ICD-10-CM chapter 21
Factors influencing health status and contact with health services (Z00-Z99)
Blocks in this chapter
- Z00-Z13 Persons encountering health services for examinations
- Z00 Encounter for general examination without complaint, suspected or reported diagnosisHeader
- Z01 Encounter for other special examination without complaint, suspected or reported diagnosisHeader
- Z02 Encounter for administrative examinationHeader
- Z03 Encounter for medical observation for suspected diseases and conditions ruled outHeader
- Z04 Encounter for examination and observation for other reasonsHeader
- Z05 Encounter for observation and evaluation of newborn for suspected diseases and conditions ruled outHeader
- Z08 Encounter for follow-up examination after completed treatment for malignant neoplasmBillable
- Z09 Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasmBillable
- Z11 Encounter for screening for infectious and parasitic diseasesHeader
- Z12 Encounter for screening for malignant neoplasmsHeader
- Z13 Encounter for screening for other diseases and disordersHeader
- Z14-Z15 Genetic carrier and genetic susceptibility to disease
- Z16 Resistance to antimicrobial drugs (Z16)
- Z17 Estrogen, and other hormones and factors receptor status (Z17)
- Z18 Retained foreign body fragments (Z18)
- Z19 Hormone sensitivity malignancy status (Z19)
- Z20-Z29 Persons with potential health hazards related to communicable diseases
- Z20 Contact with and (suspected) exposure to communicable diseasesHeader
- Z21 Asymptomatic human immunodeficiency virus [HIV] infection statusBillable
- Z22 Carrier of infectious diseaseHeader
- Z23 Encounter for immunizationBillable
- Z28 Immunization not carried out and underimmunization statusHeader
- Z29 Encounter for other prophylactic measuresHeader
- Z30-Z39 Persons encountering health services in circumstances related to reproduction
- Z30 Encounter for contraceptive managementHeader
- Z31 Encounter for procreative managementHeader
- Z32 Encounter for pregnancy test and childbirth and childcare instructionHeader
- Z33 Pregnant stateHeader
- Z34 Encounter for supervision of normal pregnancyHeader
- Z36 Encounter for antenatal screening of motherHeader
- Z3A Weeks of gestationHeader
- Z37 Outcome of deliveryHeader
- Z38 Liveborn infants according to place of birth and type of deliveryHeader
- Z39 Encounter for maternal postpartum care and examinationHeader
- Z40-Z53 Encounters for other specific health care
- Z40 Encounter for prophylactic surgeryHeader
- Z41 Encounter for procedures for purposes other than remedying health stateHeader
- Z42 Encounter for plastic and reconstructive surgery following medical procedure or healed injuryHeader
- Z43 Encounter for attention to artificial openingsHeader
- Z44 Encounter for fitting and adjustment of external prosthetic deviceHeader
- Z45 Encounter for adjustment and management of implanted deviceHeader
- Z46 Encounter for fitting and adjustment of other devicesHeader
- Z47 Orthopedic aftercareHeader
- Z48 Encounter for other postprocedural aftercareHeader
- Z49 Encounter for care involving renal dialysisHeader
- Z51 Encounter for other aftercare and medical careHeader
- Z52 Donors of organs and tissuesHeader
- Z53 Persons encountering health services for specific procedures and treatment, not carried outHeader
- Z55-Z65 Persons with potential health hazards related to socioeconomic and psychosocial circumstances
- Z55 Problems related to education and literacyHeader
- Z56 Problems related to employment and unemploymentHeader
- Z57 Occupational exposure to risk factorsHeader
- Z58 Problems related to physical environmentHeader
- Z59 Problems related to housing and economic circumstancesHeader
- Z60 Problems related to social environmentHeader
- Z62 Problems related to upbringingHeader
- Z63 Other problems related to primary support group, including family circumstancesHeader
- Z64 Problems related to certain psychosocial circumstancesHeader
- Z65 Problems related to other psychosocial circumstancesHeader
- Z66 Do not resuscitate status (Z66)
- Z66 Do not resuscitateBillable
- Z67 Blood type (Z67)
- Z67 Blood typeHeader
- Z68 Body mass index [BMI] (Z68)
- Z69-Z76 Persons encountering health services in other circumstances
- Z69 Encounter for mental health services for victim and perpetrator of abuseHeader
- Z70 Counseling related to sexual attitude, behavior and orientationHeader
- Z71 Persons encountering health services for other counseling and medical advice, not elsewhere classifiedHeader
- Z72 Problems related to lifestyleHeader
- Z73 Problems related to life management difficultyHeader
- Z74 Problems related to care provider dependencyHeader
- Z75 Problems related to medical facilities and other health careHeader
- Z76 Persons encountering health services in other circumstancesHeader
- Z77-Z99 Persons with potential health hazards related to family and personal history and certain conditions influencing health status
- Z77 Other contact with and (suspected) exposures hazardous to healthHeader
- Z78 Other specified health statusHeader
- Z79 Long term (current) drug therapyHeader
- Z80 Family history of primary malignant neoplasmHeader
- Z81 Family history of mental and behavioral disordersHeader
- Z82 Family history of certain disabilities and chronic diseases (leading to disablement)Header
- Z83 Family history of other specific disordersHeader
- Z84 Family history of other conditionsHeader
- Z85 Personal history of malignant neoplasmHeader
- Z86 Personal history of certain other diseasesHeader
- Z87 Personal history of other diseases and conditionsHeader
- Z88 Allergy status to drugs, medicaments and biological substancesHeader
- Z89 Acquired absence of limbHeader
- Z90 Acquired absence of organs, not elsewhere classifiedHeader
- Z91 Personal risk factors, not elsewhere classifiedHeader
- Z92 Personal history of medical treatmentHeader
- Z93 Artificial opening statusHeader
- Z94 Transplanted organ and tissue statusHeader
- Z95 Presence of cardiac and vascular implants and graftsHeader
- Z96 Presence of other functional implantsHeader
- Z97 Presence of other devicesHeader
- Z98 Other postprocedural statesHeader
- Z99 Dependence on enabling machines and devices, not elsewhere classifiedHeader
Notes for the whole chapter
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.
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