If the patient is being seen to discuss the hardware removal of a previously well healed fracture without identifiable residual complications or problems, then the Z47.2 code would probably be appropriate, along with Z87.81, Personal History of Healed Traumatic Fracture.
Encounter for other orthopedic aftercare. Z47.89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2020 edition of ICD-10-CM Z47.89 became effective on October 1, 2019. This is the American ICD-10-CM version of Z47.89 - other international versions of ICD-10 Z47.89 may differ.
Aftercare following surgery for neoplasm 1 Z48.3 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 The 2021 edition of ICD-10-CM Z48.3 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of Z48.3 - other international versions of ICD-10 Z48.3 may differ. More ...
Aftercare following joint replacement surgery. 2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt. Z47.1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
2018/2019 ICD-10-CM Diagnosis Code Z47.2. Encounter for removal of internal fixation device. Z47.2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
ICD-10-PCS code 0SPF05Z for Removal of External Fixation Device from Right Ankle Joint, Open Approach is a medical classification as listed by CMS under Lower Joints range.
698A: Other mechanical complication of other specified internal prosthetic devices, implants and grafts, initial encounter.
Painful hardware is not a complication of the injury that is why it is not coded as sequel.
ICD-10-CM Code for Encounter for removal of internal fixation device Z47. 2.
V54. 01 Encounter for removal of internal fixation device.
ICD-10-CM Code for Mechanical loosening of internal prosthetic joint T84. 03.
Z47.2Z47. 2 - Encounter for removal of internal fixation device. ICD-10-CM.
"T84. 84XA - Pain Due to Internal Orthopedic Prosthetic Devices, Implants and Grafts [initial Encounter]." ICD-10-CM, 10th ed., Centers for Medicare and Medicaid Services and the National Center for Health Statistics, 2018.
Defining Sequela ICD-10-CM says the seventh character S is “for use for complications or conditions that arise as a direct result of an injury, such as scar formation after a burn. The scars are sequelae of the burn.” In other words, sequela are the late effects of an injury. Perhaps the most common sequela is pain.
Follow-up. The difference between aftercare and follow-up is the type of care the physician renders. Aftercare implies the physician is providing related treatment for the patient after a surgery or procedure. Follow-up, on the other hand, is surveillance of the patient to make sure all is going well.
ICD-10-CM Code for Encounter for other orthopedic aftercare Z47. 89.
Avoid activities and exercise that cause joint pain. You may need to see a physical or occupational therapist. These therapists teach you how to safely move with your new joint. They teach you activities and exercises that help make your bones and muscles stronger.
9: Fever, unspecified.
Encounter for screening for respiratory tuberculosis Z11. 1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM Z11. 1 became effective on October 1, 2021.
2022 ICD-10-CM Diagnosis Code T65. 91XA: Toxic effect of unspecified substance, accidental (unintentional), initial encounter.
ICD-10-CM Code for Contact with and (suspected) exposure to tuberculosis Z20. 1.
Aftercare visit codes cover situations occurring when the initial treatment of a disease has been performed and the patient requires continued care during the healing or recovery phase, or care for the long-term consequences of the disease.
The codes for factors influencing health and contact with health services represent reasons for encounters. In ICD-10-CM, these codes are located in Chapter 21 and have the initial alpha character of “Z,” so codes in this chapter eventually may be referred to as “Z-codes” (just as the same supplementary codes in ICD-9-CM were referred to as “V-codes”). While code descriptions in Chapter 21, such as aftercare, may appear to denote descriptions of services or procedures, they are not procedure codes. These codes represent the reason for the encounter, service or visit, and the procedure must be reported with the appropriate procedure code.
Codes for encounters for antineoplastic radiation, chemotherapy and immunotherapy (Z51.0, Z51.1-) are assigned if the sole reason for the encounter is antineoplastic therapy – even if the patient still has the neoplastic disease.
When the reason for an encounter is aftercare following a procedure or injury, the 2012 ICD-10-CM Official Guidelines and Reporting should be consulted to ensure that the correct code is assigned. Codes for reporting most types of aftercare are found in Chapter 21. However, aftercare related to injuries is reported with codes from Chapter 19, using seventh-character extensions to identify the service as aftercare.
Lauri Gray, RHIT, CPC, has worked in the health information management field for 30 years. She began her career as a health records supervisor in a multi-specialty clinic. Following that she worked in the managed care industry as a contracting and coding specialist for a major HMO. Most recently she has worked as a clinical technical editor of coding and reimbursement print and electronic products. She has also taught medical coding at the College of Eastern Utah. Areas of expertise include: ICD-10-CM, ICD-10-PCS, ICD-9-CM diagnosis and procedure coding, physician coding and reimbursement, claims adjudication processes, third-party reimbursement, RBRVS and fee schedule development. She is a member of the American Academy of Professional Coders (AAPC) and the American Health Information Management Association (AHIMA).