Z Codes in ICD-10
In ICD-10 we will have many changes for ICD-9 codes. In new codes we will see complete change in the number or digits as well as the use of alphabets in ICD-10. As we know the amount of codes have also increased significantly in ICD-10. But, this will not be a problem if you are aware of the basic ICD-10 guidelines which is more or less similar to ICD-9. We are here to just learn about the new changes with the V-codes in the ICD-10. In ICD-9, the V codes are the only codes that do not represent acute illnesses or conditions. These codes represent Factors Influencing Health Status and Contact with Health Services. In ICD-9, there are six scenarios when we use V codes:
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1. A healthcare encounters for a person for organ donor, to receive prophylactic care, chemotherapy, radiotherapy or receive counseling on health-related issues.
2. Personal and Family history of Neoplasms for a Person.
3. A healthcare encounter for a person with a resolving injury or disease, a chronic or long-term condition requiring continuous care, or for aftercare related to a disease or injury.
4. Healthcare encounters that influence a person’s health status, but are not in themselves related to an illness or injury.
5. To indicate newborn birth status.
6. To indicate Pregnancy status.
Examples of Z codes in ICD-10
All the above conditions are now being replaced with new ICD-10 codes will be categorized in Z codes. These Z codes of ICD-10 will be replacing the V codes of ICD-9. Let us check few examples of ICD-10 codes.
The above examples will clearly tell that use of Z codes in ICD10 will completely replace V codes. Also the information through these Z codes will be more specific compared to V codes in ICD9. Hope, this little info regarding Z codes will help you in learning ICD 10 codes.
List of Z-codes used in ICD 10 which have replaced V codes
Z00 Encounter for general examination without complaint, suspected or reported diagnosis
Z01 Encounter for other special examination without complaint, suspected or reported diagnosis
Z02 Encounter for administrative examination
Z03 Encounter for medical observation for suspected diseases and conditions ruled out
Z04 Encounter for examination and observation for other reasons
Z33.2 Encounter for elective termination of pregnancy
Z31.81 Encounter for male factor infertility in female patient
Z31.82 Encounter for Rh incompatibility status
Z31.83 Encounter for assisted reproductive fertility procedure cycle
Z31.84 Encounter for fertility preservation procedure
Z34; Encounter for supervision of normal pregnancy
Z39 Encounter for maternal postpartum care and examination
Z38 Liveborn infants according to place of birth and type of delivery
Z42 Encounter for plastic and reconstructive surgery following medical procedure or healed injury
Z51.0 Encounter for antineoplastic radiation therapy
Z51.1- Encounter for antineoplastic chemotherapy and immunotherapy
Z52 Donors of organs and tissues
Except: Z52.9, Donor of unspecified organ or tissue
Z76.1 Encounter for health supervision and care of foundling
Z76.2 Encounter for health supervision and care of other healthy infant and child
Z99.12 Encounter for respirator [ventilator] dependence during power failure