2018/2019 ICD-10-CM Diagnosis Code Z40.0

Encounter for prophylactic surgery for risk factors related to malignant neoplasms

Applicable To
  • Admission for prophylactic organ removal
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 risk factor
The following code(s) above Z40.0 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 Z40.0:
  • 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
  • Z40-Z53
    2019 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
  • Z40
    ICD-10-CM Diagnosis Code Z40

    Encounter for prophylactic surgery

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • organ donations (Z52.-)
    • therapeutic organ removal-code to condition
    Encounter for prophylactic surgery
Code History
ICD-10-CM Codes Adjacent To Z40.0
Z38.66 Quintuplet liveborn infant, delivered by cesarean
Z38.68 Other multiple liveborn infant, delivered vaginally
Z38.69 Other multiple liveborn infant, delivered by cesarean
Z38.7 Other multiple liveborn infant, born outside hospital
Z38.8 Other multiple liveborn infant, unspecified as to place of birth
Z39 Encounter for maternal postpartum care and examination
Z39.0 Encounter for care and examination of mother immediately after delivery
Z39.1 Encounter for care and examination of lactating mother
Z39.2 Encounter for routine postpartum follow-up
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
Z40.01 Encounter for prophylactic removal of breast
Z40.02 Encounter for prophylactic removal of ovary(s)
Z40.03 Encounter for prophylactic removal of fallopian tube(s)
Z40.09 Encounter for prophylactic removal of other organ
Z40.8 Encounter for other prophylactic surgery
Z40.9 Encounter for prophylactic surgery, unspecified
Z41 Encounter for procedures for purposes other than remedying health state
Z41.1 Encounter for cosmetic surgery
Z41.2 Encounter for routine and ritual male circumcision

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