• Admission (for) - see also Encounter (for)

    • adjustment (of)
      • artificial
        • arm Z44.00-
          ICD-10-CM Diagnosis Code Z44.00-

          Encounter for fitting and adjustment of unspecified artificial arm

            2016 2017 2018 2019 Non-Billable/Non-Specific Code
          • complete Z44.01-
            ICD-10-CM Diagnosis Code Z44.01-

            Encounter for fitting and adjustment of complete artificial arm

              2016 2017 2018 2019 Non-Billable/Non-Specific Code
          • partial Z44.02-
            ICD-10-CM Diagnosis Code Z44.02-

            Encounter for fitting and adjustment of partial artificial arm

              2016 2017 2018 2019 Non-Billable/Non-Specific Code
        • eye Z44.2
          ICD-10-CM Diagnosis Code Z44.2

          Encounter for fitting and adjustment of artificial eye

            2016 2017 2018 2019 Non-Billable/Non-Specific Code
          Type 1 Excludes
          • mechanical complication of ocular prosthesis (T85.3)
        • leg Z44.10-
          ICD-10-CM Diagnosis Code Z44.10-

          Encounter for fitting and adjustment of unspecified artificial leg

            2016 2017 2018 2019 Non-Billable/Non-Specific Code
          • complete Z44.11-
            ICD-10-CM Diagnosis Code Z44.11-

            Encounter for fitting and adjustment of complete artificial leg

              2016 2017 2018 2019 Non-Billable/Non-Specific Code
          • partial Z44.12-
            ICD-10-CM Diagnosis Code Z44.12-

            Encounter for fitting and adjustment of partial artificial leg

              2016 2017 2018 2019 Non-Billable/Non-Specific Code
      • brain neuropacemaker Z46.2
        ICD-10-CM Diagnosis Code Z46.2

        Encounter for fitting and adjustment of other devices related to nervous system and special senses

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Type 2 Excludes
        • encounter for adjustment and management of implanted nervous system device (Z45.4-)
        • encounter for adjustment and management of implanted visual substitution device (Z45.31)
        • implanted Z45.42
          ICD-10-CM Diagnosis Code Z45.42

          Encounter for adjustment and management of neuropacemaker (brain) (peripheral nerve) (spinal cord)

            2016 2017 2018 2019 Billable/Specific Code POA Exempt
      • breast
        • implant Z45.81
          ICD-10-CM Diagnosis Code Z45.81

          Encounter for adjustment or removal of breast implant

            2016 2017 2018 2019 Non-Billable/Non-Specific Code
          Applicable To
          • Encounter for elective implant exchange (different material) (different size)
          • Encounter removal of tissue expander without synchronous insertion of permanent implant
          Type 1 Excludes
          • complications of breast implant (T85.4-)
          • encounter for initial breast implant insertion for cosmetic breast augmentation (Z41.1)
          • encounter for breast reconstruction following mastectomy (Z42.1)
        • prosthesis Z44.3
          (external)
          ICD-10-CM Diagnosis Code Z44.3

          Encounter for fitting and adjustment of external breast prosthesis

            2016 2017 2018 2019 Non-Billable/Non-Specific Code
          Type 1 Excludes
          • complications of breast implant (T85.4-)
          • encounter for adjustment or removal of breast implant (Z45.81-)
          • encounter for initial breast implant insertion for cosmetic breast augmentation (Z41.1)
          • encounter for breast reconstruction following mastectomy (Z42.1)
      • colostomy belt Z46.89
        ICD-10-CM Diagnosis Code Z46.89

        Encounter for fitting and adjustment of other specified devices

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Encounter for fitting and adjustment of wheelchair
      • contact lenses Z46.0
        ICD-10-CM Diagnosis Code Z46.0

        Encounter for fitting and adjustment of spectacles and contact lenses

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
      • cystostomy device Z46.6
        ICD-10-CM Diagnosis Code Z46.6

        Encounter for fitting and adjustment of urinary device

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Type 2 Excludes
        • attention to artificial openings of urinary tract (Z43.5, Z43.6)
      • dental prosthesis Z46.3
        ICD-10-CM Diagnosis Code Z46.3

        Encounter for fitting and adjustment of dental prosthetic device

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Encounter for fitting and adjustment of dentures
      • device NEC
        • abdominal Z46.89
          ICD-10-CM Diagnosis Code Z46.89

          Encounter for fitting and adjustment of other specified devices

            2016 2017 2018 2019 Billable/Specific Code POA Exempt
          Applicable To
          • Encounter for fitting and adjustment of wheelchair
        • implanted Z45.89
          ICD-10-CM Diagnosis Code Z45.89

          Encounter for adjustment and management of other implanted devices

            2016 2017 2018 2019 Billable/Specific Code POA Exempt
          • cardiac Z45.09
            ICD-10-CM Diagnosis Code Z45.09

            Encounter for adjustment and management of other cardiac device

              2016 2017 2018 2019 Billable/Specific Code POA Exempt Questionable As Admission Dx
            • defibrillator Z45.02
              (with synchronous cardiace pacemaker)
              ICD-10-CM Diagnosis Code Z45.02

              Encounter for adjustment and management of automatic implantable cardiac defibrillator

                2016 2017 2018 2019 Billable/Specific Code POA Exempt Questionable As Admission Dx
              Applicable To
              • Encounter for adjustment and management of automatic implantable cardiac defibrillator with synchronous cardiac pacemaker
              • Encounter for adjustment and management of cardiac resynchronization therapy defibrillator (CRT-D)
            • pacemaker (cardiac resynchronization therapy (CRT-P)) Z45.018
              ICD-10-CM Diagnosis Code Z45.018

              Encounter for adjustment and management of other part of cardiac pacemaker

                2016 2017 2018 2019 Billable/Specific Code POA Exempt Questionable As Admission Dx
              Type 2 Excludes
              • presence of prosthetic and other devices (Z95-Z97)
              • pulse generator Z45.010
                ICD-10-CM Diagnosis Code Z45.010

                Encounter for checking and testing of cardiac pacemaker pulse generator [battery]

                  2016 2017 2018 2019 Billable/Specific Code POA Exempt Questionable As Admission Dx
                Applicable To
                • Encounter for replacing cardiac pacemaker pulse generator [battery]
            • resynchronization therapy defibrillator Z45.02
              (CRT-D)
              ICD-10-CM Diagnosis Code Z45.02

              Encounter for adjustment and management of automatic implantable cardiac defibrillator

                2016 2017 2018 2019 Billable/Specific Code POA Exempt Questionable As Admission Dx
              Applicable To
              • Encounter for adjustment and management of automatic implantable cardiac defibrillator with synchronous cardiac pacemaker
              • Encounter for adjustment and management of cardiac resynchronization therapy defibrillator (CRT-D)
          • hearing device Z45.328
            ICD-10-CM Diagnosis Code Z45.328

            Encounter for adjustment and management of other implanted hearing device

              2016 2017 2018 2019 Billable/Specific Code POA Exempt
            • bone conduction Z45.320
              ICD-10-CM Diagnosis Code Z45.320

              Encounter for adjustment and management of bone conduction device

                2016 2017 2018 2019 Billable/Specific Code POA Exempt
            • cochlear Z45.321
              ICD-10-CM Diagnosis Code Z45.321

              Encounter for adjustment and management of cochlear device

                2016 2017 2018 2019 Billable/Specific Code POA Exempt
          • infusion pump Z45.1
            ICD-10-CM Diagnosis Code Z45.1

            Encounter for adjustment and management of infusion pump

              2016 2017 2018 2019 Billable/Specific Code POA Exempt
          • nervous system Z45.49
            ICD-10-CM Diagnosis Code Z45.49

            Encounter for adjustment and management of other implanted nervous system device

              2016 2017 2018 2019 Billable/Specific Code POA Exempt
            • CSF drainage Z45.41
              ICD-10-CM Diagnosis Code Z45.41

              Encounter for adjustment and management of cerebrospinal fluid drainage device

                2016 2017 2018 2019 Billable/Specific Code POA Exempt
              Applicable To
              • Encounter for adjustment and management of cerebral ventricular (communicating) shunt
            • hearing device - see Admission, adjustment, device, implanted, hearing device
            • neuropacemaker Z45.42
              ICD-10-CM Diagnosis Code Z45.42

              Encounter for adjustment and management of neuropacemaker (brain) (peripheral nerve) (spinal cord)

                2016 2017 2018 2019 Billable/Specific Code POA Exempt
            • visual substitution Z45.31
              ICD-10-CM Diagnosis Code Z45.31

              Encounter for adjustment and management of implanted visual substitution device

                2016 2017 2018 2019 Billable/Specific Code POA Exempt
          • specified NEC Z45.89
            ICD-10-CM Diagnosis Code Z45.89

            Encounter for adjustment and management of other implanted devices

              2016 2017 2018 2019 Billable/Specific Code POA Exempt
          • vascular access Z45.2
            ICD-10-CM Diagnosis Code Z45.2

            Encounter for adjustment and management of vascular access device

              2016 2017 2018 2019 Billable/Specific Code POA Exempt
            Applicable To
            • Encounter for adjustment and management of vascular catheters
            Type 1 Excludes
            • encounter for adjustment and management of renal dialysis catheter (Z49.01)
          • visual substitution Z45.31
            ICD-10-CM Diagnosis Code Z45.31

            Encounter for adjustment and management of implanted visual substitution device

              2016 2017 2018 2019 Billable/Specific Code POA Exempt
        • nervous system Z46.2
          ICD-10-CM Diagnosis Code Z46.2

          Encounter for fitting and adjustment of other devices related to nervous system and special senses

            2016 2017 2018 2019 Billable/Specific Code POA Exempt
          Type 2 Excludes
          • encounter for adjustment and management of implanted nervous system device (Z45.4-)
          • encounter for adjustment and management of implanted visual substitution device (Z45.31)
        • orthodontic Z46.4
          ICD-10-CM Diagnosis Code Z46.4

          Encounter for fitting and adjustment of orthodontic device

            2016 2017 2018 2019 Billable/Specific Code POA Exempt
        • prosthetic Z44.9
          ICD-10-CM Diagnosis Code Z44.9

          Encounter for fitting and adjustment of unspecified external prosthetic device

            2016 2017 2018 2019 Billable/Specific Code POA Exempt
          • arm - see Admission, adjustment, artificial, arm
          • breast Z44.3
            ICD-10-CM Diagnosis Code Z44.3

            Encounter for fitting and adjustment of external breast prosthesis

              2016 2017 2018 2019 Non-Billable/Non-Specific Code
            Type 1 Excludes
            • complications of breast implant (T85.4-)
            • encounter for adjustment or removal of breast implant (Z45.81-)
            • encounter for initial breast implant insertion for cosmetic breast augmentation (Z41.1)
            • encounter for breast reconstruction following mastectomy (Z42.1)
          • dental Z46.3
            ICD-10-CM Diagnosis Code Z46.3

            Encounter for fitting and adjustment of dental prosthetic device

              2016 2017 2018 2019 Billable/Specific Code POA Exempt
            Applicable To
            • Encounter for fitting and adjustment of dentures
          • eye Z44.2
            ICD-10-CM Diagnosis Code Z44.2

            Encounter for fitting and adjustment of artificial eye

              2016 2017 2018 2019 Non-Billable/Non-Specific Code
            Type 1 Excludes
            • mechanical complication of ocular prosthesis (T85.3)
          • leg - see Admission, adjustment, artificial, leg
          • specified type NEC Z44.8
            ICD-10-CM Diagnosis Code Z44.8

            Encounter for fitting and adjustment of other external prosthetic devices

              2016 2017 2018 2019 Billable/Specific Code POA Exempt
        • substitution
          • auditory Z46.2
            ICD-10-CM Diagnosis Code Z46.2

            Encounter for fitting and adjustment of other devices related to nervous system and special senses

              2016 2017 2018 2019 Billable/Specific Code POA Exempt
            Type 2 Excludes
            • encounter for adjustment and management of implanted nervous system device (Z45.4-)
            • encounter for adjustment and management of implanted visual substitution device (Z45.31)
          • nervous system Z46.2
            ICD-10-CM Diagnosis Code Z46.2

            Encounter for fitting and adjustment of other devices related to nervous system and special senses

              2016 2017 2018 2019 Billable/Specific Code POA Exempt
            Type 2 Excludes
            • encounter for adjustment and management of implanted nervous system device (Z45.4-)
            • encounter for adjustment and management of implanted visual substitution device (Z45.31)
          • visual Z46.2
            ICD-10-CM Diagnosis Code Z46.2

            Encounter for fitting and adjustment of other devices related to nervous system and special senses

              2016 2017 2018 2019 Billable/Specific Code POA Exempt
            Type 2 Excludes
            • encounter for adjustment and management of implanted nervous system device (Z45.4-)
            • encounter for adjustment and management of implanted visual substitution device (Z45.31)
            • implanted Z45.31
              ICD-10-CM Diagnosis Code Z45.31

              Encounter for adjustment and management of implanted visual substitution device

                2016 2017 2018 2019 Billable/Specific Code POA Exempt
        • urinary Z46.6
          ICD-10-CM Diagnosis Code Z46.6

          Encounter for fitting and adjustment of urinary device

            2016 2017 2018 2019 Billable/Specific Code POA Exempt
          Type 2 Excludes
          • attention to artificial openings of urinary tract (Z43.5, Z43.6)
      • hearing aid Z46.1
        ICD-10-CM Diagnosis Code Z46.1

        Encounter for fitting and adjustment of hearing aid

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Type 1 Excludes
        • encounter for adjustment and management of implanted hearing device (Z45.32-)
      • ileostomy device Z46.89
        ICD-10-CM Diagnosis Code Z46.89

        Encounter for fitting and adjustment of other specified devices

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Encounter for fitting and adjustment of wheelchair
      • intestinal appliance or device NEC Z46.89
        ICD-10-CM Diagnosis Code Z46.89

        Encounter for fitting and adjustment of other specified devices

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Encounter for fitting and adjustment of wheelchair
      • neuropacemaker (brain) (peripheral nerve) (spinal cord) Z46.2
        ICD-10-CM Diagnosis Code Z46.2

        Encounter for fitting and adjustment of other devices related to nervous system and special senses

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Type 2 Excludes
        • encounter for adjustment and management of implanted nervous system device (Z45.4-)
        • encounter for adjustment and management of implanted visual substitution device (Z45.31)
        • implanted Z45.42
          ICD-10-CM Diagnosis Code Z45.42

          Encounter for adjustment and management of neuropacemaker (brain) (peripheral nerve) (spinal cord)

            2016 2017 2018 2019 Billable/Specific Code POA Exempt
      • orthodontic device Z46.4
        ICD-10-CM Diagnosis Code Z46.4

        Encounter for fitting and adjustment of orthodontic device

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
      • orthopedic Z46.89
        (brace) (cast) (device) (shoes)
        ICD-10-CM Diagnosis Code Z46.89

        Encounter for fitting and adjustment of other specified devices

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Encounter for fitting and adjustment of wheelchair
      • pacemaker (cardiac resynchronization therapy (CRT-P))
        • cardiac Z45.018
          ICD-10-CM Diagnosis Code Z45.018

          Encounter for adjustment and management of other part of cardiac pacemaker

            2016 2017 2018 2019 Billable/Specific Code POA Exempt Questionable As Admission Dx
          Type 2 Excludes
          • presence of prosthetic and other devices (Z95-Z97)
          • pulse generator Z45.010
            ICD-10-CM Diagnosis Code Z45.010

            Encounter for checking and testing of cardiac pacemaker pulse generator [battery]

              2016 2017 2018 2019 Billable/Specific Code POA Exempt Questionable As Admission Dx
            Applicable To
            • Encounter for replacing cardiac pacemaker pulse generator [battery]
        • nervous system Z46.2
          ICD-10-CM Diagnosis Code Z46.2

          Encounter for fitting and adjustment of other devices related to nervous system and special senses

            2016 2017 2018 2019 Billable/Specific Code POA Exempt
          Type 2 Excludes
          • encounter for adjustment and management of implanted nervous system device (Z45.4-)
          • encounter for adjustment and management of implanted visual substitution device (Z45.31)
          • implanted Z45.42
            ICD-10-CM Diagnosis Code Z45.42

            Encounter for adjustment and management of neuropacemaker (brain) (peripheral nerve) (spinal cord)

              2016 2017 2018 2019 Billable/Specific Code POA Exempt
      • portacath Z45.2
        (port-a-cath)
        ICD-10-CM Diagnosis Code Z45.2

        Encounter for adjustment and management of vascular access device

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Encounter for adjustment and management of vascular catheters
        Type 1 Excludes
        • encounter for adjustment and management of renal dialysis catheter (Z49.01)
      • prosthesis Z44.9
        ICD-10-CM Diagnosis Code Z44.9

        Encounter for fitting and adjustment of unspecified external prosthetic device

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        • arm - see Admission, adjustment, artificial, arm
        • breast Z44.3
          ICD-10-CM Diagnosis Code Z44.3

          Encounter for fitting and adjustment of external breast prosthesis

            2016 2017 2018 2019 Non-Billable/Non-Specific Code
          Type 1 Excludes
          • complications of breast implant (T85.4-)
          • encounter for adjustment or removal of breast implant (Z45.81-)
          • encounter for initial breast implant insertion for cosmetic breast augmentation (Z41.1)
          • encounter for breast reconstruction following mastectomy (Z42.1)
        • dental Z46.3
          ICD-10-CM Diagnosis Code Z46.3

          Encounter for fitting and adjustment of dental prosthetic device

            2016 2017 2018 2019 Billable/Specific Code POA Exempt
          Applicable To
          • Encounter for fitting and adjustment of dentures
        • eye Z44.2
          ICD-10-CM Diagnosis Code Z44.2

          Encounter for fitting and adjustment of artificial eye

            2016 2017 2018 2019 Non-Billable/Non-Specific Code
          Type 1 Excludes
          • mechanical complication of ocular prosthesis (T85.3)
        • leg - see Admission, adjustment, artificial, leg
        • specified NEC Z44.8
          ICD-10-CM Diagnosis Code Z44.8

          Encounter for fitting and adjustment of other external prosthetic devices

            2016 2017 2018 2019 Billable/Specific Code POA Exempt
      • spectacles Z46.0
        ICD-10-CM Diagnosis Code Z46.0

        Encounter for fitting and adjustment of spectacles and contact lenses

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
    • aftercare Z51.89
      - see also Aftercare
      ICD-10-CM Diagnosis Code Z51.89

      Encounter for other specified aftercare

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
      • postpartum
        • immediately after delivery Z39.0
          ICD-10-CM Diagnosis Code Z39.0

          Encounter for care and examination of mother immediately after delivery

            2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx POA Exempt
          Applicable To
          • Care and observation in uncomplicated cases when the delivery occurs outside a healthcare facility
          Type 1 Excludes
          • care for postpartum complication- see Alphabetic index
        • routine follow-up Z39.2
          ICD-10-CM Diagnosis Code Z39.2

          Encounter for routine postpartum follow-up

            2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx POA Exempt
      • radiation therapy Z51.0
        (antineoplastic)
        ICD-10-CM Diagnosis Code Z51.0

        Encounter for antineoplastic radiation therapy

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
    • attention to artificial opening (of) Z43.9
      ICD-10-CM Diagnosis Code Z43.9

      Encounter for attention to unspecified artificial opening

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
      • artificial vagina Z43.7
        ICD-10-CM Diagnosis Code Z43.7

        Encounter for attention to artificial vagina

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
      • colostomy Z43.3
        ICD-10-CM Diagnosis Code Z43.3

        Encounter for attention to colostomy

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
      • cystostomy Z43.5
        ICD-10-CM Diagnosis Code Z43.5

        Encounter for attention to cystostomy

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
      • enterostomy Z43.4
        ICD-10-CM Diagnosis Code Z43.4

        Encounter for attention to other artificial openings of digestive tract

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
      • gastrostomy Z43.1
        ICD-10-CM Diagnosis Code Z43.1

        Encounter for attention to gastrostomy

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Type 2 Excludes
        • artificial opening status only, without need for care (Z93.-)
      • ileostomy Z43.2
        ICD-10-CM Diagnosis Code Z43.2

        Encounter for attention to ileostomy

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
      • jejunostomy Z43.4
        ICD-10-CM Diagnosis Code Z43.4

        Encounter for attention to other artificial openings of digestive tract

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
      • nephrostomy Z43.6
        ICD-10-CM Diagnosis Code Z43.6

        Encounter for attention to other artificial openings of urinary tract

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Encounter for attention to nephrostomy
        • Encounter for attention to ureterostomy
        • Encounter for attention to urethrostomy
      • specified site NEC Z43.8
        ICD-10-CM Diagnosis Code Z43.8

        Encounter for attention to other artificial openings

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        • intestinal tract Z43.4
          ICD-10-CM Diagnosis Code Z43.4

          Encounter for attention to other artificial openings of digestive tract

            2016 2017 2018 2019 Billable/Specific Code POA Exempt
        • urinary tract Z43.6
          ICD-10-CM Diagnosis Code Z43.6

          Encounter for attention to other artificial openings of urinary tract

            2016 2017 2018 2019 Billable/Specific Code POA Exempt
          Applicable To
          • Encounter for attention to nephrostomy
          • Encounter for attention to ureterostomy
          • Encounter for attention to urethrostomy
      • tracheostomy Z43.0
        ICD-10-CM Diagnosis Code Z43.0

        Encounter for attention to tracheostomy

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
      • ureterostomy Z43.6
        ICD-10-CM Diagnosis Code Z43.6

        Encounter for attention to other artificial openings of urinary tract

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Encounter for attention to nephrostomy
        • Encounter for attention to ureterostomy
        • Encounter for attention to urethrostomy
      • urethrostomy Z43.6
        ICD-10-CM Diagnosis Code Z43.6

        Encounter for attention to other artificial openings of urinary tract

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Encounter for attention to nephrostomy
        • Encounter for attention to ureterostomy
        • Encounter for attention to urethrostomy
    • breast augmentation or reduction Z41.1
      ICD-10-CM Diagnosis Code Z41.1

      Encounter for cosmetic surgery

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
      Applicable To
      • Encounter for cosmetic breast implant
      • Encounter for cosmetic procedure
      Type 1 Excludes
      • encounter for plastic and reconstructive surgery following medical procedure or healed injury (Z42.-)
      • encounter for post-mastectomy breast implantation (Z42.1)
    • breast reconstruction following mastectomy Z42.1
      ICD-10-CM Diagnosis Code Z42.1

      Encounter for breast reconstruction following mastectomy

        2016 2017 2018 2019 Billable/Specific Code Adult Dx (15-124 years) POA Exempt
      Type 1 Excludes
      • deformity and disproportion of reconstructed breast (N65.1-)
    • change of
      • dressing Z48.00
        (nonsurgical)
        ICD-10-CM Diagnosis Code Z48.00

        Encounter for change or removal of nonsurgical wound dressing

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Encounter for change or removal of wound dressing NOS
      • neuropacemaker device (brain) (peripheral nerve) (spinal cord) Z46.2
        ICD-10-CM Diagnosis Code Z46.2

        Encounter for fitting and adjustment of other devices related to nervous system and special senses

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Type 2 Excludes
        • encounter for adjustment and management of implanted nervous system device (Z45.4-)
        • encounter for adjustment and management of implanted visual substitution device (Z45.31)
        • implanted Z45.42
          ICD-10-CM Diagnosis Code Z45.42

          Encounter for adjustment and management of neuropacemaker (brain) (peripheral nerve) (spinal cord)

            2016 2017 2018 2019 Billable/Specific Code POA Exempt
      • surgical dressing Z48.01
        ICD-10-CM Diagnosis Code Z48.01

        Encounter for change or removal of surgical wound dressing

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
    • circumcision, ritual or routine Z41.2
      (in absence of diagnosis)
      ICD-10-CM Diagnosis Code Z41.2

      Encounter for routine and ritual male circumcision

        2016 2017 2018 2019 Billable/Specific Code Male Dx POA Exempt
    • clinical research investigation Z00.6
      (control) (normal comparison) (participant)
      ICD-10-CM Diagnosis Code Z00.6

      Encounter for examination for normal comparison and control in clinical research program

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
      Applicable To
      • Examination of participant or control in clinical research program
    • contraceptive management Z30.9
      ICD-10-CM Diagnosis Code Z30.9

      Encounter for contraceptive management, unspecified

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
    • cosmetic surgery NEC Z41.1
      ICD-10-CM Diagnosis Code Z41.1

      Encounter for cosmetic surgery

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
      Applicable To
      • Encounter for cosmetic breast implant
      • Encounter for cosmetic procedure
      Type 1 Excludes
      • encounter for plastic and reconstructive surgery following medical procedure or healed injury (Z42.-)
      • encounter for post-mastectomy breast implantation (Z42.1)
    • counseling - see also Counseling
      • dietary Z71.3
        ICD-10-CM Diagnosis Code Z71.3

        Dietary counseling and surveillance

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Use Additional
        • code for any associated underlying medical condition
      • gestational carrier Z31.7
        ICD-10-CM Diagnosis Code Z31.7

        Encounter for procreative management and counseling for gestational carrier

          2017 - New Code 2018 2019 Billable/Specific Code Female Dx POA Exempt
        Type 1 Excludes
        • pregnant state, gestational carrier (Z33.3)
      • HIV Z71.7
        ICD-10-CM Diagnosis Code Z71.7

        Human immunodeficiency virus [HIV] counseling

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
      • human immunodeficiency virus Z71.7
        ICD-10-CM Diagnosis Code Z71.7

        Human immunodeficiency virus [HIV] counseling

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
      • nonattending third party Z71.0
        ICD-10-CM Diagnosis Code Z71.0

        Person encountering health services to consult on behalf of another person

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Person encountering health services to seek advice or treatment for non-attending third party
        Type 2 Excludes
        • anxiety (normal) about sick person in family (Z63.7)
        • expectant (adoptive) parent(s) pre-birth pediatrician visit (Z76.81)
      • procreative management NEC Z31.69
        ICD-10-CM Diagnosis Code Z31.69

        Encounter for other general counseling and advice on procreation

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
    • delivery, full-term, uncomplicated O80
      ICD-10-CM Diagnosis Code O80

      Encounter for full-term uncomplicated delivery

        2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx POA Exempt
      Applicable To
      • Delivery requiring minimal or no assistance, with or without episiotomy, without fetal manipulation [e.g., rotation version] or instrumentation [forceps] of a spontaneous, cephalic, vaginal, full-term, single, live-born infant. This code is for use as a single diagnosis code and is not to be used with any other code from chapter 15.
      Use Additional
      • code to indicate outcome of delivery (Z37.0)
      • cesarean, without indication O82
        ICD-10-CM Diagnosis Code O82

        Encounter for cesarean delivery without indication

          2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
        Use Additional
        • code to indicate outcome of delivery (Z37.0)
    • desensitization to allergens Z51.6
      ICD-10-CM Diagnosis Code Z51.6

      Encounter for desensitization to allergens

        2017 - New Code 2018 2019 Billable/Specific Code POA Exempt
    • dietary surveillance and counseling Z71.3
      ICD-10-CM Diagnosis Code Z71.3

      Dietary counseling and surveillance

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
      Use Additional
      • code for any associated underlying medical condition
    • ear piercing Z41.3
      ICD-10-CM Diagnosis Code Z41.3

      Encounter for ear piercing

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
    • examination at health care facility (adult) Z00.00
      - see also Examination
      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
      • clinical research investigation Z00.6
        (control) (normal comparison) (participant)
        ICD-10-CM Diagnosis Code Z00.6

        Encounter for examination for normal comparison and control in clinical research program

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Examination of participant or control in clinical research program
      • dental Z01.20
        ICD-10-CM Diagnosis Code Z01.20

        Encounter for dental examination and cleaning without abnormal findings

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Encounter for dental examination and cleaning NOS
        • with abnormal findings Z01.21
          ICD-10-CM Diagnosis Code Z01.21

          Encounter for dental examination and cleaning with abnormal findings

            2016 2017 2018 2019 Billable/Specific Code POA Exempt
          Use Additional
          • code to identify abnormal findings
      • donor Z00.5
        (potential)
        ICD-10-CM Diagnosis Code Z00.5

        Encounter for examination of potential donor of organ and tissue

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
      • ear Z01.10
        ICD-10-CM Diagnosis Code Z01.10

        Encounter for examination of ears and hearing without abnormal findings

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Encounter for examination of ears and hearing NOS
        • with abnormal findings NEC Z01.118
          ICD-10-CM Diagnosis Code Z01.118

          Encounter for examination of ears and hearing with other abnormal findings

            2016 2017 2018 2019 Billable/Specific Code POA Exempt
          Use Additional
          • code to identify abnormal findings
      • eye Z01.00
        ICD-10-CM Diagnosis Code Z01.00

        Encounter for examination of eyes and vision without abnormal findings

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Encounter for examination of eyes and vision NOS
        • with abnormal findings Z01.01
          ICD-10-CM Diagnosis Code Z01.01

          Encounter for examination of eyes and vision with abnormal findings

            2016 2017 2018 2019 Billable/Specific Code POA Exempt
          Use Additional
          • code to identify abnormal findings
      • general, specified reason NEC Z00.8
        ICD-10-CM Diagnosis Code Z00.8

        Encounter for other general examination

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Encounter for health examination in population surveys
      • hearing Z01.10
        ICD-10-CM Diagnosis Code Z01.10

        Encounter for examination of ears and hearing without abnormal findings

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Encounter for examination of ears and hearing NOS
        • infant or child (over 28 days old) Z00.129
          ICD-10-CM Diagnosis Code Z00.129

          Encounter for routine child health examination without abnormal findings

            2016 2017 2018 2019 Billable/Specific Code Pediatric Dx (0-17 years) POA Exempt
          Applicable To
          • Encounter for routine child health examination NOS
          • with abnormal findings Z00.121
            ICD-10-CM Diagnosis Code Z00.121

            Encounter for routine child health examination with abnormal findings

              2016 2017 2018 2019 Billable/Specific Code Pediatric Dx (0-17 years) POA Exempt
            Use Additional
            • code to identify abnormal findings
        • with abnormal findings NEC Z01.118
          ICD-10-CM Diagnosis Code Z01.118

          Encounter for examination of ears and hearing with other abnormal findings

            2016 2017 2018 2019 Billable/Specific Code POA Exempt
          Use Additional
          • code to identify abnormal findings
      • postpartum checkup Z39.2
        ICD-10-CM Diagnosis Code Z39.2

        Encounter for routine postpartum follow-up

          2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx POA Exempt
      • psychiatric (general) Z00.8
        ICD-10-CM Diagnosis Code Z00.8

        Encounter for other general examination

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Encounter for health examination in population surveys
        • requested by authority Z04.6
          ICD-10-CM Diagnosis Code Z04.6

          Encounter for general psychiatric examination, requested by authority

            2016 2017 2018 2019 Billable/Specific Code
      • vision Z01.00
        ICD-10-CM Diagnosis Code Z01.00

        Encounter for examination of eyes and vision without abnormal findings

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Encounter for examination of eyes and vision NOS
        • infant or child (over 28 days old) Z00.129
          ICD-10-CM Diagnosis Code Z00.129

          Encounter for routine child health examination without abnormal findings

            2016 2017 2018 2019 Billable/Specific Code Pediatric Dx (0-17 years) POA Exempt
          Applicable To
          • Encounter for routine child health examination NOS
          • with abnormal findings Z00.121
            ICD-10-CM Diagnosis Code Z00.121

            Encounter for routine child health examination with abnormal findings

              2016 2017 2018 2019 Billable/Specific Code Pediatric Dx (0-17 years) POA Exempt
            Use Additional
            • code to identify abnormal findings
        • with abnormal findings Z01.01
          ICD-10-CM Diagnosis Code Z01.01

          Encounter for examination of eyes and vision with abnormal findings

            2016 2017 2018 2019 Billable/Specific Code POA Exempt
          Use Additional
          • code to identify abnormal findings
      • with abnormal findings Z00.01
        ICD-10-CM Diagnosis Code Z00.01

        Encounter for general adult medical examination with abnormal findings

          2016 2017 2018 2019 Billable/Specific Code Adult Dx (15-124 years) POA Exempt
        Use Additional
        • code to identify abnormal findings
    • fitting (of)
      • artificial
      • brain neuropacemaker Z46.2
        ICD-10-CM Diagnosis Code Z46.2

        Encounter for fitting and adjustment of other devices related to nervous system and special senses

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Type 2 Excludes
        • encounter for adjustment and management of implanted nervous system device (Z45.4-)
        • encounter for adjustment and management of implanted visual substitution device (Z45.31)
        • implanted Z45.42
          ICD-10-CM Diagnosis Code Z45.42

          Encounter for adjustment and management of neuropacemaker (brain) (peripheral nerve) (spinal cord)

            2016 2017 2018 2019 Billable/Specific Code POA Exempt
      • breast prosthesis Z44.3
        (external)
        ICD-10-CM Diagnosis Code Z44.3

        Encounter for fitting and adjustment of external breast prosthesis

          2016 2017 2018 2019 Non-Billable/Non-Specific Code
        Type 1 Excludes
        • complications of breast implant (T85.4-)
        • encounter for adjustment or removal of breast implant (Z45.81-)
        • encounter for initial breast implant insertion for cosmetic breast augmentation (Z41.1)
        • encounter for breast reconstruction following mastectomy (Z42.1)
      • colostomy belt Z46.89
        ICD-10-CM Diagnosis Code Z46.89

        Encounter for fitting and adjustment of other specified devices

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Encounter for fitting and adjustment of wheelchair
      • contact lenses Z46.0
        ICD-10-CM Diagnosis Code Z46.0

        Encounter for fitting and adjustment of spectacles and contact lenses

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
      • cystostomy device Z46.6
        ICD-10-CM Diagnosis Code Z46.6

        Encounter for fitting and adjustment of urinary device

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Type 2 Excludes
        • attention to artificial openings of urinary tract (Z43.5, Z43.6)
      • dental prosthesis Z46.3
        ICD-10-CM Diagnosis Code Z46.3

        Encounter for fitting and adjustment of dental prosthetic device

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Encounter for fitting and adjustment of dentures
      • dentures Z46.3
        ICD-10-CM Diagnosis Code Z46.3

        Encounter for fitting and adjustment of dental prosthetic device

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Encounter for fitting and adjustment of dentures
      • device NEC
        • abdominal Z46.89
          ICD-10-CM Diagnosis Code Z46.89

          Encounter for fitting and adjustment of other specified devices

            2016 2017 2018 2019 Billable/Specific Code POA Exempt
          Applicable To
          • Encounter for fitting and adjustment of wheelchair
        • nervous system Z46.2
          ICD-10-CM Diagnosis Code Z46.2

          Encounter for fitting and adjustment of other devices related to nervous system and special senses

            2016 2017 2018 2019 Billable/Specific Code POA Exempt
          Type 2 Excludes
          • encounter for adjustment and management of implanted nervous system device (Z45.4-)
          • encounter for adjustment and management of implanted visual substitution device (Z45.31)
        • orthodontic Z46.4
          ICD-10-CM Diagnosis Code Z46.4

          Encounter for fitting and adjustment of orthodontic device

            2016 2017 2018 2019 Billable/Specific Code POA Exempt
        • prosthetic Z44.9
          ICD-10-CM Diagnosis Code Z44.9

          Encounter for fitting and adjustment of unspecified external prosthetic device

            2016 2017 2018 2019 Billable/Specific Code POA Exempt
          • breast Z44.3
            ICD-10-CM Diagnosis Code Z44.3

            Encounter for fitting and adjustment of external breast prosthesis

              2016 2017 2018 2019 Non-Billable/Non-Specific Code
            Type 1 Excludes
            • complications of breast implant (T85.4-)
            • encounter for adjustment or removal of breast implant (Z45.81-)
            • encounter for initial breast implant insertion for cosmetic breast augmentation (Z41.1)
            • encounter for breast reconstruction following mastectomy (Z42.1)
          • dental Z46.3
            ICD-10-CM Diagnosis Code Z46.3

            Encounter for fitting and adjustment of dental prosthetic device

              2016 2017 2018 2019 Billable/Specific Code POA Exempt
            Applicable To
            • Encounter for fitting and adjustment of dentures
          • eye Z44.2
            ICD-10-CM Diagnosis Code Z44.2

            Encounter for fitting and adjustment of artificial eye

              2016 2017 2018 2019 Non-Billable/Non-Specific Code
            Type 1 Excludes
            • mechanical complication of ocular prosthesis (T85.3)
        • substitution
          • auditory Z46.2
            ICD-10-CM Diagnosis Code Z46.2

            Encounter for fitting and adjustment of other devices related to nervous system and special senses

              2016 2017 2018 2019 Billable/Specific Code POA Exempt
            Type 2 Excludes
            • encounter for adjustment and management of implanted nervous system device (Z45.4-)
            • encounter for adjustment and management of implanted visual substitution device (Z45.31)
          • nervous system Z46.2
            ICD-10-CM Diagnosis Code Z46.2

            Encounter for fitting and adjustment of other devices related to nervous system and special senses

              2016 2017 2018 2019 Billable/Specific Code POA Exempt
            Type 2 Excludes
            • encounter for adjustment and management of implanted nervous system device (Z45.4-)
            • encounter for adjustment and management of implanted visual substitution device (Z45.31)
          • visual Z46.2
            ICD-10-CM Diagnosis Code Z46.2

            Encounter for fitting and adjustment of other devices related to nervous system and special senses

              2016 2017 2018 2019 Billable/Specific Code POA Exempt
            Type 2 Excludes
            • encounter for adjustment and management of implanted nervous system device (Z45.4-)
            • encounter for adjustment and management of implanted visual substitution device (Z45.31)
            • implanted Z45.31
              ICD-10-CM Diagnosis Code Z45.31

              Encounter for adjustment and management of implanted visual substitution device

                2016 2017 2018 2019 Billable/Specific Code POA Exempt
      • hearing aid Z46.1
        ICD-10-CM Diagnosis Code Z46.1

        Encounter for fitting and adjustment of hearing aid

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Type 1 Excludes
        • encounter for adjustment and management of implanted hearing device (Z45.32-)
      • ileostomy device Z46.89
        ICD-10-CM Diagnosis Code Z46.89

        Encounter for fitting and adjustment of other specified devices

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Encounter for fitting and adjustment of wheelchair
      • intestinal appliance or device NEC Z46.89
        ICD-10-CM Diagnosis Code Z46.89

        Encounter for fitting and adjustment of other specified devices

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Encounter for fitting and adjustment of wheelchair
      • neuropacemaker (brain) (peripheral nerve) (spinal cord) Z46.2
        ICD-10-CM Diagnosis Code Z46.2

        Encounter for fitting and adjustment of other devices related to nervous system and special senses

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Type 2 Excludes
        • encounter for adjustment and management of implanted nervous system device (Z45.4-)
        • encounter for adjustment and management of implanted visual substitution device (Z45.31)
        • implanted Z45.42
          ICD-10-CM Diagnosis Code Z45.42

          Encounter for adjustment and management of neuropacemaker (brain) (peripheral nerve) (spinal cord)

            2016 2017 2018 2019 Billable/Specific Code POA Exempt
      • orthodontic device Z46.4
        ICD-10-CM Diagnosis Code Z46.4

        Encounter for fitting and adjustment of orthodontic device

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
      • orthopedic device Z46.89
        (brace) (cast) (shoes)
        ICD-10-CM Diagnosis Code Z46.89

        Encounter for fitting and adjustment of other specified devices

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Encounter for fitting and adjustment of wheelchair
      • prosthesis Z44.9
        ICD-10-CM Diagnosis Code Z44.9

        Encounter for fitting and adjustment of unspecified external prosthetic device

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        • arm - see Admission, adjustment, artificial, arm
        • breast Z44.3
          ICD-10-CM Diagnosis Code Z44.3

          Encounter for fitting and adjustment of external breast prosthesis

            2016 2017 2018 2019 Non-Billable/Non-Specific Code
          Type 1 Excludes
          • complications of breast implant (T85.4-)
          • encounter for adjustment or removal of breast implant (Z45.81-)
          • encounter for initial breast implant insertion for cosmetic breast augmentation (Z41.1)
          • encounter for breast reconstruction following mastectomy (Z42.1)
        • dental Z46.3
          ICD-10-CM Diagnosis Code Z46.3

          Encounter for fitting and adjustment of dental prosthetic device

            2016 2017 2018 2019 Billable/Specific Code POA Exempt
          Applicable To
          • Encounter for fitting and adjustment of dentures
        • eye Z44.2
          ICD-10-CM Diagnosis Code Z44.2

          Encounter for fitting and adjustment of artificial eye

            2016 2017 2018 2019 Non-Billable/Non-Specific Code
          Type 1 Excludes
          • mechanical complication of ocular prosthesis (T85.3)
        • leg - see Admission, adjustment, artificial, leg
        • specified type NEC Z44.8
          ICD-10-CM Diagnosis Code Z44.8

          Encounter for fitting and adjustment of other external prosthetic devices

            2016 2017 2018 2019 Billable/Specific Code POA Exempt
      • spectacles Z46.0
        ICD-10-CM Diagnosis Code Z46.0

        Encounter for fitting and adjustment of spectacles and contact lenses

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
    • follow-up examination 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.-)
    • intrauterine device management Z30.431
      ICD-10-CM Diagnosis Code Z30.431

      Encounter for routine checking of intrauterine contraceptive device

        2016 2017 2018 2019 Billable/Specific Code Female Dx POA Exempt
      • initial prescription Z30.014
        ICD-10-CM Diagnosis Code Z30.014

        Encounter for initial prescription of intrauterine contraceptive device

          2016 2017 2018 2019 Billable/Specific Code Female Dx POA Exempt
        Type 1 Excludes
        • encounter for insertion of intrauterine contraceptive device (Z30.430, Z30.432)
    • mental health evaluation Z00.8
      ICD-10-CM Diagnosis Code Z00.8

      Encounter for other general examination

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
      Applicable To
      • Encounter for health examination in population surveys
      • requested by authority Z04.6
        ICD-10-CM Diagnosis Code Z04.6

        Encounter for general psychiatric examination, requested by authority

          2016 2017 2018 2019 Billable/Specific Code
    • observation - see Observation
    • Papanicolaou smear, cervix Z12.4
      ICD-10-CM Diagnosis Code Z12.4

      Encounter for screening for malignant neoplasm of cervix

        2016 2017 2018 2019 Billable/Specific Code Female Dx POA Exempt
      Applicable To
      • Encounter for screening pap smear for malignant neoplasm of cervix
      Type 1 Excludes
      • when screening is part of general gynecological examination (Z01.4-)
      Type 2 Excludes
      • encounter for screening for human papillomavirus (Z11.51)
      • for suspected malignant neoplasm Z12.4
        ICD-10-CM Diagnosis Code Z12.4

        Encounter for screening for malignant neoplasm of cervix

          2016 2017 2018 2019 Billable/Specific Code Female Dx POA Exempt
        Applicable To
        • Encounter for screening pap smear for malignant neoplasm of cervix
        Type 1 Excludes
        • when screening is part of general gynecological examination (Z01.4-)
        Type 2 Excludes
        • encounter for screening for human papillomavirus (Z11.51)
    • plastic and reconstructive surgery following medical procedure or healed injury NEC Z42.8
      ICD-10-CM Diagnosis Code Z42.8

      Encounter for other plastic and reconstructive surgery following medical procedure or healed injury

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
    • plastic surgery, cosmetic NEC Z41.1
      ICD-10-CM Diagnosis Code Z41.1

      Encounter for cosmetic surgery

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
      Applicable To
      • Encounter for cosmetic breast implant
      • Encounter for cosmetic procedure
      Type 1 Excludes
      • encounter for plastic and reconstructive surgery following medical procedure or healed injury (Z42.-)
      • encounter for post-mastectomy breast implantation (Z42.1)
    • postpartum observation
      • immediately after delivery Z39.0
        ICD-10-CM Diagnosis Code Z39.0

        Encounter for care and examination of mother immediately after delivery

          2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx POA Exempt
        Applicable To
        • Care and observation in uncomplicated cases when the delivery occurs outside a healthcare facility
        Type 1 Excludes
        • care for postpartum complication- see Alphabetic index
      • routine follow-up Z39.2
        ICD-10-CM Diagnosis Code Z39.2

        Encounter for routine postpartum follow-up

          2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx POA Exempt
    • poststerilization (for restoration) Z31.0
      ICD-10-CM Diagnosis Code Z31.0

      Encounter for reversal of previous sterilization

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
      • aftercare Z31.42
        ICD-10-CM Diagnosis Code Z31.42

        Aftercare following sterilization reversal

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Sperm count following sterilization reversal
    • procreative management Z31.9
      ICD-10-CM Diagnosis Code Z31.9

      Encounter for procreative management, unspecified

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
    • prophylactic (measure) - see also Encounter, prophylactic measures
      • organ removal Z40.00
        ICD-10-CM Diagnosis Code Z40.00

        Encounter for prophylactic removal of unspecified organ

          2016 2017 2018 2019 Billable/Specific Code
        • breast Z40.01
          ICD-10-CM Diagnosis Code Z40.01

          Encounter for prophylactic removal of breast

            2016 2017 2018 2019 Billable/Specific Code
        • fallopian tube(s) Z40.03
          ICD-10-CM Diagnosis Code Z40.03

          Encounter for prophylactic removal of fallopian tube(s)

            2018 - New Code 2019 - Revised Code Billable/Specific Code Female Dx POA Exempt
          • with ovary Z40.02
            (s)
            ICD-10-CM Diagnosis Code Z40.02

            Encounter for prophylactic removal of ovary(s)

              2016 2017 2018 - Revised Code 2019 Billable/Specific Code Female Dx
            Applicable To
            • Encounter for prophylactic removal of ovary(s) and fallopian tube(s)
        • ovary Z40.02
          (s)
          ICD-10-CM Diagnosis Code Z40.02

          Encounter for prophylactic removal of ovary(s)

            2016 2017 2018 - Revised Code 2019 Billable/Specific Code Female Dx
          Applicable To
          • Encounter for prophylactic removal of ovary(s) and fallopian tube(s)
        • specified organ NEC Z40.09
          ICD-10-CM Diagnosis Code Z40.09

          Encounter for prophylactic removal of other organ

            2016 2017 2018 2019 Billable/Specific Code
        • testes Z40.09
          ICD-10-CM Diagnosis Code Z40.09

          Encounter for prophylactic removal of other organ

            2016 2017 2018 2019 Billable/Specific Code
      • vaccination Z23
        ICD-10-CM Diagnosis Code Z23

        Encounter for immunization

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Code First
        • any routine childhood examination
        Note
        • procedure codes are required to identify the types of immunizations given
    • psychiatric examination (general) Z00.8
      ICD-10-CM Diagnosis Code Z00.8

      Encounter for other general examination

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
      Applicable To
      • Encounter for health examination in population surveys
      • requested by authority Z04.6
        ICD-10-CM Diagnosis Code Z04.6

        Encounter for general psychiatric examination, requested by authority

          2016 2017 2018 2019 Billable/Specific Code
    • radiation therapy Z51.0
      (antineoplastic)
      ICD-10-CM Diagnosis Code Z51.0

      Encounter for antineoplastic radiation therapy

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
    • reconstructive surgery following medical procedure or healed injury NEC Z42.8
      ICD-10-CM Diagnosis Code Z42.8

      Encounter for other plastic and reconstructive surgery following medical procedure or healed injury

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
    • removal of
      • cystostomy catheter Z43.5
        ICD-10-CM Diagnosis Code Z43.5

        Encounter for attention to cystostomy

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
      • drains Z48.03
        ICD-10-CM Diagnosis Code Z48.03

        Encounter for change or removal of drains

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
      • dressing Z48.00
        (nonsurgical)
        ICD-10-CM Diagnosis Code Z48.00

        Encounter for change or removal of nonsurgical wound dressing

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Encounter for change or removal of wound dressing NOS
      • implantable subdermal contraceptive Z30.46
        ICD-10-CM Diagnosis Code Z30.46

        Encounter for surveillance of implantable subdermal contraceptive

          2017 - New Code 2018 2019 Billable/Specific Code Female Dx POA Exempt
        Applicable To
        • Encounter for checking, reinsertion or removal of implantable subdermal contraceptive
      • intrauterine contraceptive device Z30.432
        ICD-10-CM Diagnosis Code Z30.432

        Encounter for removal of intrauterine contraceptive device

          2016 2017 2018 2019 Billable/Specific Code Female Dx POA Exempt
      • neuropacemaker (brain) (peripheral nerve) (spinal cord) Z46.2
        ICD-10-CM Diagnosis Code Z46.2

        Encounter for fitting and adjustment of other devices related to nervous system and special senses

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Type 2 Excludes
        • encounter for adjustment and management of implanted nervous system device (Z45.4-)
        • encounter for adjustment and management of implanted visual substitution device (Z45.31)
        • implanted Z45.42
          ICD-10-CM Diagnosis Code Z45.42

          Encounter for adjustment and management of neuropacemaker (brain) (peripheral nerve) (spinal cord)

            2016 2017 2018 2019 Billable/Specific Code POA Exempt
      • staples Z48.02
        ICD-10-CM Diagnosis Code Z48.02

        Encounter for removal of sutures

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Encounter for removal of staples
      • surgical dressing Z48.01
        ICD-10-CM Diagnosis Code Z48.01

        Encounter for change or removal of surgical wound dressing

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
      • sutures Z48.02
        ICD-10-CM Diagnosis Code Z48.02

        Encounter for removal of sutures

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Encounter for removal of staples
      • ureteral stent Z46.6
        ICD-10-CM Diagnosis Code Z46.6

        Encounter for fitting and adjustment of urinary device

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Type 2 Excludes
        • attention to artificial openings of urinary tract (Z43.5, Z43.6)
    • respirator [ventilator] use during power failure Z99.12
      ICD-10-CM Diagnosis Code Z99.12

      Encounter for respirator [ventilator] dependence during power failure

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
      Type 1 Excludes
      • mechanical complication of respirator [ventilator] (J95.850)
    • restoration of organ continuity (poststerilization) Z31.0
      ICD-10-CM Diagnosis Code Z31.0

      Encounter for reversal of previous sterilization

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
      • aftercare Z31.42
        ICD-10-CM Diagnosis Code Z31.42

        Aftercare following sterilization reversal

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Sperm count following sterilization reversal
    • sensitivity test - see also Test, skin
      • allergy NEC Z01.82
        ICD-10-CM Diagnosis Code Z01.82

        Encounter for allergy testing

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Type 1 Excludes
        • encounter for antibody response examination (Z01.84)
      • Mantoux Z11.1
        ICD-10-CM Diagnosis Code Z11.1

        Encounter for screening for respiratory tuberculosis

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
    • tuboplasty following previous sterilization Z31.0
      ICD-10-CM Diagnosis Code Z31.0

      Encounter for reversal of previous sterilization

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
      • aftercare Z31.42
        ICD-10-CM Diagnosis Code Z31.42

        Aftercare following sterilization reversal

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Sperm count following sterilization reversal
    • vasoplasty following previous sterilization Z31.0
      ICD-10-CM Diagnosis Code Z31.0

      Encounter for reversal of previous sterilization

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
      • aftercare Z31.42
        ICD-10-CM Diagnosis Code Z31.42

        Aftercare following sterilization reversal

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Sperm count following sterilization reversal
    • vision examination Z01.00
      ICD-10-CM Diagnosis Code Z01.00

      Encounter for examination of eyes and vision without abnormal findings

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
      Applicable To
      • Encounter for examination of eyes and vision NOS
      • infant or child (over 28 days old) Z00.129
        ICD-10-CM Diagnosis Code Z00.129

        Encounter for routine child health examination without abnormal findings

          2016 2017 2018 2019 Billable/Specific Code Pediatric Dx (0-17 years) POA Exempt
        Applicable To
        • Encounter for routine child health examination NOS
        • with abnormal findings Z00.121
          ICD-10-CM Diagnosis Code Z00.121

          Encounter for routine child health examination with abnormal findings

            2016 2017 2018 2019 Billable/Specific Code Pediatric Dx (0-17 years) POA Exempt
          Use Additional
          • code to identify abnormal findings
      • with abnormal findings Z01.01
        ICD-10-CM Diagnosis Code Z01.01

        Encounter for examination of eyes and vision with abnormal findings

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Use Additional
        • code to identify abnormal findings
    • waiting period for admission to other facility Z75.1
      ICD-10-CM Diagnosis Code Z75.1

      Person awaiting admission to adequate facility elsewhere

        2016 2017 2018 2019 Billable/Specific Code POA Exempt