The 2022 edition of ICD-10-CM T81.43 became effective on October 1, 2021.
T81.43 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals. The code Z98.890 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.
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code Z98.890 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
Intergroup rhabdomyosarcoma study post-surgical clinical group IV: Any size primary tumor, with or without regional lymph node involvement, with distant metastases, without respect to surgical approach to primary tumor
Z98.890 is a billable diagnosis code used to specify a medical diagnosis of other specified postprocedural states. The code Z98.890 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
Z98.890 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 ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code Z48.815. Click on any term below to browse the alphabetical index.
This is the official approximate match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that while there is no exact mapping between this ICD10 code Z48.815 and a single ICD9 code, V58.75 is an approximate match for comparison and conversion purposes.
Alteration of abdomen subcutaneous tissue and fascia, percutaneous approach
Anesthesia for procedures on lower anterior abdominal wall; panniculectomy
The American Society of Plastic Surgeons (ASPS) Practice Parameter for Surgical Treatment of Skin Redundancy for Obese and Massive Weight Loss Patients (2007b) recommends that body contouring surgery, including panniculectomy, be performed only after an individual maintains a stable weight for 2 to 6 months.
Incisional hernia: A condition where tissues or organs are able to push through a surgical incision or scar.
Panniculectomy: A procedure designed to remove fatty tissue and excess skin (panniculus) from the lower to middle portions of the abdomen.
Medically Necessary: In this document, procedures are considered medically necessary if there is a significant functional impairment AND the procedure can be reasonably expected to improve the functional impairment.
Inclusion or exclusion of a procedure, diagnosis or device code (s) does not constitute or imply member coverage or provider reimbursement policy. Please refer to the member's contract benefits in effect at the time of service to determine coverage or non-coverage of these services as it applies to an individual member.