Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue. Z48.817 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM Z48.817 became effective on October 1, 2018.
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 ...
This type of excision would be most appropriately reported using the excision of malignant lesion including margins codes 11600- 11646. Notice: It is not appropriate to bill Medicare for services that are not covered (as described by the entire LCD) as if they are covered.
Z48.817 is a billable ICD code used to specify a diagnosis of encounter for surgical aftercare following surgery on the skin and subcutaneous tissue.
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 .
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.
ICD-10 code: Z08 Follow-up examination after treatment for malignant neoplasm.
ICD-10 code C43. 9 for Malignant melanoma of skin, unspecified is a medical classification as listed by WHO under the range - Malignant neoplasms .
Aftercare is a way of showing kindness and caring to your partner. Physical intimacy is one way of you feeling special and appreciated. Aftercare helps create this feeling of closeness and intimacy. It helps people feel like what they just did was special.
Follow-up visits, like initial visits, should be coded using the appropriate evaluation and management (E/M) code (i.e., 99211–99215). Given the limited interaction with the patient and limited work involved, the level of service is likely to be low (e.g., 99211 or 99212).
ICD-10 code Z51. 89 for Encounter for other specified aftercare is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Z09 is an appropriate first-listed code and completely acceptable by payers. The list you are referring to in the guidelines is a list of Z categories and codes that are first only allowed. If the code you chose is not on this list then unless otherwise indicated, it is allowed first or secondary.
Encounter Codes should be always coded as primary diagnosis All the encounter codes should be coded as first listed or primary diagnosis followed by all the secondary diagnosis. For example, if a patient comes for chemotherapy for neoplasm, then the admit diagnosis, ROS and primary diagnosis will be coded as Z51.
ICD-10 code Z85. 820 for Personal history of malignant melanoma of skin is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
ICD-10 Code for Malignant melanoma of other part of trunk- C43. 59- Codify by AAPC.
D03. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Epidermal layer only. Malignant melanoma is malignant neoplasm of melanin (brown pigment producing) cells, described as having invaded the dermis or as one of the following stages: Stage I – Localized. Stage IA – Less than 1.0 mm thick, no ulceration, no lymph node involvement, no distant metastases.
In ICD-9-CM, Category 172 is specific to general body sites and includes both malignant melanoma that has invaded deeper layers of skin beyond the top layer and melanoma in situ (Stage 0, top layer of skin only).
Patients with melanoma in situ are classified as TIS (tumor in situ). The tumor is limited to the top layer of the skin (epidermis) with no evidence of invasion of dermis, surrounding tissues, lymph nodes or distant sites. Melanoma in situ presents very low risk for recurrence or metastasis.
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).
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).
CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.
This First Coast Billing and Coding Article for Local Coverage Determination (LCD) L33818 Excision of Malignant Skin Lesions provides billing and coding guidance for frequency limitations as well as diagnosis limitations that support diagnosis to procedure code automated denials.
All those not listed under the “ICD-10 Codes that Support Medical Necessity” section of this article.
Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.
Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.
The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code Z48.817. Click on any term below to browse the alphabetical index.
This is the official exact match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that in all cases where the ICD9 code V58.77 was previously used, Z48.817 is the appropriate modern ICD10 code.