ICD-10-CM Diagnosis Code Z48.81 Encounter for surgical aftercare following surgery on specified body systems
Encounter for orth aftercare following scoliosis surgery ICD-10-CM Diagnosis Code Z48.816 [convert to ICD-9-CM] Encounter for surgical aftercare following surgery on the genitourinary system
Other acute postprocedural pain. 2016 2017 2018 2019 Billable/Specific Code. G89.18 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 G89.18 became effective on October 1, 2018.
Z codes also apply to post-op care when the condition that precipitated the surgery no longer exists—but the patient still requires therapeutic care to return to a healthy level of function. In situations like these, ICD-10 provides a few coding options, including: Z47.1, Aftercare following joint replacement surgery.
Other specified postprocedural statesICD-10 code Z98. 89 for Other specified postprocedural states is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
ICD-10-CM Code for Postlaminectomy syndrome, not elsewhere classified M96. 1.
ICD-10-CM Code for Encounter for surgical aftercare following surgery on the nervous system Z48. 811.
If the spinal fusion was done during surgery then use the Z98. 1 code. If the patient has a natural fusion of the spine or (ankylosing spondylitis) which causes the spine to fuse then use the M43.
ICD-10-CM Code for Encounter for surgical aftercare following surgery on specified body systems Z48. 81.
Release Lumbar Spinal Cord, Open Approach ICD-10-PCS 00NY0ZZ is a specific/billable code that can be used to indicate a procedure.
ICD-10-CM Code for Encounter for other orthopedic aftercare Z47. 89.
ICD-10 code: Z08 Follow-up examination after treatment for malignant neoplasm.
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.
Use Z codes to code for surgical aftercare. Z47. 89, Encounter for other orthopedic aftercare, and. Z47. 1, Aftercare following joint replacement surgery.
Other acute postprocedural pain G89. 18 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 G89. 18 became effective on October 1, 2021.
9: Dorsalgia, unspecified.
The 2022 edition of ICD-10-CM Z98.89 became effective on October 1, 2021.
Z77-Z99 Persons with potential health hazards related to family and personal history and certain conditions influencing health status
The 2022 edition of ICD-10-CM Z48.89 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.
Inclusion Terms are a list of concepts for which a specific code is used. The list of Inclusion Terms is useful for determining the correct code in some cases, but the list is not necessarily exhaustive.
The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code Z48.81. Click on any term below to browse the alphabetical index.
Remember, there are a number of orthopedic aftercare codes for specific surgeries—all of which you can find in the ICD-10 tabular list under Z47, Orthopedic aftercare.
Z codes also apply to post-op care when the condition that precipitated the surgery no longer exists —but the patient still requires therapeutic care to return to a healthy level of function. In situations like these, ICD-10 provides a few coding options, including:
For example, if you were treating a patient who had a total knee replacement, you would want to submit Z47.1, Aftercare following joint replacement surgery, as well as Z96.651 (to indicate that the joint replaced was the knee). Taking this one step further, let’s say the patient was receiving treatment for gait abnormality following a total knee replacement of the right knee due to osteoarthritis in that knee. Let’s also assume that, as a result of the surgery, the patient is no longer suffering from osteoarthritis. The appropriate codes for this scenario, according to this presentation, would be:
If the line between acceptable and unacceptable uses of aftercare codes still seems a bit fuzzy, just remember that in most cases, you should only use aftercare codes if there’s no other way for you to express that a patient is on the “after” side of an aforementioned “before-and-after” event.
ICD-10 introduced the seventh character to streamline the way providers denote different encounter types—namely, those in volving active treatment versus those involving subsequent care. However, not all ICD-10 diagnosis codes include the option to add a seventh character. For example, most of the codes contained in chapter 13 of the tabular list (a.k.a. the musculoskeletal chapter) do not allow for seventh characters. And that makes sense considering that most of those codes represent conditions—including bone, joint, or muscle conditions that are recurrent or resulting from a healed injury—for which therapy treatment does progress in the same way it does for acute injuries.
You should add any comorbidities that may impact the rehab episode of care. You should not include osteoarthritis in the diagnostic set unless it affects other joints that will affect the episode." I hope that's helpful!
In situations where it’s appropriate to use Z codes, “aftercare codes are generally the first listed diagnosis,” Gray writes. However, that doesn’t mean the Z code should be the only diagnosis code listed for that patient.