2023 ICD-10-CM Diagnosis Code Z49

Encounter for care involving renal dialysis

    2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
  • Z49 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2023 edition of ICD-10-CM Z49 became effective on October 1, 2022.
  • This is the American ICD-10-CM version of Z49 - other international versions of ICD-10 Z49 may differ.
Code Also
Code Also Help
A code also note instructs that 2 codes may be required to fully describe a condition but the sequencing of the two codes is discretionary, depending on the severity of the conditions and the reason for the encounter.
  • associated end stage renal disease (
    ICD-10-CM Diagnosis Code N18.6

    End stage renal disease

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    Applicable To
    • Chronic kidney disease requiring chronic dialysis
    Use Additional
    • code to identify dialysis status (Z99.2)
    N18.6
    )
The following code(s) above Z49 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 Z49:
  • Z00-Z99
    2023 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
    2023 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
Clinical Information
  • Actions performed to support dialysis treatments.
  • Actions performed to support the removal of waste products from the body
  • Assessing a patient's need for dialysis to plan his or her treatment.
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
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
  • 2022 (effective 10/1/2021): No change
  • 2023 (effective 10/1/2022): No change
ICD-10-CM Codes Adjacent To Z49
Z48.81 Encounter for surgical aftercare following surgery on specified body systems
Z48.810 Encounter for surgical aftercare following surgery on the sense organs
Z48.811 Encounter for surgical aftercare following surgery on the nervous system
Z48.812 Encounter for surgical aftercare following surgery on the circulatory system
Z48.813 Encounter for surgical aftercare following surgery on the respiratory system
Z48.814 Encounter for surgical aftercare following surgery on the teeth or oral cavity
Z48.815 Encounter for surgical aftercare following surgery on the digestive system
Z48.816 Encounter for surgical aftercare following surgery on the genitourinary system
Z48.817 Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue
Z48.89 Encounter for other specified surgical aftercare
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
Z49.02 Encounter for fitting and adjustment of peritoneal dialysis catheter
Z49.3 Encounter for adequacy testing for dialysis
Z49.31 Encounter for adequacy testing for hemodialysis
Z49.32 Encounter for adequacy testing for peritoneal dialysis
Z51 Encounter for other aftercare and medical care
Z51.0 Encounter for antineoplastic radiation therapy
Z51.1 Encounter for antineoplastic chemotherapy and immunotherapy
Z51.11 Encounter for antineoplastic chemotherapy

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