Encounters for other specific health care

    Applicable To
    • 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
    Type 2 Excludes
    • follow-up examination for medical surveillance after treatment (Z08-Z09)
    Encounters for other specific health care
  • Z47
    ICD-10-CM Diagnosis Code Z47

    Orthopedic aftercare

      2016 2017 2018 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • aftercare for healing fracture-code to fracture with 7th character D
    Orthopedic aftercare
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 Z47.81 is grouped within Diagnostic Related Group(s) (MS-DRG v35.0):

Convert Z47.81 to ICD-9-CM

Code History

Diagnosis Index entries containing back-references to Z47.81:

ICD-10-CM Codes Adjacent To Z47.81
Z46.89 Encounter for fitting and adjustment of other specified devices
Z46.9 Encounter for fitting and adjustment of unspecified device
Z47 Orthopedic aftercare
Z47.1 Aftercare following joint replacement surgery
Z47.2 Encounter for removal of internal fixation device
Z47.3 Aftercare following explantation of joint prosthesis
Z47.31 Aftercare following explantation of shoulder joint prosthesis
Z47.32 Aftercare following explantation of hip joint prosthesis
Z47.33 Aftercare following explantation of knee joint prosthesis
Z47.8 Encounter for other orthopedic aftercare
Z47.81 Encounter for orthopedic aftercare following surgical amputation
Z47.82 Encounter for orthopedic aftercare following scoliosis surgery
Z47.89 Encounter for other orthopedic aftercare
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
Z48.01 Encounter for change or removal of surgical wound dressing
Z48.02 Encounter for removal of sutures
Z48.03 Encounter for change or removal of drains
Z48.1 Encounter for planned postprocedural wound closure
Z48.2 Encounter for aftercare following organ transplant

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