2019

  1. ICD-10-CM Codes
    2. ›
  2. Z00-Z99 Factors influencing health status and contact with health services
    3. ›
  3. Z00-Z13 Persons encountering health services for examinations
    4. ›
  4. Z08- Encounter for follow-up examination after completed treatment for malignant neoplasm
    5. ›

2019 ICD-10-CM Diagnosis Code Z08

Encounter for follow-up examination after completed treatment for malignant neoplasm

    2016 2017 2018 2019 Billable/Specific Code POA Exempt
  • Z08 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • Short description: Encntr for follow-up exam after trtmt for malignant neoplasm
  • The 2019 edition of ICD-10-CM Z08 became effective on October 1, 2018.
  • This is the American ICD-10-CM version of Z08 - other international versions of ICD-10 Z08 may differ.
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 acquired absence of organs (
    ICD-10-CM Diagnosis Code Z90
    • Z90 Acquired absence of organs, not elsewhere cla...
      • Z90.0 Acquired absence of part of head and neck
        • Z90.01 Acquired absence of eye
        • Z90.02 Acquired absence of larynx
        • Z90.09 Acquired absence of other part of head and ne...
      • Z90.1 Acquired absence of breast and nipple
        • Z90.10 Acquired absence of unspecified breast and ni...
        • Z90.11 Acquired absence of right breast and nipple
        • Z90.12 Acquired absence of left breast and nipple
        • Z90.13 Acquired absence of bilateral breasts and nip...
      • Z90.2 Acquired absence of lung [part of]
      • Z90.3 Acquired absence of stomach [part of]
      • Z90.4 Acquired absence of other specified parts of ...
        • Z90.41 Acquired absence of pancreas
          • Z90.410 Acquired total absence of pancreas
          • Z90.411 Acquired partial absence of pancreas
        • Z90.49 Acquired absence of other specified parts of ...
      • Z90.5 Acquired absence of kidney
      • Z90.6 Acquired absence of other parts of urinary tr...
      • Z90.7 Acquired absence of genital organ(s)
        • Z90.71 Acquired absence of cervix and uterus
          • Z90.710 Acquired absence of both cervix and uterus
          • Z90.711 Acquired absence of uterus with remaining cer...
          • Z90.712 Acquired absence of cervix with remaining ute...
        • Z90.72 Acquired absence of ovaries
        • Z90.79 Acquired absence of other genital organ(s)
      • Z90.8 Acquired absence of other organs
        • Z90.81 Acquired absence of spleen
        • Z90.89 Acquired absence of other organs
    Z90.-
    )
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 Z08. 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 2019 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 2019 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 2019 Non-Billable/Non-Specific Code
    Code Also
    • condition requiring care
    Type 1 Excludes
    • follow-up examination after treatment (Z08-Z09)
    Z51
    )
The following code(s) above Z08 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 Z08:
  • Z00-Z99
    2019 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
    2019 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
  • Follow up exam after cancer treatment completion
  • Follow up exam after completion of cancer treatment done
  • Vaginal pap, had hysterectomy for cancer
  • Vaginal papanicolaou smear with history of hysterectomy for cancer done
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.
  • Z08 is considered exempt from POA reporting.
ICD-10-CM Z08 is grouped within Diagnostic Related Group(s) (MS-DRG v36.0):
  • 826 Myeloproliferative disorders or poorly differentiated neoplasms with major o.r. Procedure with mcc
  • 827 Myeloproliferative disorders or poorly differentiated neoplasms with major o.r. Procedure with cc
  • 828 Myeloproliferative disorders or poorly differentiated neoplasms with major o.r. Procedure without cc/mcc
  • 829 Myeloproliferative disorders or poorly differentiated neoplasms with other procedure with cc/mcc
  • 830 Myeloproliferative disorders or poorly differentiated neoplasms with other procedure without cc/mcc
  • 837 Chemotherapy with acute leukemia as sdx or with high dose chemotherapy agent with mcc
  • 838 Chemotherapy with acute leukemia as sdx with cc or high dose chemotherapy agent
  • 839 Chemotherapy with acute leukemia as sdx without cc/mcc
  • 846 Chemotherapy without acute leukemia as secondary diagnosis with mcc
  • 847 Chemotherapy without acute leukemia as secondary diagnosis with cc
  • 848 Chemotherapy without acute leukemia as secondary diagnosis without cc/mcc

Convert Z08 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
Code annotations containing back-references to Z08:
  • Code First: Z85
    ICD-10-CM Diagnosis Code Z85

    Personal history of malignant neoplasm

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Code First
    • any follow-up examination after treatment of malignant neoplasm (Z08)
    Type 2 Excludes
    • personal history of benign neoplasm (Z86.01-)
    • personal history of carcinoma-in-situ (Z86.00-)
    Use Additional
    • code to identify:
    • alcohol use and dependence (F10.-)
    • exposure to environmental tobacco smoke (Z77.22)
    • history of tobacco dependence (Z87.891)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)
  • Type 1 Excludes: Z01.41
    , Z12.72
    ICD-10-CM Diagnosis Code Z01.41

    Encounter for routine gynecological examination

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Applicable To
    • Encounter for general gynecological examination with or without cervical smear
    • Encounter for gynecological examination (general) (routine) NOS
    • Encounter for pelvic examination (annual) (periodic)
    Type 1 Excludes
    • gynecologic examination status-post hysterectomy for malignant condition (Z08)
    • screening cervical pap smear not a part of a routine gynecological examination (Z12.4)
    Use Additional
    • code:
    • for screening for human papillomavirus, if applicable, (Z11.51)
    • for screening vaginal pap smear, if applicable (Z12.72)
    • to identify acquired absence of uterus, if applicable (Z90.71-)
    ICD-10-CM Diagnosis Code Z12.72

    Encounter for screening for malignant neoplasm of vagina

      2016 2017 2018 2019 Billable/Specific Code Female Dx POA Exempt
    Applicable To
    • Vaginal pap smear status-post hysterectomy for non-malignant condition
    Type 1 Excludes
    • vaginal pap smear status-post hysterectomy for malignant conditions (Z08)
    Use Additional
    • code to identify acquired absence of uterus (Z90.71-)

Diagnosis Index entries containing back-references to Z08:
  • Examination (for) (following) (general) (of) (routine) Z00.00
    ICD-10-CM Diagnosis Code Z00.00

    Encounter for general adult medical examination without abnormal findings

      2016 2017 2018 2019 Billable/Specific Code Adult Dx (15-124 years) POA Exempt
    Applicable To
    • Encounter for adult health check-up NOS
    • following
      • treatment (for) Z09
        ICD-10-CM Diagnosis Code Z09

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

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Medical surveillance following completed treatment
        Type 1 Excludes
        • aftercare following medical care (Z43-Z49, Z51)
        • surveillance of contraception (Z30.4-)
        • surveillance of prosthetic and other medical devices (Z44-Z46)
        Use Additional
        • code to identify any applicable history of disease code (Z86.-. Z87.-)
        • combined NEC Z09
          ICD-10-CM Diagnosis Code Z09

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

            2016 2017 2018 2019 Billable/Specific Code POA Exempt
          Applicable To
          • Medical surveillance following completed treatment
          Type 1 Excludes
          • aftercare following medical care (Z43-Z49, Z51)
          • surveillance of contraception (Z30.4-)
          • surveillance of prosthetic and other medical devices (Z44-Z46)
          Use Additional
          • code to identify any applicable history of disease code (Z86.-. Z87.-)
          • malignant neoplasm Z08
        • malignant neoplasm Z08
    • follow-up (routine) (following) Z09
      ICD-10-CM Diagnosis Code Z09

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

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
      Applicable To
      • Medical surveillance following completed treatment
      Type 1 Excludes
      • aftercare following medical care (Z43-Z49, Z51)
      • surveillance of contraception (Z30.4-)
      • surveillance of prosthetic and other medical devices (Z44-Z46)
      Use Additional
      • code to identify any applicable history of disease code (Z86.-. Z87.-)
      • chemotherapy NEC Z09
        ICD-10-CM Diagnosis Code Z09

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

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Medical surveillance following completed treatment
        Type 1 Excludes
        • aftercare following medical care (Z43-Z49, Z51)
        • surveillance of contraception (Z30.4-)
        • surveillance of prosthetic and other medical devices (Z44-Z46)
        Use Additional
        • code to identify any applicable history of disease code (Z86.-. Z87.-)
        • malignant neoplasm Z08
      • radiotherapy NEC Z09
        ICD-10-CM Diagnosis Code Z09

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

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Medical surveillance following completed treatment
        Type 1 Excludes
        • aftercare following medical care (Z43-Z49, Z51)
        • surveillance of contraception (Z30.4-)
        • surveillance of prosthetic and other medical devices (Z44-Z46)
        Use Additional
        • code to identify any applicable history of disease code (Z86.-. Z87.-)
        • malignant neoplasm Z08
      • surgery NEC Z09
        ICD-10-CM Diagnosis Code Z09

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

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Medical surveillance following completed treatment
        Type 1 Excludes
        • aftercare following medical care (Z43-Z49, Z51)
        • surveillance of contraception (Z30.4-)
        • surveillance of prosthetic and other medical devices (Z44-Z46)
        Use Additional
        • code to identify any applicable history of disease code (Z86.-. Z87.-)
        • malignant neoplasm Z08
      • malignant neoplasm Z08

ICD-10-CM Codes Adjacent To Z08
Z05.42 Observation and evaluation of newborn for suspected metabolic condition ruled out
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

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

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