2022 ICD-10-CM Code Z48.00 Encounter for change or removal of nonsurgical wound dressing. ICD-10-CM Index; Chapter: Z00–Z99; Section: Z40-Z53; Block: Z48; Z48.00 - Encounter for change or removal of nonsurg wound dressing
ICD-10-PCS Procedure Code 2W0MX6Z [convert to ICD-9-CM] Change Pressure Dressing on Left Lower Extremity ICD-10-PCS Procedure Code 2W0NX6Z [convert to ICD-9-CM]
ICD-10-CM Code Z48.00 Encounter for change or removal of nonsurgical wound dressing BILLABLE | ICD-10 from 2011 - 2016 Z48.00 is a billable ICD code used to specify a diagnosis of encounter for change or removal of nonsurgical wound dressing. A 'billable code' is detailed enough to be used to specify a medical diagnosis.
Oct 01, 2021 · 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM) 2017 (effective 10/1/2016): No change 2018 (effective 10/1/2017): No change 2019 (effective 10/1/2018): No change 2020 (effective 10/1/2019): No change 2021 (effective 10/1/2020): No change 2022 (effective 10/1/2021): No ...
ICD-10: | Z97.8 |
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Short Description: | Presence of other specified devices |
Long Description: | Presence of other specified devices |
Z48.00 is a billable diagnosis code used to specify a medical diagnosis of encounter for change or removal of nonsurgical wound dressing. The code Z48.00 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.#N#The ICD-10-CM code Z48.00 might also be used to specify conditions or terms like change of nonsurgical wound dressing done. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.#N#The code Z48.00 describes a circumstance which influences the patient's health status but not a current illness or injury. The code is unacceptable as a principal diagnosis.
FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)
The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:
Z48.00 is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here.
The 2022 edition of ICD-10-CM Z48.01 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.
Z48.00 is a valid billable ICD-10 diagnosis code for Encounter for change or removal of nonsurgical wound dressing . It is found in the 2021 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2020 - Sep 30, 2021 .
A “code also” note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction. The sequencing depends on the circumstances of the encounter.
Z48.00 is exempt from POA reporting ( Present On Admission).
DO NOT include the decimal point when electronically filing claims as it may be rejected. Some clearinghouses may remove it for you but to avoid having a rejected claim due to an invalid ICD-10 code, do not include the decimal point when submitting claims electronically.
Z48.00 - Encounter for change or removal of nonsurgical wound dressing is a sample topic from the ICD-10-CM.
Z48.00 - Encounter for change or removal of nonsurgical wound dressing. ICD-10-CM. Centers for Medicare and Medicaid Services and the National Center for Health Statistics; 2018. https://www.unboundmedicine.com/icd/view/ICD-10-CM/917286/all/Z48_00___Encounter_for_change_or_removal_of_nonsurgical_wound_dressing. Accessed June 10, 2021.
Surgical dressings are covered when a qualifying wound is present . A qualifying wound is defined as either of the following:
Autolytic (e.g., application of occlusive dressings to an open wound).
Primary dressings - Therapeutic or protective coverings applied directly to wounds or lesions either on the skin or caused by an opening to the skin.
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For any item to be covered by Medicare, it must 1) be eligible for a defined Medicare benefit category, 2) be reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member, and 3) meet all other applicable Medicare statutory and regulatory requirements. Information provided in this policy article relates to determinations other than those based on Social Security Act §1862 (a) (1) (A) provisions (i.e. “reasonable and necessary”).
Surgical Dressings are covered under the Surgical Dressings Benefit (Social Security Act §1861 (s) (5)). The CMS Benefit Policy Manual (IOM 100-02), CH 15, §100 provides interpretive guidance to contractors for the implementation of this provision. The relevant part of the manual section establishes two separate benefit criteria:
Small adhesive bandages (e.g., Band-Aid or similar product) are not primarily used for the treatment of wounds addressed in the Surgical Dressings policy.