Use additional code to identify the personal history of malignant neoplasm (Z85.-) Z08 Encounter for follow-up examination after completed treatment for malignant neoplasm Here, we code Z08 as primary diagnosis and history of malignant neoplasm as secondary diagnosis.īelow is the list of few examples of Followup ICD 10 Z codes.
For example, Z08 ICD 10 code is a Encounter for follow-up examination after completed treatment for malignant neoplasm, and reported only when the neoplasm is fully treated and the patient comes for a followup visit. Followup ICD 10 codes are used only for visits, when the condition is totally treated, resolved or healed (fracture). Many coders still don’t know the difference between Aftercare and Followup ICD 10 codes. Medical coders are really confused while using these ICD 10 codes. Read also: Top 5 coding errors done by Medical codersĬoding tips for Hypertensive Heart Kidney Disease in ICD 10 Followup ICD 10 codesįollowup ICD 10 codes are used very frequently. We have a separate list of status Z codes which needs to be used secondary diagnosis only. Z48.89 Encounter for other specified surgical aftercareĭo remember these Z codes have to be used as first listed or primary diagnosis.
#Hospital follow up icd 10 skin
Z48.817 Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue Z48.816 Encounter for surgical aftercare following surgery on the genitourinary system Z48.815 Encounter for surgical aftercare following surgery on the digestive system Z48.814 Encounter for surgical aftercare following surgery on the teeth or oral cavity Z48.813 Encounter for surgical aftercare following surgery on the respiratory system Z48.812 Encounter for surgical aftercare following surgery on the circulatory system Z48.811 Encounter for surgical aftercare following surgery on the nervous system Z48.810 Encounter for surgical aftercare following surgery on the sense organs Z48.81 Encounter for surgical aftercare following surgery on specified body systems Z51.1 Encounter for antineoplastic chemotherapy and immunotherapyīelow are few examples of Aftercare ICD 10 Z codes. Z51.0 Encounter for antineoplastic radiation therapy The encounter codes can be sequenced primary depending on the physician’s documentation in the medical record. For example, when a patient receive both the chemotherapy and radiotherapy as antineoplastic therapy, in such scenario we can code both the encounters together. We can use multiple ICD 10 encounter codes together when more than one services are provided. Hence, for coding healing phase of injury codes, we can directly choose the 7th character for routine or delay healing of injuries for subsequent encounter as primary diagnosis without use of any aftercare Z codes.Īftercare ICD 10 codes are coded as primary or first listed diagnosis only.
Now, in ICD 10 we have intial, subsequent or sequela encounter codes for injury. Few exception are their, aftercare Z codes should not be reported for aftercare for injuries. Aftercare Z codes should not be reported when the treatment is for current or acute disease. Read also: Difference between Excludes 1 and Excludes 2 note in ICD 10 Aftercare ICD 10 codesĪftercare codes are used only when the condition is under treatment or under healing phase after initial visit or treatment. Today will try to learn more about ICD 10 codes for followup and aftercare diagnosis. If you know the ICD 10 coding guidelines, you can code 80% of correct diagnosis. Still I see many coders struggle to use the status Z codes.Īnd even if they found the correct Z code, then they have a doubt in using it primary or secondary diagnosis. Once you improve in diagnosis coding, you will automatically see an improvement in your coding skills. Initially, we all have done coding errors in ICD 10, but we should learn from all these errors. For example, earlier we used to code only one code for pregnancy complication irrespective of first, second or third trimester, but ICD 10 we have specific ICD 10 codes for each trimester for same condition in ICD 9. In ICD 9 diagnosis codes, we were not so much confused because of limited number of codes. Being a Medical coder, we always face new challenges in coding ICD 10 codes.
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