You may need any of the following:
What You Need to Know
you can never assign a dx that does not exist at the time of the visit. Aftercare codes are used as long as the provider is doing something due to the surgery such as dressing changes, if it is just a survelliance encounter to see that the patient is doing as expected it is a followup.
• Aftercare for injuries, during the healing and recovery phase, should be coded with the injury code and the appropriate 7th character for subsequent encounter rather than a Z code. • NOT reported if treatment is currently being directed at an acute disease or acute injury. Example: Return visit for unspecified fracture of the lower end
Code Z47. 1 (aftercare following joint replacement surgery) is used during the follow-up phase of any joint replacement surgery, even if the replacement was for treatment of a fracture. It must be accompanied by a code from subcategory Z96. 6, which identifies the specific joint location and laterality (Table 1).
ICD-10 code Z87. 81 for Personal history of (healed) traumatic fracture is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Presence of other orthopedic joint implants Z96. 698 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 Z96. 698 became effective on October 1, 2021.
Use Z codes to code for surgical aftercare. Z47. 89, Encounter for other orthopedic aftercare, and. Z47. 1, Aftercare following joint replacement surgery.
Z87. 81 - Personal history of (healed) traumatic fracture | ICD-10-CM.
Examples of active treatment are: surgical treatment, emergency department encounter, and evaluation and treatment by a new physician.” For example: The patient is evaluated in the emergency room (ER) for a displaced transverse fracture of the left ulna that cannot be managed at this time.
ICD-10-CM Code for Encounter for surgical aftercare following surgery on specified body systems Z48. 81.
ICD-10-CM Code for Encounter for other orthopedic aftercare Z47. 89.
CPT code 25607 is reported for open treatment of the fracture with internal fixation; CPT code 25608 for fracture repair in which two fragments of bone in the joint receive internal fixation; and CPT code 25609 for fracture repair in which three or more fragments of bone in the joint receive internal fixation.
For example, if a patient with severe degenerative osteoarthritis of the hip, underwent hip replacement and the current encounter/admission is for rehabilitation, report code Z47. 1, Aftercare following joint replacement surgery, as the first-listed or principal diagnosis.
Aftercare visit codes are assigned in situations in which the initial treatment of a disease has been performed but the patient requires continued care during the healing or recovery phase, or for the long-term consequences of the disease.
Encounter for other orthopedic aftercare 89 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 Z47. 89 became effective on October 1, 2021.
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.
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.
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.
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.