History of nephrectomy; History of nephrectomy (removal of kidney); History of partial nephrectomy; History of partial nephrectomy (kidney removal); History of radical nephrectomy; History of radical nephrectomy (total removal of kidney) ICD-10-CM Diagnosis Code Q51.22 [convert to ICD-9-CM] Partial doubling of uterus
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 ...
Acquired absence of kidney. Z90.5 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2018/2019 edition of ICD-10-CM Z90.5 became effective on October 1, 2018.
1 ICD-10-CM Codes 2 › 3 Z00-Z99 Factors influencing health status and contact with health services 4 › 5 Z40-Z53 Encounters for other specific health care 6 › 7 Orthopedic aftercare Z47
5: Acquired absence of kidney.
81 for Encounter for surgical aftercare following surgery on specified body systems is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Use Z codes to code for surgical aftercare. Z47. 89, Encounter for other orthopedic aftercare, and. Z47.
Z90. 5 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 Z90.
T88.9XXAICD-10-CM Code for Complication of surgical and medical care, unspecified, initial encounter T88. 9XXA.
Disruption of external operation (surgical) wound, not elsewhere classified, initial encounter. T81. 31XA 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 T81.
Once a patient is coded to B20, they will always have B20 coded on their record; they will never go back to being coded using the asymptomatic code Z21. Code Z21 is used for patients who are asymptomatic, meaning they are HIV positive but have never had an HIV-related condition.
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.
Total nephrectomy is done if the kidney does not work well enough or if there is a large tumor (mass) in the kidney that must be removed. The surgeon will tie off the blood supply to the kidney and the urine tube that goes to the bladder. Then he or she will take out the entire kidney and its attached urine tube.
Partial nephrectomy is also referred to as nephron-sparing surgery or kidney-sparing surgery. During partial nephrectomy, the surgeon removes the tumor and spares the remainder of the kidney.
If you have only one kidney, that kidney is called a solitary kidney. This condition is different from having a solitary functioning kidney, in which you have two kidneys and only one is functioning.
Aftercare codes are found in categories Z42-Z49 and Z51. Aftercare is one of the 16 types of Z-codes covered in the 2012 ICD-10-CM Official Guidelines and Reporting. 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.
Aftercare following explantation of a joint prosthesis is reported with a code from category Z47, denoting orthopedic aftercare. Aftercare following explantation of a joint prosthesis (Z47.3-) may be reported for a staged procedure or an encounter for evaluation of planned insertion of a new joint prosthesis following prior explantation of a joint prosthesis. In ICD-10-CM, aftercare for explantation of a joint prosthesis is specific to site.
Aftercare for injuries is reported with a V-code in ICD-9-CM. However, aftercare of injuries in ICD-10-CM is captured with the seventh character “D,” specifically denoting routine care following most injuries. For fractures, additional seventh characters for subsequent encounters apply, depending on whether the fracture is open or closed and whether the healing is routine or delayed, with nonunion or malunion.
Reason for encounter: Aftercare for traumatic fracture is reported with code S82.224D, Nondisplaced transverse fracture of shaft of right tibia, subsequent encounter for closed fracture with routine healing.
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.
Aftercare codes should be used in conjunction with other aftercare codes, diagnosis codes and/or other categories of Z-codes to provide better detail on the specifics of the aftercare encounter/visit, unless otherwise directed by the classification.
The 2022 edition of ICD-10-CM Z48.3 became effective on October 1, 2021.
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.
Postoperative pain not associated with a specific postoperative complication is reported with a code from Category G89, Pain not elsewhere classified, in Chapter 6, Diseases of the Nervous System and Sense Organs. There are four codes related to postoperative pain, including:
The key elements to remember when coding complications of care are the following: Code assignment is based on the provider’s documentation of the relationship between the condition and the medical care or procedure.
If the documentation does not specify whether the post-thoracotomy or post-procedural pain is acute or chronic, the default is acute.
Only when postoperative pain is documented to present beyond what is routine and expected for the relevant surgical procedure is it a reportable diagnosis. Postoperative pain that is not considered routine or expected further is classified by whether the pain is associated with a specific, documented postoperative complication.