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ICD-10-CM (2010)/CHAPTER 21

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Factors influencing health status and contact with health services (Z00-Z99)[edit]

Note: Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as "diagnoses" or "problems". This can arise in two main ways:
(a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
(b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.
This chapter contains the following blocks:
Z00-Z13 Persons encountering health services for examination and investigation
Z14-Z15 Genetic carrier and genetic susceptibility to disease
Z16 Infection with drug resistant microorganisms
Z17 Estrogen receptor status
Z20-Z28 Persons with potential health hazards related to communicable diseases
Z30-Z39 Persons encountering health services in circumstances related to reproduction
Z40-Z53 Persons encountering health services for specific procedures and health care
Z55-Z65 Persons with potential health hazards related to socioeconomic and psychosocial circumstances
Z66 Do not resuscitate [DNR] status
Z67 Blood type
Z68 Body mass index (BMI)
Z69-Z76 Persons encountering health services in other circumstances
Z77-Z99 Persons with potential health hazards related to family and personal history and certain conditions influencing health status

Persons encountering health services for examinations (Z00-Z13)[edit]

Note: Nonspecific abnormal findings disclosed at the time of these examinations are classified to categories R70-R94.
Excludes1: examinations related to pregnancy and reproduction (Z30-Z36, Z39.-)

Z00 Encounter for general examination without complaint, suspected or reported diagnosis[edit]

Excludes1: encounter for examination for administrative purposes (Z02.-)
Excludes2: encounter for pre-procedural examinations (Z01.81-)
special screening examinations (Z11-Z13)
Z00.0 Encounter for general adult medical examination
Encounter for adult periodic examination (annual) (physical) and any associated laboratory and radiologic examinations
Excludes1: encounter for examination of sign or symptom- code to sign or symptom
general health check-up of infant or child (Z00.12.-)
Z00.00 Encounter for general adult medical examination without abnormal findings
Encounter for adult health check-up NOS
Z00.01 Encounter for general adult medical examination with abnormal findings
Use additional code to identify abnormal findings
Z00.1 Encounter for newborn, infant and child health examinations
Z00.11 Newborn health examination
Health check for child under 29 days old
Use additional code to identify any abnormal findings
Excludes1: health check for child over 28 days old (Z00.12-)
Z00.110 Health examination for newborn under 8 days old
Health check for newborn under 8 days old
Z00.111 Health examination for newborn 8 to 28 days old
Health check for newborn 8 to 28 days old
Newborn weight check
Z00.12 Encounter for routine child health examination
Encounter for development testing of infant or child
Health check (routine) for child over 28 days old
Excludes1: health check for child under 29 days old (Z0.11-)
health supervision of foundling or other healthy infant or child (Z76.1-Z76.2)
newborn health examination (Z00.11-)
Z00.121 Encounter for routine child health examination with abnormal findings
Use additional code to identify abnormal findings
Z00.129 Encounter for routine child health examination without abnormal findings
Encounter for routine child health examination NOS
Z00.2 Encounter for examination for period of rapid growth in childhood
Z00.3 Encounter for examination for adolescent development state
Encounter for puberty development state
Z00.5 Encounter for examination of potential donor of organ and tissue
Z00.6 Encounter for examination for normal comparison and control in clinical research program
Z00.7 Encounter for examination for period of delayed growth in childhood
Z00.70 Encounter for examination for period of delayed growth in childhood without abnormal findings
Z00.71 Encounter for examination for period of delayed growth in childhood with abnormal findings
Use additional code to identify abnormal findings
Z00.8 Encounter for other general examination
Encounter for health examination in population surveys

Z01 Encounter for other special examination without complaint, suspected or reported diagnosis[edit]

Includes: routine examination of specific system
Note: Codes from category Z01 represent the reason for the encounter. A separate procedure code is required to identify any examinations or procedures performed
Excludes1: encounter for examination for administrative purposes (Z02.-)
encounter for examination for suspected conditions, proven not to exist (Z03.-)
encounter for laboratory and radiologic examinations as a component of general medical examinations (Z00.0-)
encounter for laboratory, radiologic and imaging examinations for sign(s) and symptom(s) - code to the sign(s) or symptom(s)
Excludes2: screening examinations (Z11-Z13)
Z01.0 Encounter for examination of eyes and vision
Excludes1: examination for driving license (Z02.4)
Z01.00 Encounter for examination of eyes and vision without abnormal findings
Encounter for examination of eyes and vision NOS
Z01.01 Encounter for examination of eyes and vision with abnormal findings
Use additional code to identify abnormal findings
Z01.1 Encounter for examination of ears and hearing
Z01.10 Encounter for examination of ears and hearing without abnormal findings
Encounter for examination of ears and hearing NOS
Z01.11 Encounter for examination of ears and hearing with abnormal findings
Z01.110 Encounter for hearing examination following failed hearing screening
Z01.118 Encounter for examination of ears and hearing with other abnormal findings
Use additional code to identify abnormal findings
Z01.12 Encounter for hearing conservation and treatment
Z01.2 Encounter for dental examination and cleaning
Z01.20 Encounter for dental examination and cleaning without abnormal findings
Encounter for dental examination and cleaning NOS
Z01.21 Encounter for dental examination and cleaning with abnormal findings
Use additional code to identify abnormal findings
Z01.3 Encounter for examination of blood pressure
Z01.30 Encounter for examination of blood pressure without abnormal findings
Encounter for examination of blood pressure NOS
Z01.31 Encounter for examination of blood pressure with abnormal findings
Use additional code to identify abnormal findings
Z01.4 Encounter for gynecological examination
Excludes2: pregnancy examination or test (Z32.0-)
routine examination for contraceptive maintenance (Z30.4)
Z01.41 Encounter for routine gynecological examination
Encounter for general gynecological examination with or without cervical smear
Encounter for gynecological examination (general) (routine) NOS
Encounter for pelvic examination (annual) (periodic)
Use additional code:
for screening for human papillomavirus, if applicable, (Z11.51)
for screening vaginal pap smear, if applicable (Z12.72)
to identify acquired absence of uterus, if applicable (Z90.71-)
Excludes1: gynecologic examination status-post hysterectomy for malignant condition (Z08)
screening cervical pap smear not a part of a routine gynecological examination (Z12.4)
Z01.411 Encounter for gynecological examination (general) (routine) with abnormal findings
Z01.419 Encounter for gynecological examination (general) (routine) without abnormal findings
Use additional code to identify abnormal findings
Z01.42 Encounter for cervical smear to confirm findings of recent normal smear following initial abnormal smear
Z01.8 Encounter for other specified special examinations
Z01.81 Encounter for preprocedural examinations
Encounter for preoperative examinations
Encounter for radiological and imaging examinations as part of preprocedural examination
Z01.810 Encounter for preprocedural cardiovascular examination
Z01.811 Encounter for preprocedural respiratory examination
Z01.812 Encounter for preprocedural laboratory examination
Blood and urine tests prior to treatment or procedure
Z01.818 Encounter for other preprocedural examination
Encounter for preprocedural examination NOS
Encounter for examinations prior to antineoplastic chemotherapy
Z01.82 Encounter for allergy testing
Excludes1: encounter for antibody response examination (Z01.84)
Z01.83 Encounter for blood typing
Encounter for Rh typing
Z01.84 Encounter for antibody response examination
Encounter for immunity status testing
Excludes1: encounter for allergy testing (Z01.82)
Z01.89 Encounter for other specified special examinations

Z02 Encounter for administrative examination[edit]

Z02.0 Encounter for examination for admission to educational institution
Encounter for examination for admission to preschool (education)
Encounter for examination for re-admission to school following illness or medical treatment
Z02.1 Encounter for pre-employment examination
Z02.2 Encounter for examination for admission to residential institution
Excludes1: examination for admission to prison (Z02.8)
Z02.3 Encounter for examination for recruitment to armed forces
Z02.4 Encounter for examination for driving license
Z02.5 Encounter for examination for participation in sport
Excludes1: blood-alcohol and blood-drug test (Z02.83)
Z02.6 Encounter for examination for insurance purposes
Z02.7 Encounter for issue of medical certificate
Excludes1: encounter for general medical examination (Z00-Z01, Z02.0-Z02.6, Z02.8-Z02.9, )
Z02.71 Encounter for disability determination
Encounter for issue of medical certificate of incapacity
Encounter for issue of medical certificate of invalidity
Z02.79 Encounter for issue of other medical certificate
Z02.8 Encounter for other administrative examinations
Z02.81 Encounter for paternity testing
Z02.82 Encounter for adoption services
Z02.83 Encounter for blood-alcohol and blood-drug test
Use additional code for findings of alcohol or drugs in blood (R78.-)
Z02.89 Encounter for other administrative examinations
Encounter for examination for admission to prison
Encounter for examination for admission to summer camp
Encounter for immigration examination
Encounter for naturalization examination
Encounter for premarital examination
Excludes1: health supervision of foundling or other healthy infant or child (Z76.1-Z76.2)
Z02.9 Encounter for administrative examinations, unspecified

Z03 Encounter for medical observation for suspected diseases and conditions ruled out[edit]

This category is to be used when a person without a diagnosis is suspected of having an abnormal condition, without signs or symptoms, which requires study, but after examination and observation, is ruled out. This category is also for use for administrative and legal observation status.
Excludes1: contact with and (suspected) exposures hazardous to health (Z77.-)
newborn observation for suspected condition, ruled out (P00-P04)
person with feared complaint in whom no diagnosis is made (Z71.1)
signs or symptoms under study- code to signs or symptoms
Z03.6 Encounter for observation for suspected toxic effect from ingested substance ruled out
Encounter for observation for suspected adverse effect from drug
Encounter for observation for suspected poisoning
Z03.7 Encounter for suspected maternal and fetal conditions ruled out
Encounter for suspected maternal and fetal conditions not found
Excludes1: known or suspected fetal anomalies affecting management of mother, not ruled out (O26.-, O35.-, O36.-, O40.-, O41.-)
Z03.71 Encounter for suspected problem with amniotic cavity and membrane ruled out
Encounter for suspected oligohydramnios ruled out
Encounter for suspected polyhydramnios ruled out
Z03.72 Encounter for suspected placental problem ruled out
Z03.73 Encounter for suspected fetal anomaly ruled out
Z03.74 Encounter for suspected problem with fetal growth ruled out
Z03.75 Encounter for suspected cervical shortening ruled out
Z03.79 Encounter for other suspected maternal and fetal conditions ruled out
Z03.8 Encounter for observation for other suspected diseases and conditions ruled out
Z03.81 Encounter for observation for suspected exposure to biological agents ruled out
Z03.810 Encounter for observation for suspected exposure to anthrax ruled out
Z03.818 Encounter for observation for suspected exposure to other biological agents ruled out
Z03.89 Encounter for observation for other suspected diseases and conditions ruled out

Z04 Encounter for examination and observation for other reasons[edit]

Includes: encounter for examination for medicolegal reasons
This category is to be used when a person without a diagnosis is suspected of having an abnormal condition, without signs or symptoms, which requires study, but after examination and observation, is ruled-out. This category is also for use for administrative and legal observation status.
Z04.1 Encounter for examination and observation following transport accident
Excludes1: encounter for examination and observation following work accident (Z04.2)
Z04.2 Encounter for examination and observation following work accident
Z04.3 Encounter for examination and observation following other accident
Z04.4 Encounter for examination and observation following alleged rape
Encounter for examination and observation of victim following alleged rape
Encounter for examination and observation of victim following alleged sexual abuse
Z04.41 Encounter for examination and observation following alleged adult rape
Suspected adult rape, ruled out
Suspected adult sexual abuse, ruled out
Z04.42 Encounter for examination and observation following alleged child rape
Suspected child rape, ruled out
Suspected child sexual abuse, ruled out
Z04.6 Encounter for general psychiatric examination, requested by authority
Z04.7 Encounter for examination and observation following alleged physical abuse
Z04.71 Encounter for examination and observation following alleged adult physical abuse
Suspected adult physical abuse, ruled out
Excludes1: confirmed case of adult physical abuse (T74.-)
encounter for examination and observation following alleged adult sexual abuse (Z04.41)
suspected case of adult physical abuse, not ruled out (T76.-)
Z04.72 Encounter for examination and observation following alleged child physical abuse
Suspected child physical abuse, ruled out
Excludes1: confirmed case of child physical abuse (T74.-)
encounter for examination and observation following alleged child sexual abuse (Z04.42)
suspected case of child physical abuse, not ruled out (T76.-)
Z04.8 Encounter for examination and observation for other specified reasons
Encounter for examination and observation for request for expert evidence
Z04.9 Encounter for examination and observation for unspecified reason
Encounter for observation NOS

Z08 Encounter for follow-up examination after completed treatment for malignant neoplasm[edit]

Includes: medical surveillance following completed treatment
Use additional code to identify any acquired absence of organs (Z90.-)
Use additional code to identify the personal history of malignant neoplasm (Z85.-)
Excludes1: aftercare following medical care (Z43-Z49, Z51)

Z09 Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm[edit]

Includes: medical surveillance following completed treatment
Use additional code to identify any applicable history of disease code (Z86.-. Z87.-)
Excludes1: aftercare following medical care (Z43-Z49, Z51)
surveillance of contraception (Z30.4-)
surveillance of prosthetic and other medical devices (Z44-Z46)

Z11 Encounter for screening for infectious and parasitic diseases[edit]

Screening is the testing for disease or disease precursors in asymptomatic individuals so that early detection and treatment can be provided for those who test positive for the disease.
Excludes1: encounter for diagnostic examination-code to sign or symptom
Z11.0 Encounter for screening for intestinal infectious diseases
Z11.1 Encounter for screening for respiratory tuberculosis
Z11.2 Encounter for screening for other bacterial diseases
Z11.3 Encounter for screening for infections with a predominantly sexual mode of transmission
Excludes2: encounter for screening for human immunodeficiency virus [HIV] (Z11.4)
encounter for screening for human papillomavirus (Z11.51)
Z11.4 Encounter for screening for human immunodeficiency virus [HIV]
Z11.5 Encounter for screening for other viral diseases
Excludes2: encounter for screening for viral intestinal disease (Z11.0)
Z11.51 Encounter for screening for human papillomavirus (HPV)
Z11.59 Encounter for screening for other viral diseases
Z11.6 Encounter for screening for other protozoal diseases and helminthiases
Excludes2: encounter for screening for protozoal intestinal disease (Z11.0)
Z11.8 Encounter for screening for other infectious and parasitic diseases
Encounter for screening for chlamydia
Encounter for screening for rickettsial
Encounter for screening for spirochetal
Encounter for screening for mycoses
Z11.9 Encounter for screening for infectious and parasitic diseases, unspecified

Z12 Encounter for screening for malignant neoplasms[edit]

Screening is the testing for disease or disease precursors in asymptomatic individuals so that early detection and treatment can be provided for those who test positive for the disease.
Use additional code to identify any family history of malignant neoplasm (Z80.-)
Excludes1: encounter for diagnostic examination-code to sign or symptom
Z12.0 Encounter for screening for malignant neoplasm of stomach
Z12.1 Encounter for screening for malignant neoplasm of intestinal tract
Z12.10 Encounter for screening for malignant neoplasm of intestinal tract, unspecified
Z12.11 Encounter for screening for malignant neoplasm of colon
Z12.12 Encounter for screening for malignant neoplasm of rectum
Z12.13 Encounter for screening for malignant neoplasm of small intestine
Z12.2 Encounter for screening for malignant neoplasm of respiratory organs
Z12.3 Encounter for screening for malignant neoplasm of breast
Z12.31 Encounter for screening mammogram for malignant neoplasm of breast
Excludes1: inconclusive mammogram (R92.2)
Z12.39 Encounter for other screening for malignant neoplasm of breast
Z12.4 Encounter for screening for malignant neoplasm of cervix
Encounter for screening pap smear for malignant neoplasm of cervix
Excludes1: encounter for screening for human papillomavirus (Z11.51)
when screening is part of general gynecological examination (Z01.4-)
Z12.5 Encounter for screening for malignant neoplasm of prostate
Z12.6 Encounter for screening for malignant neoplasm of bladder
Z12.7 Encounter for screening for malignant neoplasm of other genitourinary organs
Z12.71 Encounter for screening for malignant neoplasm of testis
Z12.72 Encounter for screening for malignant neoplasm of vagina
Vaginal pap smear status-post hysterectomy for non-malignant condition
Use additional code to identify acquired absence of uterus (Z90.71-)
Excludes1: vaginal pap smear status-post hysterectomy for malignant conditions (Z08)
Z12.73 Encounter for screening for malignant neoplasm of ovary
Z12.79 Encounter for screening for malignant neoplasm of other genitourinary organs
Z12.8 Encounter for screening for malignant neoplasm of other sites
Z12.81 Encounter for screening for malignant neoplasm of oral cavity
Z12.82 Encounter for screening for malignant neoplasm of nervous system
Z12.83 Encounter for screening for malignant neoplasm of skin
Z12.89 Encounter for screening for malignant neoplasm of other sites
Z12.9 Encounter for screening for malignant neoplasm, site unspecified

Z13 Encounter for screening for other diseases and disorders[edit]

Screening is the testing for disease or disease precursors in asymptomatic individuals so that early detection and treatment can be provided for those who test positive for the disease.
Excludes1: encounter for diagnostic examination-code to sign or symptom
Z13.0 Encounter for screening for diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
Z13.1 Encounter for screening for diabetes mellitus
Z13.2 Encounter for screening for nutritional, metabolic and other endocrine disorders
Z13.21 Encounter for screening for nutritional disorder
Z13.22 Encounter for screening for metabolic disorder
Z13.220 Encounter for screening for lipoid disorders
Encounter for screening for cholesterol level
Encounter for screening for hypercholesterolemia
Encounter for screening for hyperlipidemia
Z13.228 Encounter for screening for other metabolic disorders
Z13.29 Encounter for screening for other suspected endocrine disorder
Excludes1: encounter for screening for diabetes mellitus (Z13.1)
Z13.4 Encounter for screening for certain developmental disorders in childhood
Encounter for screening for developmental handicaps in early childhood
Excludes1: routine development testing of infant or child (Z00.1-)
Z13.5 Encounter for screening for eye and ear disorders
Excludes2: encounter for general hearing examination (Z01.1-)
encounter for general vision examination (Z01.0-)
Z13.6 Encounter for screening for cardiovascular disorders
Z13.7 Encounter for screening for genetic and chromosomal anomalies
Excludes1: genetic testing for procreative management (Z31.4-)
Z13.71 Encounter for nonprocreative screening for genetic disease carrier status
Z13.79 Encounter for other screening for genetic and chromosomal anomalies
Z13.8 Encounter for screening for other specified diseases and disorders
Excludes2: screening for malignant neoplasms (Z12.-)
Z13.81 Encounter for screening for digestive system disorders
Z13.810 Encounter for screening for upper gastrointestinal disorder
Z13.811 Encounter for screening for lower gastrointestinal disorder
Excludes1: encounter for screening for intestinal infectious disease (Z11.0)
Z13.818 Encounter for screening for other digestive system disorders
Z13.82 Encounter for screening for musculoskeletal disorder
Z13.820 Encounter for screening for osteoporosis
Z13.828 Encounter for screening for other musculoskeletal disorder
Z13.83 Encounter for screening for respiratory disorder NEC
Excludes1: encounter for screening for respiratory tuberculosis (Z11.1)
Z13.84 Encounter for screening for dental disorders
Z13.85 Encounter for screening for nervous system disorders
Z13.850 Encounter for screening for traumatic brain injury
Z13.858 Encounter for screening for other nervous system disorders
Z13.88 Encounter for screening for disorder due to exposure to contaminants
Excludes1: those exposed to contaminants without suspected disorders (Z57-Z58)
Z13.89 Encounter for screening for other disorder
Encounter for screening for genitourinary disorders
Z13.9 Encounter for screening, unspecified

Genetic carrier and genetic susceptibility to disease (Z14-Z15)[edit]

Z14 Genetic carrier[edit]

Z14.0 Hemophilia A carrier
Z14.01 Asymptomatic hemophilia A carrier
Z14.02 Symptomatic hemophilia A carrier
Z14.1 Cystic fibrosis carrier
Z14.8 Genetic carrier of other disease

Z15 Genetic susceptibility to disease[edit]

Includes: Confirmed abnormal gene
Use additional code, if applicable, for any associated family history of the disease (Z80-Z84)
Z15.0 Genetic susceptibility to malignant neoplasm
Code first, if applicable, any current malignant neoplasm (C00-C75, C81-C96)
Use additional code, if applicable, for any personal history of malignant neoplasm (Z85.-)
Z15.01 Genetic susceptibility to malignant neoplasm of breast
Z15.02 Genetic susceptibility to malignant neoplasm of ovary
Z15.03 Genetic susceptibility to malignant neoplasm of prostate
Z15.04 Genetic susceptibility to malignant neoplasm of endometrium
Z15.09 Genetic susceptibility to other malignant neoplasm
Z15.8 Genetic susceptibility to other disease
Z15.81 Genetic susceptibility to multiple endocrine neoplasia [MEN]
Z15.89 Genetic susceptibility to other disease

Infection with drug resistant microorganisms (Z16)[edit]

Z16 Infection with drug resistant microorganisms[edit]

This category is intended for use as an additional code for infectious conditions classified elsewhere to indicate the presence of drug-resistance of the infectious organism
Code first the infection

Estrogen receptor status (Z17)[edit]

Z17 Estrogen receptor status[edit]

Code first malignant neoplasm of breast (C50.-)
Z17.0 Estrogen receptor positive status [ER+]
Z17.1 Estrogen receptor negative status [ER-]

Persons with potential health hazards related to communicable diseases (Z20-Z28)[edit]

Z20 Contact with and (suspected) exposure to communicable diseases[edit]

Excludes1: carrier of infectious disease (Z22.-)
diagnosed current infectious or parasitic disease -see Alphabetic Index
Excludes2: personal history of infectious and parasitic diseases (Z86.1-)
Z20.0 Contact with and (suspected) exposure to intestinal infectious diseases
Z20.01 Contact with and (suspected) exposure to intestinal infectious diseases due to Escherichia coli (E. coli)
Z20.09 Contact with and (suspected) exposure to other intestinal infectious diseases
Z20.1 Contact with and (suspected) exposure to tuberculosis
Z20.2 Contact with and (suspected) exposure to infections with a predominantly sexual mode of transmission
Z20.3 Contact with and (suspected) exposure to rabies
Z20.4 Contact with and (suspected) exposure to rubella
Z20.5 Contact with and (suspected) exposure to viral hepatitis
Z20.6 Contact with and (suspected) exposure to human immunodeficiency virus [HIV]
Excludes1: asymptomatic human immunodeficiency virus [HIV]
HIV infection status (Z21)
Z20.7 Contact with and (suspected) exposure to pediculosis, acariasis and other infestations
Z20.8 Contact with and (suspected) exposure to other communicable diseases
Z20.81 Contact with and (suspected) exposure to other bacterial communicable diseases
Z20.810 Contact with and (suspected) exposure to anthrax
Z20.811 Contact with and (suspected) exposure to meningococcus
Z20.818 Contact with and (suspected) exposure to other bacterial communicable diseases
Z20.82 Contact with and (suspected) exposure to other viral communicable diseases
Z20.820 Contact with and (suspected) exposure to varicella
Z20.828 Contact with and (suspected) exposure to other viral communicable diseases
Z20.89 Contact with and (suspected) exposure to other communicable diseases
Z20.9 Contact with and (suspected) exposure to unspecified communicable disease

Z21 Asymptomatic human immunodeficiency virus [HIV] infection status[edit]

Includes: HIV positive NOS
Code first: Human immunodeficiency [HIV] disease complicating pregnancy, childbirth and the puerperium, if applicable (O98.7-)
Excludes1: acquired immunodeficiency syndrome (B20)
contact with human immunodeficiency virus [HIV] (Z20.6)
exposure to human immunodeficiency virus [HIV] (Z20.6)
human immunodeficiency virus [HIV] disease (B20)
inconclusive laboratory evidence of human immunodeficiency virus [HIV] (R75)

Z22 Carrier of infectious disease[edit]

Includes: colonization status
suspected carrier
Z22.0 Carrier of typhoid
Z22.1 Carrier of other intestinal infectious diseases
Z22.2 Carrier of diphtheria
Z22.3 Carrier of other specified bacterial diseases
Z22.31 Carrier of bacterial disease due to meningococci
Z22.32 Carrier of bacterial disease due to staphylococci
Z22.33 Carrier of bacterial disease due to streptococci
Z22.330 Carrier of Group B streptococcus
Z22.338 Carrier of other streptococcus
Z22.39 Carrier of other specified bacterial diseases
Z22.4 Carrier of infections with a predominantly sexual mode of transmission
Z22.5 Carrier of viral hepatitis
Z22.50 Carrier of unspecified viral hepatitis
Z22.51 Carrier of viral hepatitis B
Hepatitis B surface antigen [HBsAg] carrier
Z22.52 Carrier of viral hepatitis C
Z22.59 Carrier of other viral hepatitis
Z22.6 Carrier of human T-lymphotropic virus type-1 [HTLV-1] infection
Z22.8 Carrier of other infectious diseases
Z22.9 Carrier of infectious disease, unspecified

Z23 Encounter for immunization[edit]

Code first any routine childhood examination
Note: procedure codes are required to identify the types of immunizations given

Z28 Immunization not carried out and underimmunization status[edit]

Vaccination not carried out
Z28.0 Immunization not carried out because of contraindication
Z28.01 Immunization not carried out because of acute illness of patient
Z28.02 Immunization not carried out because of chronic illness or condition of patient
Z28.03 Immunization not carried out because of immune compromised state of patient
Z28.04 Immunization not carried out because of patient allergy to vaccine or component
Z28.09 Immunization not carried out because of other contraindication
Z28.1 Immunization not carried out because of patient decision for reasons of belief or group pressure
Immunization not carried out because of religious belief
Z28.2 Immunization not carried out because of patient decision for other and unspecified reason
Z28.20 Immunization not carried out because of patient decision for unspecified reason
Z28.21 Immunization not carried out because of patient refusal
Z28.29 Immunization not carried out because of patient decision for other reason
Z28.3 Underimmunization status
Delinquent immunization status
Lapsed immunization schedule status
Z28.8 Immunization not carried out for other reason
Z28.81 Immunization not carried out due to patient having had the disease
Z28.82 Immunization not carried out because of caregiver refusal
Immunization not carried out because of guardian refusal
Immunization not carried out because of parent refusal
Excludes2: immunization not carried out because of caregiver refusal because of religious belief (Z28.1)
Z28.89 Immunization not carried out for other reason
Z28.9 Immunization not carried out for unspecified reason

Persons encountering health services in circumstances related to reproduction (Z30-Z39)[edit]

Z30 Encounter for contraceptive management[edit]

Z30.0 Encounter for general counseling and advice on contraception
Z30.01 Encounter for initial prescription of contraceptives
Z30.011 Encounter for initial prescription of contraceptive pills
Z30.012 Encounter for prescription of emergency contraception
Encounter for postcoital contraception
Z30.013 Encounter for initial prescription of injectable contraceptive
Z30.014 Encounter for initial prescription of intrauterine contraceptive device
Z30.018 Encounter for initial prescription of other contraceptives
Z30.019 Encounter for initial prescription of contraceptives, unspecified
Z30.02 Counseling and instruction in natural family planning to avoid pregnancy
Z30.09 Encounter for other general counseling and advice on contraception
Encounter for family planning advice NOS
Z30.2 Encounter for sterilization
Z30.4 Encounter for surveillance of contraceptives
Z30.40 Encounter for surveillance of contraceptives, unspecified
Z30.41 Encounter for surveillance of contraceptive pills
Encounter for repeat prescription for contraceptive pill
Z30.42 Encounter for surveillance of injectable contraceptive
Z30.43 Encounter for surveillance of intrauterine contraceptive device
Encounter for checking, reinsertion or removal of intrauterine contraceptive device
Z30.49 Encounter for surveillance of other contraceptives
Z30.8 Encounter for other contraceptive management
Encounter for postvasectomy sperm count
Encounter for routine examination for contraceptive maintenance
Excludes1: sperm count following sterilization reversal (Z31.42)
sperm count for fertility testing (Z31.41)
Z30.9 Encounter for contraceptive management, unspecified

Z31 Encounter for procreative management[edit]

Excludes1: complications associated with artificial fertilization (N98.-)
female infertility (N97.-)
male infertility (N46.-)
Z31.0 Encounter for reversal of previous sterilization
Z31.4 Encounter for procreative investigation and testing
Excludes1: postvasectomy sperm count (Z30.8)
Z31.41 Encounter for fertility testing
Encounter for fallopian tube patency testing
Encounter for sperm count for fertility testing
Z31.42 Aftercare following sterilization reversal
Sperm count following sterilization reversal
Z31.43 Encounter for genetic testing of female for procreative management
Use additional code for habitual aborter, if applicable (N96, O26.2-)
Excludes1: nonprocreative genetic testing (Z13.7-)
Z31.430 Encounter of female for testing for genetic disease carrier status for procreative management
Z31.438 Encounter for other genetic testing of female for procreative managment
Z31.44 Encounter for genetic testing of male for procreative management
Excludes1: nonprocreative genetic testing (Z13.7-)
Z31.440 Encounter of male for testing for genetic disease carrier status for procreative management
Z31.441 Encounter for testing of male partner of habitual aborter
Z31.448 Encounter for other genetic testing of male for procreative management
Z31.49 Encounter for other procreative investigation and testing
Z31.5 Encounter for genetic counseling
Z31.6 Encounter for general counseling and advice on procreation
Z31.61 Procreative counseling and advice using natural family planning
Z31.62 Encounter for fertility preservation counseling
Encounter for fertility preservation counseling prior to cancer therapy
Encounter for fertility preservation counseling prior to surgical removal of gonads
Z31.69 Encounter for other general counseling and advice on procreation
Z31.8 Encounter for other procreative management
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
Patient undergoing in vitro fertilization cycle
Use additional code to identify the type of infertility
Excludes1: pre-cycle diagnosis and testing - code to reason for encounter
Z31.84 Encounter for fertility preservation procedure
Encounter for fertility preservation procedure prior to cancer therapy
Encounter for fertility preservation procedure prior to surgical removal of gonads
Z31.89 Encounter for other procreative management
Z31.9 Encounter for procreative management, unspecified

Z32 Encounter for pregnancy test and childbirth and childcare instruction[edit]

Z32.0 Encounter for pregnancy test
Z32.00 Encounter for pregnancy test, result unknown
Encounter for pregnancy test NOS
Z32.01 Encounter for pregnancy test, result positive
Z32.02 Encounter for pregnancy test, result negative
Z32.2 Encounter for childbirth instruction
Z32.3 Encounter for childcare instruction
Encounter for prenatal or postpartum childcare instruction

Z33 Pregnant state[edit]

Z33.1 Pregnant state, incidental
Pregnant state NOS
Excludes1: complications of pregnancy (O00-O99)
Z33.2 Encounter for elective termination of pregnancy
Excludes1: early fetal death with retention of dead fetus (O02.1)
late fetal death (O36.4)
spontaneous abortion (O03)

Z34 Encounter for supervision of normal pregnancy[edit]

Excludes1: any complication of pregnancy (O00-O99)
encounter for pregnancy test (Z32.0-)
encounter for supervision of high risk pregnancy (O09.-)
Z34.0 Encounter for supervision of normal first pregnancy
Z34.00 Encounter for supervision of normal first pregnancy, unspecified trimester
Z34.01 Encounter for supervision of normal first pregnancy, first trimester
Z34.02 Encounter for supervision of normal first pregnancy, second trimester
Z34.03 Encounter for supervision of normal first pregnancy, third trimester
Z34.8 Encounter for supervision of other normal pregnancy
Z34.80 Encounter for supervision of other normal pregnancy, unspecified trimester
Z34.81 Encounter for supervision of other normal pregnancy, first trimester
Z34.82 Encounter for supervision of other normal pregnancy, second trimester
Z34.83 Encounter for supervision of other normal pregnancy, third trimester
Z34.9 Encounter for supervision of normal pregnancy, unspecified
Z34.90 Encounter for supervision of normal pregnancy, unspecified, unspecified trimester
Z34.91 Encounter for supervision of normal pregnancy, unspecified, first trimester
Z34.92 Encounter for supervision of normal pregnancy, unspecified, second trimester
Z34.93 Encounter for supervision of normal pregnancy, unspecified, third trimester

Z36 Encounter for antenatal screening of mother[edit]

Excludes1: abnormal findings on antenatal screening of mother (O28.-)
diagnostic examination- code to sign or symptom
encounter for suspected maternal and fetal conditions ruled out (Z03.7-)
suspected fetal condition affecting management of pregnancy - code to condition in Chapter 15
Excludes2: genetic counseling and testing (Z31.43-, Z31.5)
routine prenatal care (Z34)

Z37 Outcome of delivery[edit]

This category is intended for use as an additional code to identify the outcome of delivery on the mother's record. It is not for use on the newborn record.
Excludes1: stillbirth (P95)
Z37.0 Single live birth
Z37.1 Single stillbirth
Z37.2 Twins, both liveborn
Z37.3 Twins, one liveborn and one stillborn
Z37.4 Twins, both stillborn
Z37.5 Other multiple births, all liveborn
Z37.50 Multiple births, unspecified, all liveborn
Z37.51 Triplets, all liveborn
Z37.52 Quadruplets, all liveborn
Z37.53 Quintuplets, all liveborn
Z37.54 Sextuplets, all liveborn
Z37.59 Other multiple births, all liveborn
Z37.6 Other multiple births, some liveborn
Z37.60 Multiple births, unspecified, some liveborn
Z37.61 Triplets, some liveborn
Z37.62 Quadruplets, some liveborn
Z37.63 Quintuplets, some liveborn
Z37.64 Sextuplets, some liveborn
Z37.69 Other multiple births, some liveborn
Z37.7 Other multiple births, all stillborn
Z37.9 Outcome of delivery, unspecified
Multiple birth NOS
Single birth NOS

Z38 Liveborn infants according to place of birth and type of delivery[edit]

This category is for use as the principal code on the initial record of a newborn baby. It is to be used for the initial birth record only. It is not to be used on the mother?s record.
Z38.0 Single liveborn infant, born in hospital
Single liveborn infant, born in birthing center or other health care facility
Z38.00 Single liveborn infant, delivered vaginally
Z38.01 Single liveborn infant, delivered by cesarean
Z38.1 Single liveborn infant, born outside hospital
Z38.2 Single liveborn infant, unspecified as to place of birth
Single liveborn infant NOS
Z38.3 Twin liveborn infant, born in hospital
Z38.30 Twin liveborn infant, delivered vaginally
Z38.31 Twin liveborn infant, delivered by cesarean
Z38.4 Twin liveborn infant, born outside hospital
Z38.5 Twin liveborn infant, unspecified as to place of birth
Z38.6 Other multiple liveborn infant, born in hospital
Z38.61 Triplet liveborn infant, delivered vaginally
Z38.62 Triplet liveborn infant, delivered by cesarean
Z38.63 Quadruplet liveborn infant, delivered vaginally
Z38.64 Quadruplet liveborn infant, delivered by cesarean
Z38.65 Quintuplet liveborn infant, delivered vaginally
Z38.66 Quintuplet liveborn infant, delivered by cesarean
Z38.68 Other multiple liveborn infant, delivered vaginally
Z38.69 Other multiple liveborn infant, delivered by cesarean
Z38.7 Other multiple liveborn infant, born outside hospital
Z38.8 Other multiple liveborn infant, unspecified as to place of birth

Z39 Encounter for maternal postpartum care and examination[edit]

Z39.0 Encounter for care and examination of mother immediately after delivery
Care and observation in uncomplicated cases when the delivery occurs outside a healthcare facility
Excludes1: care for postpartum complication- see Alphabetic index
Z39.1 Encounter for care and examination of lactating mother
Encounter for supervision of lactation
Excludes1: disorders of lactation (O92.-)
Z39.2 Encounter for routine postpartum follow-up

Encounters for other specific health care (Z40-Z53)[edit]

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
Excludes2: follow-up examination for medical surveillance after treatment (Z08-Z09)

Z40 Encounter for prophylactic surgery[edit]

Excludes1: organ donations (Z52.-)
therapeutic organ removal-code to condition
Z40.0 Encounter for prophylactic surgery for risk factors related to malignant neoplasms
Admission for prophylactic organ removal
Use additional code to identify risk factor
Z40.00 Encounter for prophylactic removal of unspecified organ
Z40.01 Encounter for prophylactic removal of breast
Z40.02 Encounter for prophylactic removal of ovary
Z40.09 Encounter for prophylactic removal of other organ
Z40.8 Encounter for other prophylactic surgery
Z40.9 Encounter for prophylactic surgery, unspecified

Z41 Encounter for procedures for purposes other than remedying health state[edit]

Z41.1 Encounter for cosmetic surgery
Encounter for cosmetic breast implant
Encounter for cosmetic procedure
Excludes1: encounter for breast reduction (N62)
encounter for plastic and reconstructive surgery following medical procedure or healed injury (Z42.-)
encounter for post-mastectomy breast implantation (Z42.1)
Z41.2 Encounter for routine and ritual male circumcision
Z41.3 Encounter for ear piercing
Z41.8 Encounter for other procedures for purposes other than remedying health state
Z41.9 Encounter for procedure for purposes other than remedying health state, unspecified

Z42 Encounter for plastic and reconstructive surgery following medical procedure or healed injury[edit]

Excludes1: encounter for cosmetic plastic surgery (Z41.1)
encounter for plastic surgery for treatment of current injury - code to relevent injury
Z42.1 Encounter for breast reconstruction following mastectomy
Excludes1: deformity and disproportion of reconstructed breast (N65.1-)
Z42.8 Encounter for other plastic and reconstructive surgery following medical procedure or healed injury

Z43 Encounter for attention to artificial openings[edit]

Includes: closure of artificial openings
passage of sounds or bougies through artificial openings
reforming artificial openings
removal of catheter from artificial openings
toilet or cleansing of artificial openings
Excludes1: artificial opening status only, without need for care (Z93.-)
complications of external stoma (J95.0-, K91.4-, K91.7-, N99.5-)
Excludes2: fitting and adjustment of prosthetic and other devices (Z44-Z46)
Z43.0 Encounter for attention to tracheostomy
Z43.1 Encounter for attention to gastrostomy
Z43.2 Encounter for attention to ileostomy
Z43.3 Encounter for attention to colostomy
Z43.4 Encounter for attention to other artificial openings of digestive tract
Z43.5 Encounter for attention to cystostomy
Z43.6 Encounter for attention to other artificial openings of urinary tract
Encounter for attention to nephrostomy
Encounter for attention to ureterostomy
Encounter for attention to urethrostomy
Z43.7 Encounter for attention to artificial vagina
Z43.8 Encounter for attention to other artificial openings
Z43.9 Encounter for attention to unspecified artificial opening

Z44 Encounter for fitting and adjustment of external prosthetic device[edit]

Includes: removal or replacement of external prosthetic device
Excludes1: malfunction or other complications of device - see Alphabetical Index
presence of prosthetic device (Z97.-)
Z44.0 Encounter for fitting and adjustment of artificial arm
Z44.00 Encounter for fitting and adjustment of unspecified artificial arm
Z44.001 Encounter for fitting and adjustment of unspecified right artificial arm
Z44.002 Encounter for fitting and adjustment of unspecified left artificial arm
Z44.009 Encounter for fitting and adjustment of unspecified artificial arm, unspecified arm
Z44.01 Encounter for fitting and adjustment of complete artificial arm
Z44.011 Encounter for fitting and adjustment of complete right artificial arm
Z44.012 Encounter for fitting and adjustment of complete left artificial arm
Z44.019 Encounter for fitting and adjustment of complete artificial arm, unspecified arm
Z44.02 Encounter for fitting and adjustment of partial artificial arm
Z44.021 Encounter for fitting and adjustment of partial artificial right arm
Z44.022 Encounter for fitting and adjustment of partial artificial left arm
Z44.029 Encounter for fitting and adjustment of partial artificial arm, unspecified arm
Z44.1 Encounter for fitting and adjustment of artificial leg
Z44.10 Encounter for fitting and adjustment of unspecified artificial leg
Z44.101 Encounter for fitting and adjustment of unspecified right artificial leg
Z44.102 Encounter for fitting and adjustment of unspecified left artificial leg
Z44.109 Encounter for fitting and adjustment of unspecified artificial leg, unspecified leg
Z44.11 Encounter for fitting and adjustment of complete artificial leg
Z44.111 Encounter for fitting and adjustment of complete right artificial leg
Z44.112 Encounter for fitting and adjustment of complete left artificial leg
Z44.119 Encounter for fitting and adjustment of complete artificial leg, unspecified leg
Z44.12 Encounter for fitting and adjustment of partial artificial leg
Z44.121 Encounter for fitting and adjustment of partial artificial right leg
Z44.122 Encounter for fitting and adjustment of partial artificial left leg
Z44.129 Encounter for fitting and adjustment of partial artificial leg, unspecified leg
Z44.2 Encounter for fitting and adjustment of artificial eye
Excludes1: mechanical complication of ocular prosthesis (T85.3)
Z44.20 Encounter for fitting and adjustment of artificial eye, unspecified
Z44.21 Encounter for fitting and adjustment of artificial right eye
Z44.22 Encounter for fitting and adjustment of artificial left eye
Z44.3 Encounter for fitting and adjustment of external breast prosthesis
Excludes1: complications of breast implant (T85.4-)
encounter for adjustment or removal of breast implant (Z45.81-)
encounter for initial breast implant insertion for cosmetic breast augmentation (Z41.1)
encounter for breast reconstruction following mastectomy (Z42.1)
Z44.30 Encounter for fitting and adjustment of external breast prosthesis, unspecified breast
Z44.31 Encounter for fitting and adjustment of external right breast prosthesis
Z44.32 Encounter for fitting and adjustment of external left breast prosthesis
Z44.8 Encounter for fitting and adjustment of other external prosthetic devices
Z44.9 Encounter for fitting and adjustment of unspecified external prosthetic device

Z45 Encounter for adjustment and management of implanted device[edit]

Includes: removal or replacement of implanted device
Excludes1: malfunction or other complications of device - see Alphabetical Index
Excludes2: encounter for fitting and adjustment of non-implanted device (Z46.-)
presence of prosthetic and other devices (Z95-Z97)
Z45.0 Encounter for adjustment and management of cardiac device
Z45.01 Encounter for adjustment and management of cardiac pacemaker
Z45.010 Encounter for checking and testing of cardiac pacemaker pulse generator [battery]
Encounter for replacing cardiac pacemaker pulse generator [battery]
Z45.018 Encounter for adjustment and management of other part of cardiac pacemaker
Z45.02 Encounter for adjustment and management of automatic implantable cardiac defibrillator
Z45.09 Encounter for adjustment and management of other cardiac device
Z45.1 Encounter for adjustment and management of infusion pump
Z45.2 Encounter for adjustment and management of vascular access device
Encounter for adjustment and management of vascular catheters
Excludes1: encounter for adjustment and management of renal dialysis catheter (Z49.01)
Z45.3 Encounter for adjustment and management of implanted devices of the special senses
Z45.31 Encounter for adjustment and management of implanted visual substitution device
Z45.32 Encounter for adjustment and management of implanted hearing device
Excludes1: Encounter for fitting and adjustment of hearing aide (Z46.1)
Z45.320 Encounter for adjustment and management of bone conduction device
Z45.321 Encounter for adjustment and management of cochlear device
Z45.328 Encounter for adjustment and management of other implanted hearing device
Z45.4 Encounter for adjustment and management of implanted nervous system device
Z45.41 Encounter for adjustment and management of cerebrospinal fluid drainage device
Encounter for adjustment and management of cerebral ventricular (communicating) shunt
Z45.42 Encounter for adjustment and management of neuropacemaker (brain) (peripheral nerve) (spinal cord)
Z45.49 Encounter for adjustment and management of other implanted nervous system device
Z45.8 Encounter for adjustment and management of other implanted devices
Z45.81 Encounter for adjustment or removal of breast implant
Encounter for elective implant exchange (different material) (different size)
Encounter removal of tissue expander without synchronous insertion of permanent implant
Excludes1: complications of breast implant (T85.4-)
encounter for initial breast implant insertion for cosmetic breast augmentation (Z41.1)
encounter for breast reconstruction following mastectomy (Z42.1)
Z45.811 Encounter for adjustment or removal of right breast implant
Z45.812 Encounter for adjustment or removal of left breast implant
Z45.819 Encounter for adjustment or removal of unspecified breast implant
Z45.82 Encounter for adjustment or removal of myringotomy device (stent) (tube)
Z45.89 Encounter for adjustment and management of other implanted devices
Z45.9 Encounter for adjustment and management of unspecified implanted device

Z46 Encounter for fitting and adjustment of other devices[edit]

Includes: removal or replacement of other device
Excludes1: malfunction or other complications of device - see Alphabetical Index
Excludes2: encounter for fitting and management of implanted devices (Z45.-)
issue of repeat prescription only (Z76.0)
presence of prosthetic and other devices (Z95-Z97)
Z46.0 Encounter for fitting and adjustment of spectacles and contact lenses
Z46.1 Encounter for fitting and adjustment of hearing aid
Excludes1: encounter for adjustment and management of implanted hearing device (Z45.32-)
Z46.2 Encounter for fitting and adjustment of other devices related to nervous system and special senses
Excludes2: encounter for adjustment and management of implanted nervous system device (Z45.4-)
encounter for adjustment and management of implanted visual substitution device (Z45.31)
Z46.3 Encounter for fitting and adjustment of dental prosthetic device
Encounter for fitting and adjustment of dentures
Z46.4 Encounter for fitting and adjustment of orthodontic device
Z46.5 Encounter for fitting and adjustment of other gastrointestinal appliance and device
Excludes1: encounter for attention to artificial openings of digestive tract (Z43.1-Z43.4)
Z46.51 Encounter for fitting and adjustment of gastric lap band
Z46.59 Encounter for fitting and adjustment of other gastrointestinal appliance and device
Z46.6 Encounter for fitting and adjustment of urinary device
Excludes2: attention to artificial openings of urinary tract (Z43.5, Z43.6)
Z46.8 Encounter for fitting and adjustment of other specified devices
Z46.81 Encounter for fitting and adjustment of insulin pump
Encounter for insulin pump titration
Encounter for insulin pump instruction and training
Z46.82 Encounter for fitting and adjustment of non-vascular catheter
Z46.89 Encounter for fitting and adjustment of other specified devices
Encounter for fitting and adjustment of wheelchair
Z46.9 Encounter for fitting and adjustment of unspecified device

Z47 Orthopedic aftercare[edit]

Excludes1 aftercare for healing fracture-code to fracture with 7th character D
Z47.1 Aftercare following joint replacement surgery
Use additional code to identify the joint (Z96.6-)
Z47.2 Encounter for removal of internal fixation device
Excludes1: encounter for adjustment of internal fixation device for fracture treatment- code to fracture with appropriate 7th character
encounter for removal of external fixation device- code to fracture with 7th character D
infection or inflammatory reaction to internal fixation device (T84.6-)
mechanical complication of internal fixation device (T84.1-)
Z47.8 Encounter for other orthopedic aftercare
Z47.81 Encounter for orthopedic aftercare following surgical amputation
Use additional code to identify the limb amputated (Z89.-)
Z47.82 Encounter for orthopedic aftercare following scoliosis surgery
Z47.89 Encounter for other orthopedic aftercare

Z48 Encounter for other postprocedural aftercare[edit]

Excludes1: encounter for follow-up examination after completed treatment (Z08-Z09)
Excludes2: encounter for attention to artificial openings (Z43.-)
encounter for fitting and adjustment of prosthetic and other devices (Z44-Z46)
Z48.0 Encounter for attention to dressings, sutures and drains
Excludes1: encounter for planned postprocedural wound closure (Z48.1)
Z48.00 Encounter for change or removal of nonsurgical wound dressing
Encounter for change or removal of wound dressing NOS
Z48.01 Encounter for change or removal of surgical wound dressing
Z48.02 Encounter for removal of sutures
Encounter for removal of staples
Z48.03 Encounter for change or removal of drains
Z48.1 Encounter for planned postprocedural wound closure
Excludes1: encounter for attention to dressings and sutures (Z48.0-)
Z48.2 Encounter for aftercare following organ transplant
Z48.21 Encounter for aftercare following heart transplant
Z48.22 Encounter for aftercare following kidney transplant
Z48.23 Encounter for aftercare following liver transplant
Z48.24 Encounter for aftercare following lung transplant
Z48.28 Encounter for aftercare following multiple organ transplant
Z48.280 Encounter for aftercare following heart-lung transplant
Z48.288 Encounter for aftercare following multiple organ transplant
Z48.29 Encounter for aftercare following other organ transplant
Z48.290 Encounter for aftercare following bone marrow transplant
Z48.298 Encounter for aftercare following other organ transplant
Z48.3 Aftercare following surgery for neoplasm
Use additional code to identify the neoplasm
Z48.8 Encounter for other specified postprocedural aftercare
Z48.81 Encounter for surgical aftercare following surgery on specified body systems
These codes identify the body system requiring aftercare. They are for use in conjunction with other aftercare codes to fully explain the aftercare encounter. The condition treated should also be coded if still present.
Excludes1: aftercare for injury- code the injury with 7th character D
Excludes2: aftercare following organ transplant (Z48.2-)
aftercare following surgery for neoplasm (Z48.3)
orthopedic aftercare (Z47.-)
Z48.810 Encounter for surgical aftercare following surgery on the sense organs
Z48.811 Encounter for surgical aftercare following surgery on the nervous system
Excludes2: encounter for surgical aftercare following surgery on the sense organs (Z48.810)
Z48.812 Encounter for surgical aftercare following surgery on the circulatory system
Z48.813 Encounter for surgical aftercare following surgery on the respiratory system
Z48.814 Encounter for surgical aftercare following surgery on the teeth or oral cavity
Z48.815 Encounter for surgical aftercare following surgery on the digestive system
Z48.816 Encounter for surgical aftercare following surgery on the genitourinary system
Excludes1: encounter for aftercare following sterilization reversal (Z31.42)
Z48.817 Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue
Z48.89 Encounter for other specified surgical aftercare

Z49 Encounter for care involving renal dialysis[edit]

Code also associated end stage renal disease (N18.6)
Z49.0 Preparatory care for renal dialysis
Encounter for dialysis instruction and training
Z49.01 Encounter for fitting and adjustment of extracorporeal dialysis catheter
Removal or replacement of renal dialysis catheter
Toilet or cleansing of renal dialysis catheter
Z49.02 Encounter for fitting and adjustment of peritoneal dialysis catheter
Z49.3 Encounter for adequacy testing for dialysis
Z49.31 Encounter for adequacy testing for hemodialysis
Z49.32 Encounter for adequacy testing for peritoneal dialysis
Encounter for peritoneal equilibration test

Z51 Encounter for other aftercare[edit]

Code also condition requiring care
Excludes1: follow-up examination after treatment (Z08-Z09)
Z51.0 Encounter for antineoplastic radiation therapy
Z51.1 Encounter for antineoplastic chemotherapy and immunotherapy
Excludes2: encounter for chemotherapy and immunotherapy for nonneoplastic condition - code to condition
Z51.11 Encounter for antineoplastic chemotherapy
Z51.12 Encounter for antineoplastic immunotherapy
Z51.5 Encounter for palliative care
Z51.8 Encounter for other specified aftercare
Excludes1: holiday relief care (Z75.5)
Z51.81 Encounter for therapeutic drug level monitoring
Code also any long-term (current) drug therapy (Z79.-)
Excludes1: encounter for blood-drug test for administrative or medicolegal reasons (Z02.83)
Z51.89 Encounter for other specified aftercare

Z52 Donors of organs and tissues[edit]

Includes: autologous and other living donors
Excludes1: cadaveric donor - omit code
examination of potential donor (Z00.5)
Z52.0 Blood donor
Z52.00 Unspecified blood donor
Z52.000 Unspecified donor, whole blood
Z52.001 Unspecified donor, stem cells
Z52.008 Unspecified donor, other blood
Z52.01 Autologous blood donor
Z52.010 Autologous donor, whole blood
Z52.011 Autologous donor, stem cells
Z52.018 Autologous donor, other blood
Z52.09 Other blood donor
Volunteer donor
Z52.090 Other blood donor, whole blood
Z52.091 Other blood donor, stem cells
Z52.098 Other blood donor, other blood
Z52.1 Skin donor
Z52.10 Skin donor, unspecified
Z52.11 Skin donor, autologous
Z52.19 Skin donor, other
Z52.2 Bone donor
Z52.20 Bone donor, unspecified
Z52.21 Bone donor, autologous
Z52.29 Bone donor, other
Z52.3 Bone marrow donor
Z52.4 Kidney donor
Z52.5 Cornea donor
Z52.6 Liver donor
Z52.8 Donor of other specified organs or tissues
Z52.81 Egg (Oocyte) donor
Z52.810 Egg (Oocyte) donor under age 35, anonymous recipient
Egg donor under age 35 NOS
Z52.811 Egg (Oocyte) donor under age 35, designated recipient
Z52.812 Egg (Oocyte) donor age 35 and over, anonymous recipient
Egg donor age 35 and over NOS
Z52.813 Egg (Oocyte) donor age 35 and over, designated recipient
Z52.819 Egg (Oocyte) donor, unspecified
Z52.89 Donor of other specified organs or tissues
Z52.9 Donor of unspecified organ or tissue
Donor NOS

Z53 Persons encountering health services for specific procedures and treatment, not carried out[edit]

Z53.0 Procedure and treatment not carried out because of contraindication
Z53.01 Procedure and treatment not carried out due to patient smoking
Z53.09 Procedure and treatment not carried out because of other contraindication
Z53.1 Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure
Z53.2 Procedure and treatment not carried out because of patient's decision for other and unspecified reasons
Z53.20 Procedure and treatment not carried out because of patient's decision for unspecified reasons
Z53.21 Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider
Z53.29 Procedure and treatment not carried out because of patient's decision for other reasons
Z53.8 Procedure and treatment not carried out for other reasons
Z53.9 Procedure and treatment not carried out, unspecified reason

Persons with potential health hazards related to socioeconomic and psychosocial circumstances (Z55-Z65)[edit]

Z55 Problems related to education and literacy[edit]

Excludes1: disorders of psychological development (F80-F89)
Z55.0 Illiteracy and low-level literacy
Z55.1 Schooling unavailable and unattainable
Z55.2 Failed school examinations
Z55.3 Underachievement in school
Z55.4 Educational maladjustment and discord with teachers and classmates
Z55.8 Other problems related to education and literacy
Problems related to inadequate teaching
Z55.9 Problems related to education and literacy, unspecified
Academic problems NOS

Z56 Problems related to employment and unemployment[edit]

Excludes2: occupational exposure to risk factors (Z57.-)
problems related to housing and economic circumstances (Z59.-)
Z56.0 Unemployment, unspecified
Z56.1 Change of job
Z56.2 Threat of job loss
Z56.3 Stressful work schedule
Z56.4 Discord with boss and workmates
Z56.5 Uncongenial work environment
Difficult conditions at work
Z56.6 Other physical and mental strain related to work
Z56.8 Other problems related to employment
Z56.81 Sexual harassment on the job
Z56.82 Military deployment status
Individual (civilian or military) currently deployed in theater or in support of military war, peacekeeping and humanitarian operations
Z56.89 Other problems related to employment
Z56.9 Unspecified problems related to employment
Occupational problems NOS

Z57 Occupational exposure to risk factors[edit]

Z57.0 Occupational exposure to noise
Z57.1 Occupational exposure to radiation
Z57.2 Occupational exposure to dust
Z57.3 Occupational exposure to other air contaminants
Z57.31 Occupational exposure to environmental tobacco smoke
Excludes2: exposure to environmental tobacco smoke (Z77.22)
Z57.39 Occupational exposure to other air contaminants
Z57.4 Occupational exposure to toxic agents in agriculture
Occupational exposure to solids, liquids, gases or vapors in agriculture
Z57.5 Occupational exposure to toxic agents in other industries
Occupational exposure to solids, liquids, gases or vapors in other industries
Z57.6 Occupational exposure to extreme temperature
Z57.7 Occupational exposure to vibration
Z57.8 Occupational exposure to other risk factors
Z57.9 Occupational exposure to unspecified risk factor

Z59 Problems related to housing and economic circumstances[edit]

Excludes2: problems related to upbringing (Z62.-)
Z59.0 Homelessness
Z59.1 Inadequate housing
Lack of heating
Restriction of space
Technical defects in home preventing adequate care
Unsatisfactory surroundings
Excludes1: problems related to the natural and physical environment (Z77.1-)
Z59.2 Discord with neighbors, lodgers and landlord
Z59.3 Problems related to living in residential institution
Boarding-school resident
Excludes1: institutional upbringing (Z62.2)
Z59.4 Lack of adequate food and safe drinking water
Inadequate drinking water supply
Excludes1: effects of hunger (T73.0)
inappropriate diet or eating habits (Z72.4)
malnutrition (E40-E46)
Z59.5 Extreme poverty
Z59.6 Low income
Z59.7 Insufficient social insurance and welfare support
Z59.8 Other problems related to housing and economic circumstances
Foreclosure on loan
Isolated dwelling
Problems with creditors
Z59.9 Problem related to housing and economic circumstances, unspecified

Z60 Problems related to social environment[edit]

Z60.0 Problems of adjustment to life-cycle transitions
Empty nest syndrome
Phase of life problem
Problem with adjustment to retirement [pension]
Z60.2 Problems related to living alone
Z60.3 Acculturation difficulty
Problem with migration
Problem with social transplantation
Z60.4 Social exclusion and rejection
Exclusion and rejection on the basis of personal characteristics, such as unusual physical appearance, illness or behavior.
Excludes1: target of adverse discrimination such as for racial or religious reasons (Z60.5)
Z60.5 Target of (perceived) adverse discrimination and persecution
Excludes1: social exclusion and rejection (Z60.4)
Z60.8 Other problems related to social environment
Z60.9 Problem related to social environment, unspecified

Z62 Problems related to upbringing[edit]

Current and past negative life events in childhood
Current and past problems of a child related to upbringing
Excludes2: maltreatment syndrome (T74.-)
problems related to housing and economic circumstances (Z59.-)
Z62.0 Inadequate parental supervision and control
Z62.1 Parental overprotection
Z62.2 Upbringing away from parents
Excludes1: problems with boarding school (Z59.3)
Z62.21 Child in welfare custody
Child in care of non-parental family member
Child in foster care
Excludes2: problem for parent due to child in welfare custody (Z63.5)
Z62.22 Institutional upbringing
Child living in orphanage or group home
Z62.29 Other upbringing away from parents
Z62.3 Hostility towards and scapegoating of child
Z62.6 Inappropriate (excessive) parental pressure
Z62.8 Other specified problems related to upbringing
Z62.81 Personal history of abuse in childhood
Z62.810 Personal history of physical and sexual abuse in childhood
Excludes1: current child physical abuse (T74.12, T76.12)
current child sexual abuse (T74. 12, T76.12)
Z62.811 Personal history of psychological abuse in childhood
Excludes1: current child psychological abuse (T74.32, T76.32)
Z62.812 Personal history of neglect in childhood
Excludes1: current child neglect (T74.02, T76.02)
Z62.819 Personal history of unspecified abuse in childhood
Excludes1: current child abuse NOS (T74.92, T76.92)
Z62.82 Parent-child conflict
Z62.820 Parent-biological child conflict
Parent-child problem NOS
Z62.821 Parent-adopted child conflict
Z62.822 Parent-foster child conflict
Z62.89 Other specified problems related to upbringing
Z62.890 Parent-child estrangement NEC
Z62.891 Sibling rivalry
Z62.898 Other specified problems related to upbringing
Z62.9 Problem related to upbringing, unspecified

Z63 Other problems related to primary support group, including family circumstances[edit]

Excludes2: maltreatment syndrome (T74.-, T76)
parent-child problems (Z62.-)
problems related to negative life events in childhood (Z62.-)
problems related to upbringing (Z62.-)
Z63.0 Problems in relationship with spouse or partner
Excludes1: counseling for spousal or partner abuse problems (Z69.1)
counseling related to sexual attitude, behavior, and orientation (Z70.-)
Z63.1 Problems in relationship with in-laws
Z63.3 Absence of family member
Excludes1: absence of family member due to disappearance and death (Z63.4)
absence of family member due to separation and divorce (Z63.5)
Z63.31 Absence of family member due to military deployment
Individual or family affected by other family member being on military deployment
Excludes1: family disruption due to return of family member from military deployment (Z63.71)
Z63.32 Other absence of family member
Z63.4 Disappearance and death of family member
Assumed death of family member
Bereavement
Z63.5 Disruption of family by separation and divorce
Marital estrangement
Z63.6 Dependent relative needing care at home
Z63.7 Other stressful life events affecting family and household
Z63.71 Stress on family due to return of family member from military deployment
Individual or family affected by family member having returned from military deployment (current or past conflict)
Z63.72 Alcoholism and drug addiction in family
Z63.79 Other stressful life events affecting family and household
Anxiety (normal) about sick person in family
Health problems within family
Ill or disturbed family member
Isolated family
Z63.8 Other specified problems related to primary support group
Family discord NOS
Family estrangement NOS
High expressed emotional level within family
Inadequate family support NOS
Inadequate or distorted communication within family
Z63.9 Problem related to primary support group, unspecified
Relationship disorder NOS

Z64 Problems related to certain psychosocial circumstances[edit]

Z64.0 Problems related to unwanted pregnancy
Z64.1 Problems related to multiparity
Z64.4 Discord with counselors
Discord with probation officer
Discord with social worker

Z65 Problems related to other psychosocial circumstances[edit]

Z65.0 Conviction in civil and criminal proceedings without imprisonment
Z65.1 Imprisonment and other incarceration
Z65.2 Problems related to release from prison
Z65.3 Problems related to other legal circumstances
Arrest
Child custody or support proceedings
Litigation
Prosecution
Z65.4 Victim of crime and terrorism
Victim of torture
Z65.5 Exposure to disaster, war and other hostilities
Excludes1: target of perceived discrimination or persecution (Z60.5)
Z65.8 Other specified problems related to psychosocial circumstances
Z65.9 Problem related to unspecified psychosocial circumstances

Do not resuscitate status (Z66)[edit]

Z66 Do not resuscitate[edit]

Includes: DNR status

Blood type (Z67)[edit]

Z67 Blood type[edit]

Z67.1 Type A blood
Z67.10 Type A blood, Rh positive
Z67.11 Type A blood, Rh negative
Z67.2 Type B blood
Z67.20 Type B blood, Rh positive
Z67.21 Type B blood, Rh negative
Z67.3 Type AB blood
Z67.30 Type AB blood, Rh positive
Z67.31 Type AB blood, Rh negative
Z67.4 Type O blood
Z67.40 Type O blood, Rh positive
Z67.41 Type O blood, Rh negative
Z67.9 Unspecified blood type
Z67.90 Unspecified blood type, Rh positive
Z67.91 Unspecified blood type, Rh negative

Body mass index (BMI) (Z68)[edit]

Z68 Body mass index (BMI)[edit]

Kilograms per meters squared
Note: BMI adult codes are for use for persons 21 years of age or older
BMI pediatric codes are for use for persons 2-20 years of age. These percentiles are based on the growth charts published by the Centers for Disease Control and Prevention (CDC)
Z68.1 Body mass index (BMI) 19 or less, adult
Z68.2 Body mass index (BMI) 20-29, adult
Z68.20 Body mass index (BMI) 20.0-20.9, adult
Z68.21 Body mass index (BMI) 21.0-21.9, adult
Z68.22 Body mass index (BMI) 22.0-22.9, adult
Z68.23 Body mass index (BMI) 23.0-23.9, adult
Z68.24 Body mass index (BMI) 24.0-24.9, adult
Z68.25 Body mass index (BMI) 25.0-25.9, adult
Z68.26 Body mass index (BMI) 26.0-26.9, adult
Z68.27 Body mass index (BMI) 27.0-27.9, adult
Z68.28 Body mass index (BMI) 28.0-28.9, adult
Z68.29 Body mass index (BMI) 29.0-29.9, adult
Z68.3 Body mass index (BMI) 30-39, adult
Z68.30 Body mass index (BMI) 30.0-30.9, adult
Z68.31 Body mass index (BMI) 31.0-31.9, adult
Z68.32 Body mass index (BMI) 32.0-32.9, adult
Z68.33 Body mass index (BMI) 33.0-33.9, adult
Z68.34 Body mass index (BMI) 34.0-34.9, adult
Z68.35 Body mass index (BMI) 35.0-35.9, adult
Z68.36 Body mass index (BMI) 36.0-36.9, adult
Z68.37 Body mass index (BMI) 37.0-37.9, adult
Z68.38 Body mass index (BMI) 38.0-38.9, adult
Z68.39 Body mass index (BMI) 39.0-39.9, adult
Z68.4 Body mass index (BMI) 40 or greater, adult
Z68.5 Body mass index (BMI) pediatric
Z68.51 Body mass index (BMI) pediatric, less than 5th percentile for age
Z68.52 Body mass index (BMI) pediatric, 5th percentile to less than 85th percentile for age
Z68.53 Body mass index (BMI) pediatric, 85th percentile to less than 95th percentile for age
Z68.54 Body mass index (BMI) pediatric, greater than or equal to 95th percentile for age

Persons encountering health services in other circumstances (Z69-Z76)[edit]

Z69 Encounter for mental health services for victim and perpetrator of abuse[edit]

Counseling for victims and perpetrators of abuse
Z69.0 Encounter for mental health services for child abuse problems
Z69.01 Encounter for mental health services for parental child abuse
Z69.010 Encounter for mental health services for victim of parental child abuse
Z69.011 Encounter for mental health services for perpetrator of parental child abuse
Excludes1: encounter for mental health services for non-parental child abuse (Z69.02-)
Z69.02 Encounter for mental health services for non-parental child abuse
Z69.020 Encounter for mental health services for victim of non-parental child abuse
Z69.021 Encounter for mental health services for perpetrator of non-parental child abuse
Z69.1 Encounter for mental health services for spousal or partner abuse problems
Z69.11 Encounter for mental health services for victim of spousal or partner abuse
Z69.12 Encounter for mental health services for perpetrator of spousal or partner abuse
Z69.8 Encounter for mental health services for victim or perpetrator of other abuse
Z69.81 Encounter for mental health services for victim of other abuse
Encounter for rape victim counseling
Z69.82 Encounter for mental health services for perpetrator of other abuse

Z70 Counseling related to sexual attitude, behavior and orientation[edit]

Encounter for mental health services for sexual attitude, behavior and orientation
Excludes2: contraceptive or procreative counseling (Z30-Z31)
Z70.0 Counseling related to sexual attitude
Z70.1 Counseling related to patient's sexual behavior and orientation
Patient concerned regarding impotence
Patient concerned regarding non-responsiveness
Patient concerned regarding promiscuity
Patient concerned regarding sexual orientation
Z70.2 Counseling related to sexual behavior and orientation of third party
Advice sought regarding sexual behavior and orientation of child
Advice sought regarding sexual behavior and orientation of partner
Advice sought regarding sexual behavior and orientation of spouse
Z70.3 Counseling related to combined concerns regarding sexual attitude, behavior and orientation
Z70.8 Other sex counseling
Encounter for sex education
Z70.9 Sex counseling, unspecified

Z71 Persons encountering health services for other counseling and medical advice, not elsewhere classified[edit]

Excludes2: contraceptive or procreation counseling (Z30-Z31)
sex counseling (Z70.-)
Z71.0 Person encountering health services to consult on behalf of another person
Person encountering health services to seek advice or treatment for non-attending third party
Excludes2: anxiety (normal) about sick person in family (Z63.7)
expectant (adoptive) parent(s) pre-birth pediatrician visit (Z76.81)
Z71.1 Person with feared health complaint in whom no diagnosis is made
Person encountering health services with feared condition which was not demonstrated
Person encountering health services in which problem was normal state
"Worried well"
Excludes1: medical observation for suspected diseases and conditions proven not to exist (Z03.-)
Z71.2 Person consulting for explanation of examination or test findings
Z71.3 Dietary counseling and surveillance
Use additional code for any associated underlying medical condition
Use additional code to identify body mass index (BMI), if known (Z68.-)
Z71.4 Alcohol abuse counseling and surveillance
Use additional code for alcohol abuse or dependence (F10.-)
Z71.41 Alcohol abuse counseling and surveillance of alcoholic
Z71.42 Counseling for family member of alcoholic
Counseling for significant other, partner, or friend of alcoholic
Z71.5 Drug abuse counseling and surveillance
Use additional code for drug abuse or dependence (F11-F16, F18-F19)
Z71.51 Drug abuse counseling and surveillance of drug abuser
Z71.52 Counseling for family member of drug abuser
Counseling for significant other, partner, or friend of drug abuser
Z71.6 Tobacco abuse counseling
Use additional code for nicotine dependence (F17.-)
Z71.7 Human immunodeficiency virus [HIV] counseling
Z71.8 Other specified counseling
Excludes2: counseling for contraception (Z30.0-)
counseling for genetics (Z31.5)
counseling for procreative management (Z31.6-)
Z71.81 Spiritual or religious counseling
Z71.89 Other specified counseling
Z71.9 Counseling, unspecified
Encounter for medical advice NOS

Z72 Problems related to lifestyle[edit]

Excludes2: problems related to life-management difficulty (Z73.-)
problems related to socioeconomic and psychosocial circumstances (Z55-Z65)
Z72.0 Tobacco use
Tobacco use NOS
Excludes1: history of tobacco dependence (Z87.891)
nicotine dependence (F17.2-)
tobacco dependence (F17.2-)
tobacco use during pregnancy (O99.33-)
Z72.3 Lack of physical exercise
Z72.4 Inappropriate diet and eating habits
Excludes1: behavioral eating disorders of infancy or childhood (F98.2.- -F98.3)
eating disorders (F50.-)
lack of adequate food (Z59.4)
malnutrition and other nutritional deficiencies (E40-E64)
Z72.5 High risk sexual behavior
Promiscuity
Excludes1: paraphilias (F65)
Z72.51 High risk heterosexual behavior
Z72.52 High risk homosexual behavior
Z72.53 High risk bisexual behavior
Z72.6 Gambling and betting
Excludes1: compulsive or pathological gambling (F63.0)
Z72.8 Other problems related to lifestyle
Z72.81 Antisocial behavior
Excludes1: conduct disorders (F91.-)
Z72.810 Child and adolescent antisocial behavior
Antisocial behavior (child) (adolescent) without manifest psychiatric disorder
Delinquency NOS
Group delinquency
Offenses in the context of gang membership
Stealing in company with others
Truancy from school
Z72.811 Adult antisocial behavior
Adult antisocial behavior without manifest psychiatric disorder
Z72.82 Problems related to sleep
Z72.820 Sleep deprivation
Lack of adequate sleep
Excludes1: insomnia (G47.0-)
Z72.821 Inadequate sleep hygiene
Bad sleep habits
Irregular sleep habits
Unhealthy sleep wake schedule
Excludes1: insomnia (F51.0-, G47.0-)
Z72.89 Other problems related to lifestyle
Self-damaging behavior
Z72.9 Problem related to lifestyle, unspecified

Z73 Problems related to life management difficulty[edit]

Excludes2: problems related to socioeconomic and psychosocial circumstances (Z55-Z65)
Z73.0 Burn-out
Z73.1 Type A behavior pattern
Z73.2 Lack of relaxation and leisure
Z73.3 Stress, not elsewhere classified
Physical and mental strain NOS
Excludes1: stress related to employment or unemployment (Z56.-)
Z73.4 Inadequate social skills, not elsewhere classified
Z73.5 Social role conflict, not elsewhere classified
Z73.6 Limitation of activities due to disability
Excludes1: care-provider dependency (Z74.-)
Z73.8 Other problems related to life management difficulty
Z73.81 Behavioral insomnia of childhood
Z73.810 Behavioral insomnia of childhood, sleep-onset association type
Z73.811 Behavioral insomnia of childhood, limit setting type
Z73.812 Behavioral insomnia of childhood, combined type
Z73.819 Behavioral insomnia of childhood, unspecified type
Z73.82 Dual sensory impairment
Z73.89 Other problems related to life management difficulty
Z73.9 Problem related to life management difficulty, unspecified

Z74 Problems related to care provider dependency[edit]

Excludes2: dependence on enabling machines or devices NEC (Z99.-)
Z74.0 Reduced mobility
Z74.01 Bed confinement status
Bedridden
Z74.09 Other reduced mobility
Chairridden
Reduced mobility NOS
Excludes2: wheelchair dependence (Z99.3)
Z74.1 Need for assistance with personal care
Z74.2 Need for assistance at home and no other household member able to render care
Z74.3 Need for continuous supervision
Z74.8 Other problems related to care provider dependency
Z74.9 Problem related to care provider dependency, unspecified

Z75 Problems related to medical facilities and other health care[edit]

Z75.0 Medical services not available in home
Excludes1: no other household member able to render care (Z74.2)
Z75.1 Person awaiting admission to adequate facility elsewhere
Z75.2 Other waiting period for investigation and treatment
Z75.3 Unavailability and inaccessibility of health-care facilities
Excludes1: bed unavailable (Z75.1)
Z75.4 Unavailability and inaccessibility of other helping agencies
Z75.5 Holiday relief care
Z75.8 Other problems related to medical facilities and other health care
Z75.9 Unspecified problem related to medical facilities and other health care

Z76 Persons encountering health services in other circumstances[edit]

Z76.0 Encounter for issue of repeat prescription
Encounter for issue of repeat prescription for appliance
Encounter for issue of repeat prescription for medicaments
Encounter for issue of repeat prescription for spectacles
Excludes2: issue of medical certificate (Z02.7)
repeat prescription for contraceptive (Z30.4-)
Z76.1 Encounter for health supervision and care of foundling
Z76.2 Encounter for health supervision and care of other healthy infant and child
Encounter for medical or nursing care or supervision of healthy infant under circumstances such as adverse socioeconomic conditions at home
Encounter for medical or nursing care or supervision of healthy infant under circumstances such as awaiting foster or adoptive placement
Encounter for medical or nursing care or supervision of healthy infant under circumstances such as maternal illness
Encounter for medical or nursing care or supervision of healthy infant under circumstances such as number of children at home preventing or interfering with normal care
Z76.3 Healthy person accompanying sick person
Z76.4 Other boarder to healthcare facility
Excludes1: homelessness (Z59.0)
Z76.5 Malingerer [conscious simulation]
Person feigning illness (with obvious motivation)
Excludes1: factitious disorder (F68.1-)
peregrinating patient (F68.1-)
Z76.8 Persons encountering health services in other specified circumstances
Z76.81 Expectant parent(s) prebirth pediatrician visit
Pre-adoption pediatrician visit for adoptive parent(s)
Z76.82 Awaiting organ transplant status
Patient waiting for organ availability
Z76.89 Persons encountering health services in other specified circumstances
Persons encountering health services NOS

Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99)[edit]

Code also any follow-up examination (Z08-Z09)

Z77 Other contact with and (suspected) exposures hazardous to health[edit]

Includes: contact with and (suspected) exposures to potential hazards to health
Excludes2: contact with and (suspected) exposure to communicable diseases (Z20.-)
exposure to (parental) (environmental) tobacco smoke in the perinatal period (P96.81)
newborn (suspected to be) affected by noxious substances transmitted via placenta or breast milk (P04.-)
occupational exposure to risk factors (Z57.-)
toxic effects of substances chiefly nonmedicinal as to source (T51-T65)
Z77.0 Contact with and (suspected) exposure to hazardous, chiefly nonmedicinal, chemicals
Z77.01 Contact with and (suspected) exposure to hazardous metals
Z77.010 Contact with and (suspected) exposure to arsenic
Z77.011 Contact with and (suspected) exposure to lead
Z77.018 Contact with and (suspected) exposure to other hazardous metals
Contact with and (suspected) exposure to chromium compounds
Contact with and (suspected) exposure to nickel dust
Z77.02 Contact with and (suspected) exposure to hazardous aromatic compounds
Z77.020 Contact with and (suspected) exposure to aromatic amines
Z77.021 Contact with and (suspected) exposure to benzene
Z77.028 Contact with and (suspected) exposure to other hazardous aromatic compounds
Aromatic dyes NOS
Polycyclic aromatic hydrocarbons
Z77.09 Contact with and (suspected) exposure to other hazardous, chiefly nonmedicinal, chemicals
Z77.090 Contact with and (suspected) exposure to asbestos
Z77.098 Contact with and (suspected) exposure to other hazardous, chiefly nonmedicinal, chemicals
Dyes NOS
Z77.1 Contact with and (suspected) exposure to environmental pollution and hazards in the physical environment
Z77.11 Contact with and (suspected) exposure to environmental pollution
Z77.110 Contact with and (suspected) exposure to air pollution
Z77.111 Contact with and (suspected) exposure to water pollution
Z77.112 Contact with and (suspected) exposure to soil pollution
Z77.118 Contact with and (suspected) exposure to other environmental pollution
Z77.12 Contact with and (suspected) exposure to hazards in the physical environment
Z77.120 Contact with and (suspected) exposure to mold (toxic)
Z77.121 Contact with and (suspected) exposure to harmful algae and algae toxins
Contact with and (suspected) exposure to (harmful) algae bloom NOS
Contact with and (suspected) exposure to blue-green algae bloom
Contact with and (suspected) exposure to brown tide
Contact with and (suspected) exposure to cyanobacteria bloom
Contact with and (suspected) exposure to Florida red tide
Contact with and (suspected) exposure to pfiesteria piscicida
Contact with and (suspected) exposure to red tide
Z77.122 Contact with and (suspected) exposure to noise
Z77.123 Contact with and (suspected) exposure to radon and other naturally occuring radiation
Excludes2: radiation exposure as the cause of a confirmed condition (W88-W90, X39.0-)
radiation sickness NOS (T66)
Z77.128 Contact with and (suspected) exposure to other hazards in the physical environment
Z77.2 Contact with and (suspected ) exposure to other hazardous substances
Z77.21 Contact with and (suspected) exposure to potentially hazardous body fluids
Z77.22 Contact with and (suspected) exposure to environmental tobacco smoke (acute) (chronic)
Exposure to second hand tobacco smoke (acute) (chronic)
Passive smoking (acute) (chronic)
Excludes1: nicotine dependence (F17.-)
tobacco use (Z72.0)
Excludes2: occupational exposure to environmental tobacco smoke (Z57.31)
Z77.29 Contact with and (suspected ) exposure to other hazardous substances
Z77.9 Other contact with and (suspected) exposures hazardous to health

Z78 Other specified health status[edit]

Excludes2: asymptomatic human immunodeficiency virus [HIV] infection status (Z21)
postprocedural status (Z93- Z99)
sex reassignment status (Z87.890)
Z78.0 Asymptomatic menopausal state
Menopausal state NOS
Postmenopausal status NOS
Excludes2: symptomatic menopausal state (N95.1)
Z78.9 Other specified health status

Z79 Long term (current) drug therapy[edit]

Includes: long term (current) drug use for prophylactic purposes
Code also any therapeutic drug level monitoring (Z51.81)
Excludes2: drug abuse and dependence (F11-F19)
drug use complicating pregnancy, childbirth, and the puerperium (O99.32-)
Z79.0 Long term (current) use of anticoagulants and antithrombotics/antiplatelets
Excludes2: long term (current) use of aspirin (Z79.83)
Z79.01 Long term (current) use of anticoagulants
Z79.02 Long term (current) use of antithrombotics/antiplatelets
Z79.1 Long term (current) use of non-steroidal anti-inflammatories (NSAID)
Excludes2: long term (current) use of aspirin (Z79.82)
Z79.2 Long term (current) use of antibiotics
Z79.3 Long term (current) use of hormonal contraceptives
Long term (current) use of birth control pill or patch
Z79.4 Long term (current) use of insulin
Z79.5 Long term (current) use of steroids
Z79.51 Long term (current) use of inhaled steroids
Z79.52 Long term (current) use of systemic steroids
Z79.8 Other long term (current) drug therapy
Z79.81 Long term (current) use of agents affecting estrogen receptors and estrogen levels
Code first, if applicable:
malignant neoplasm of breast (C50.-)
malignant neoplasm of prostate (C61)
Use additional code, if applicable, to identify:
estrogen receptor positive status (Z17.0)
family history of breast cancer (Z80.3)
genetic susceptibility to malignant neoplasm (cancer) (Z15.0-)
personal history of breast cancer (Z85.3)
personal history of prostate cancer (Z85.46)
postmenopausal status (Z78.0)
Excludes1: hormone replacement therapy (postmenopausal) (Z79.890)
Z79.810 Long term (current) use of selective estrogen receptor modulators (SERMs)
Long term (current) use of raloxifene (Evista)
Long term (current) use of tamoxifen (Nolvadex)
Long term (current) use of toremifene (Fareston)
Z79.811 Long term (current) use of aromatase inhibitors
Long term (current) use of anastrozole (Arimidex)
Long term (current) use of exemestane (Aromasin)
Long term (current) use of letrozole (Femara)
Z79.818 Long term (current) use of other agents affecting estrogen receptors and estrogen levels
Long term (current) use of estrogen receptor downregulators
Long term (current) use of fulvestrant (Faslodex)
Long term (current) use of gonadotropin-releasing hormone (GnRH) agonist
Long term (current) use of goserelin acetate (Zoladex)
Long term (current) use of leuprolide acetate (leuprorelin) (Lupron)
Long term (current) use of megestrol acetate (Megace)
Z79.82 Long term (current) use of aspirin
Z79.89 Other long term (current) drug therapy
Z79.890 Hormone replacement therapy (postmenopausal)
Z79.891 Long term (current) use of opiate analgesic
Long term (current) use of methadone for pain management
Excludes1: methodone use NOS (F11.2-)
use of methodone for treatment of heroin addiction (F11.2-)
Z79.899 Other long term (current) drug therapy

Z80 Family history of primary malignant neoplasm[edit]

Z80.0 Family history of malignant neoplasm of digestive organs
Conditions classifiable to C15-C26
Z80.1 Family history of malignant neoplasm of trachea, bronchus and lung
Conditions classifiable to C33-C34
Z80.2 Family history of malignant neoplasm of other respiratory and intrathoracic organs
Conditions classifiable to C30-C32, C37-C39
Z80.3 Family history of malignant neoplasm of breast
Conditions classifiable to C50.-
Z80.4 Family history of malignant neoplasm of genital organs
Conditions classifiable to C51-C63
Z80.41 Family history of malignant neoplasm of ovary
Z80.42 Family history of malignant neoplasm of prostate
Z80.43 Family history of malignant neoplasm of testis
Z80.49 Family history of malignant neoplasm of other genital organs
Z80.5 Family history of malignant neoplasm of urinary tract
Conditions classifiable to C64-C68
Z80.51 Family history of malignant neoplasm of kidney
Z80.52 Family history of malignant neoplasm of bladder
Z80.59 Family history of malignant neoplasm of other urinary tract organ
Z80.6 Family history of leukemia
Conditions classifiable to C91-C95
Z80.7 Family history of other malignant neoplasms of lymphoid, hematopoietic and related tissues
Conditions classifiable to C81-C90, C96.-
Z80.8 Family history of malignant neoplasm of other organs or systems
Conditions classifiable to C00-C14, C40-C49, C69-C79
Z80.9 Family history of malignant neoplasm, unspecified
Conditions classifiable to C80.1

Z81 Family history of mental and behavioral disorders[edit]

Z81.0 Family history of mental retardation
Conditions classifiable to F70-F79
Z81.1 Family history of alcohol abuse and dependence
Conditions classifiable to F10.-
Z81.2 Family history of tobacco abuse and dependence
Conditions classifiable to F17.-
Z81.3 Family history of other psychoactive substance abuse and dependence
Conditions classifiable to F11-F16, F18-F19
Z81.4 Family history of other substance abuse and dependence
Conditions classifiable to F55
Z81.8 Family history of other mental and behavioral disorders
Conditions classifiable elsewhere in F01-F99

Z82 Family history of certain disabilities and chronic diseases (leading to disablement)[edit]

Z82.0 Family history of epilepsy and other diseases of the nervous system
Conditions classifiable to G00-G99
Z82.1 Family history of blindness and visual loss
Conditions classifiable to H54.-
Z82.2 Family history of deafness and hearing loss
Conditions classifiable to H90-H91
Z82.3 Family history of stroke
Conditions classifiable to I60-I64
Z82.4 Family history of ischemic heart disease and other diseases of the circulatory system
Conditions classifiable to I00-I52, I65-I99
Z82.41 Family history of sudden cardiac death
Z82.49 Family history of ischemic heart disease and other diseases of the circulatory system
Z82.5 Family history of asthma and other chronic lower respiratory diseases
Conditions classifiable to J40-J47
Excludes2: family history of other diseases of the respiratory system (Z83.6)
Z82.6 Family history of arthritis and other diseases of the musculoskeletal system and connective tissue
Conditions classifiable to M00-M99
Z82.61 Family history of arthritis
Z82.62 Family history of osteoporosis
Z82.69 Family history of other diseases of the musculoskeletal system and connective tissue
Z82.7 Family history of congenital malformations, deformations and chromosomal abnormalities
Conditions classifiable to Q00-Q99
Z82.71 Family history of polycystic kidney
Z82.79 Family history of other congenital malformations, deformations and chromosomal abnormalities
Z82.8 Family history of other disabilities and chronic diseases leading to disablement, not elsewhere classified

Z83 Family history of other specific disorders[edit]

Excludes2: contact with and (suspected) exposure to communicable disease in the family (Z20.-)
Z83.0 Family history of human immunodeficiency virus [HIV] disease
Conditions classifiable to B20
Z83.1 Family history of other infectious and parasitic diseases
Conditions classifiable to A00-B19, B25-B94, B99
Z83.2 Family history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
Conditions classifiable to D50-D89
Z83.3 Family history of diabetes mellitus
Conditions classifiable to E09-E13
Z83.4 Family history of other endocrine, nutritional and metabolic diseases
Conditions classifiable to E00-E07, E15-E90
Z83.41 Family history of multiple endocrine neoplasia [MEN] syndrome
Z83.49 Family history of other endocrine, nutritional and metabolic diseases
Z83.5 Family history of eye and ear disorders
Conditions classifiable to H00-H53, H55-H83, H92-H95
Excludes2: family history of blindness and visual loss (Z82.1)
family history of deafness and hearing loss (Z82.2)
Z83.6 Family history of other diseases of the respiratory system
Conditions classifiable to J00-J39, J60-J99
Excludes2: family history of asthma and other chronic lower respiratory diseases (Z82.5)
Z83.7 Family history of diseases of the digestive system
Conditions classifiable to K00-K93
Z83.71 Family history of colonic polyps
Excludes1: family history of malignant neoplasm of digestive organs (Z80.0)
Z83.79 Family history of other diseases of the digestive system

Z84 Family history of other conditions[edit]

Z84.0 Family history of diseases of the skin and subcutaneous tissue
Conditions classifiable to L00-L99
Z84.1 Family history of disorders of kidney and ureter
Conditions classifiable to N00-N29
Z84.2 Family history of other diseases of the genitourinary system
Conditions classifiable to N30-N99
Z84.3 Family history of consanguinity
Z84.8 Family history of other specified conditions
Z84.81 Family history of carrier of genetic disease
Z84.89 Family history of other specified conditions

Z85 Personal history of malignant neoplasm[edit]

Code first any follow-up examination after treatment of malignant neoplasm (Z08)
Use additional code to identify:
alcohol use and dependence (F10.-)
exposure to environmental tobacco smoke (Z77.22)
history of tobacco use (Z87.891)
occupational exposure to environmental tobacco smoke (Z57.31)
tobacco dependence (F17.-)
tobacco use (Z72.0)
Excludes2: personal history of benign neoplasm (Z86.01-)
personal history of carcinoma-in-situ (Z86.00-)
Z85.0 Personal history of malignant neoplasm of digestive organs
Z85.00 Personal history of malignant neoplasm of unspecified digestive organ
Z85.01 Personal history of malignant neoplasm of esophagus
Conditions classifiable to C15
Z85.02 Personal history of malignant neoplasm of stomach
Z85.020 Personal history of malignant carcinoid tumor of stomach
Conditions classifiable to C7a.092
Z85.028 Personal history of other malignant neoplasm of stomach
Conditions classifiable to C16
Z85.03 Personal history of malignant neoplasm of large intestine
Z85.030 Personal history of malignant carcinoid tumor of large intestine
Conditions classifiable to C7a.022-C7a.025, C7a.029
Z85.038 Personal history of other malignant neoplasm of large intestine
Conditions classifiable to C18
Z85.04 Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus
Z85.040 Personal history of malignant carcinoid tumor of rectum
Conditions classifiable to C7a.026
Z85.048 Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus
Conditions classifiable to C19-C21
Z85.05 Personal history of malignant neoplasm of liver
Conditions classifiable to C22
Z85.06 Personal history of malignant neoplasm of small intestine
Z85.060 Personal history of malignant carcinoid tumor of small intestine
Conditions classifiable to C7a.01-
Z85.068 Personal history of other malignant neoplasm of small intestine
Conditions classifiable to C17
Z85.07 Personal history of malignant neoplasm of pancreas
Conditions classifiable to C25
Z85.09 Personal history of malignant neoplasm of other digestive organs
Z85.1 Personal history of malignant neoplasm of trachea, bronchus and lung
Z85.11 Personal history of malignant neoplasm of bronchus and lung
Z85.110 Personal history of malignant carcinoid tumor of bronchus and lung
Conditions classifiable to C7a.090
Z85.118 Personal history of other malignant neoplasm of bronchus and lung
Conditions classifiable to C34
Z85.12 Personal history of malignant neoplasm of trachea
Conditions classifiable to C33
Z85.2 Personal history of malignant neoplasm of other respiratory and intrathoracic organs
Z85.20 Personal history of malignant neoplasm of unspecified respiratory organ
Z85.21 Personal history of malignant neoplasm of larynx
Conditions classifiable to C32
Z85.22 Personal history of malignant neoplasm of nasal cavities, middle ear, and accessory sinuses
Conditions classifiable to C30-C31
Z85.23 Personal history of malignant neoplasm of thymus
Z85.230 Personal history of malignant carcinoid tumor of thymus
Conditions classifiable to C7a.091
Z85.238 Personal history of malignant neoplasm of thymus
Conditions classifiable to C37
Z85.29 Personal history of malignant neoplasm of other respiratory and intrathoracic organs
Z85.3 Personal history of malignant neoplasm of breast
Conditions classifiable to C50.-
Z85.4 Personal history of malignant neoplasm of genital organs
Conditions classifiable to C51-C63
Z85.40 Personal history of malignant neoplasm of unspecified female genital organ
Z85.41 Personal history of malignant neoplasm of cervix uteri
Z85.42 Personal history of malignant neoplasm of other parts of uterus
Z85.43 Personal history of malignant neoplasm of ovary
Z85.44 Personal history of malignant neoplasm of other female genital organs
Z85.45 Personal history of malignant neoplasm of unspecified male genital organ
Z85.46 Personal history of malignant neoplasm of prostate
Z85.47 Personal history of malignant neoplasm of testis
Z85.48 Personal history of malignant neoplasm of epididymis
Z85.49 Personal history of malignant neoplasm of other male genital organs
Z85.5 Personal history of malignant neoplasm of urinary tract
Conditions classifiable to C64-C68
Z85.50 Personal history of malignant neoplasm of unspecified urinary tract organ
Z85.51 Personal history of malignant neoplasm of bladder
Z85.52 Personal history of malignant neoplasm of kidney
Excludes1: personal history of malignant neoplasm of renal pelvis (Z85.53)
Z85.520 Personal history of malignant carcinoid tumor of kidney
Conditions classifiable to C7a.093
Z85.528 Personal history of other malignant neoplasm of kidney
Conditions classifiable to C64
Z85.53 Personal history of malignant neoplasm of renal pelvis
Z85.59 Personal history of malignant neoplasm of other urinary tract organ
Z85.6 Personal history of leukemia
Conditions classifiable to C91-C95
Excludes1: leukemia in remission C91.0-C95.9 with 5th character 1
Z85.7 Personal history of other malignant neoplasms of lymphoid, hematopoietic and related tissues
Z85.71 Personal history of Hodgkin lymphoma
Conditions classifiable to C81
Z85.72 Personal history of non-Hodgkin lymphomas
Conditions classifiable to C82-C85
Z85.79 Personal history of other malignant neoplasms of lymphoid, hematopoietic and related tissues
Conditions classifiable to C88-C90, C96
Excludes1: multiple myeloma in remission (C90.01)
plasma cell leukemia in remission (C90.11)
plasmacytoma in remission (C90.21)
Z85.8 Personal history of malignant neoplasms of other organs and systems
Conditions classifiable to C00-C14, C40-C49, C69-C79, C7a.098
Z85.81 Personal history of malignant neoplasm of lip, oral cavity, and pharynx
Z85.810 Personal history of malignant neoplasm of tongue
Z85.818 Personal history of malignant neoplasm of other sites of lip, oral cavity, and pharynx
Z85.819 Personal history of malignant neoplasm of unspecified site of lip, oral cavity, and pharynx
Z85.82 Personal history of malignant neoplasm of skin
Z85.820 Personal history of malignant melanoma of skin
Conditions classifiable to C43
Z85.821 Personal history of Merkel cell carcinoma
Conditions classifiable to C4a
Z85.828 Personal history of other malignant neoplasm of skin
Conditions classifiable to C44
Z85.83 Personal history of malignant neoplasm of bone and soft tissue
Z85.830 Personal history of malignant neoplasm of bone
Z85.831 Personal history of malignant neoplasm of soft tissue
Excludes2: personal history of malignant neoplasm of skin (Z85.82-)
Z85.84 Personal history of malignant neoplasm of eye and nervous tissue
Z85.840 Personal history of malignant neoplasm of eye
Z85.841 Personal history of malignant neoplasm of brain
Z85.848 Personal history of malignant neoplasm of other parts of nervous tissue
Z85.85 Personal history of malignant neoplasm of endocrine glands
Z85.850 Personal history of malignant neoplasm of thyroid
Z85.858 Personal history of malignant neoplasm of other endocrine glands
Z85.89 Personal history of malignant neoplasm of other organs and systems
Z85.9 Personal history of malignant neoplasm, unspecified
Conditions classifiable to C7a.00, C80.1

Z86 Personal history of certain other diseases[edit]

Code first any follow-up examination after treatment (Z09)
Z86.0 Personal history of in-situ and benign neoplasms and neoplasms of uncertain behavior
Excludes2: personal history of malignant neoplasms (Z85.-)
Z86.00 Personal history of in-situ neoplasm
Z86.000 Personal history of in-situ neoplasm of breast
Z86.001 Personal history of in-situ neoplasm of cervix uteri
Z86.008 Personal history of in-situ neoplasm of other site
Z86.01 Personal history of benign neoplasm
Z86.010 Personal history of colonic polyps
Z86.011 Personal history of benign neoplasm of the brain
Z86.012 Personal history of benign carcinoid tumor
Z86.018 Personal history of other benign neoplasm
Z86.03 Personal history of neoplasm of uncertain behavior
Z86.1 Personal history of infectious and parasitic diseases
Conditions classifiable to A00-B89, B99
Excludes1: personal history of infectious diseases specific to a body system
sequelae of infectious and parasitic diseases (B90-B94)
Z86.11 Personal history of tuberculosis
Z86.12 Personal history of poliomyelitis
Z86.13 Personal history of malaria
Z86.19 Personal history of other infectious and parasitic diseases
Z86.2 Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
Conditions classifiable to D50-D89
Z86.3 Personal history of endocrine, nutritional and metabolic diseases
Conditions classifiable to E00-E90
Z86.31 Personal history of diabetic foot ulcer
Excludes2: current diabetic foot ulcer (E09.640, E10.640, E11.640, E13.640)
Z86.39 Personal history of other endocrine, nutritional and metabolic disease
Z86.6 Personal history of diseases of the nervous system and sense organs
Conditions classifiable to G00-G99, H00-H95
Z86.61 Personal history of infections of the central nervous system
Personal history of encephalitis
Personal history of meningitis
Z86.69 Personal history of other diseases of the nervous system and sense organs
Z86.7 Personal history of diseases of the circulatory system
Conditions classifiable to I00-I99
Excludes2: old myocardial infarction (I25.2)
postmyocardial infarction syndrome (I24.1)
Z86.71 Personal history of venous thrombosis and embolism
Z86.72 Personal history of thrombophlebitis
Z86.73 Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits
Personal history of prolonged reversible ischemic neurological deficit (PRIND)
Personal history of stroke NOS without residual deficits
Excludes1: personal history of traumatic brain injury (Z87.820)
sequelae of cerebrovascular disease (I69.-)
Z86.74 Personal history of sudden cardiac arrest
Personal history of sudden cardiac death sucessfully resuscitated
Z86.79 Personal history of other diseases of the circulatory system

Z87 Personal history of other diseases and conditions[edit]

Code first any: follow-up examination after treatment (Z09)
Z87.0 Personal history of diseases of the respiratory system
Conditions classifiable to J00-J99
Z87.01 Personal history of pneumonia (recurrent)
Z87.09 Personal history of other diseases of the respiratory system
Z87.1 Personal history of diseases of the digestive system
Conditions classifiable to K00-K93
Z87.11 Personal history of peptic ulcer disease
Z87.19 Personal history of other diseases of the digestive system
Z87.2 Personal history of diseases of the skin and subcutaneous tissue
Conditions classifiable to L00-L99
Excludes2: personal history of diabetic foot ulcer (Z86.31)
Z87.3 Personal history of diseases of the musculoskeletal system and connective tissue
Conditions classifiable to M00-M99
Excludes2: personal history of (healed) traumatic fracture (Z87.81)
Z87.31 Personal history of (healed) nontraumatic fracture
Z87.310 Personal history of (healed) osteoporosis fracture
Personal history of (healed) fragility fracture
Personal history of (healed) collapsed vertebra due to osteoporosis
Z87.311 Personal history of (healed) other pathological fracture
Personal history of (healed) collapsed vertebra NOS
Excludes2: personal history of osteoporosis fracture (Z87.310)
Z87.312 Personal history of (healed) stress fracture
Personal history of (healed) fatigue fracture
Z87.39 Personal history of other diseases of the musculoskeletal system and connective tissue
Z87.4 Personal history of diseases of the genitourinary system
Conditions classifiable to N00-N99
Z87.41 Personal history of urinary (tract) infection(s)
Z87.42 Personal history of nephrotic syndrome
Z87.43 Personal history of urinary calculi
Z87.44 Personal history of cervical dysplasia
Excludes1: personal history of malignant neoplasm of cervix uteri (Z85.41)
Z87.49 Personal history of other diseases of the genitourinary system
Z87.5 Personal history of complications of pregnancy, childbirth and the puerperium
Conditions classifiable to O00-O99
Excludes2: habitual aborter (N96)
Z87.51 Personal history of pre-term labor
Excludes1: current pregnancy with history of pre-term labor (O09.21-)
Z87.59 Personal history of other complications of pregnancy, childbirth and the puerperium
Personal history of trophoblastic disease
Z87.7 Personal history of congenital malformations and deformations
Conditions classifiable to Q00-Q89 that have been repaired or corrected
Z87.71 Personal history of hypospadias
Z87.79 Personal history of other congenital malformations and deformations
Z87.8 Personal history of other specified conditions
Excludes2: personal history of self harm (Z91.5)
Z87.81 Personal history of (healed) traumatic fracture
Excludes2: personal history of (healed) nontraumatic fracture (Z87.31-)
Z87.82 Personal history of other (healed) physical injury and trauma
Conditions classifiable to S00-T98, except traumatic fractures
Z87.820 Personal history of traumatic brain injury
Excludes1: personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits (Z86.73)
Z87.828 Personal history of other (healed) physical injury and trauma
Z87.89 Personal history of other specified conditions
Z87.890 Personal history of sex reassignment
Z87.891 Personal history of nicotine dependence
Excludes1: current nicotine dependence (F17.2-)
Z87.898 Personal history of other specified conditions

Z88 Allergy status to drugs, medicaments and biological substances[edit]

Excludes2: Allergy status, other than to drugs and biological substances (Z91.0-)
Z88.0 Allergy status to penicillin
Z88.1 Allergy status to other antibiotic agents status
Z88.2 Allergy status to sulfonamides status
Z88.3 Allergy status to other anti-infective agents status
Z88.4 Allergy status to anesthetic agent status
Z88.5 Allergy status to narcotic agent status
Z88.6 Allergy status to analgesic agent status
Z88.7 Allergy status to serum and vaccine status
Z88.8 Allergy status to other drugs, medicaments and biological substances status
Z88.9 Allergy status to unspecified drugs, medicaments and biological substances status

Z89 Acquired absence of limb[edit]

Includes: amputation status
postprocedural loss of limb
post-traumatic loss of limb
Excludes1: acquired deformities of limbs (M20-M21)
congenital absence of limbs (Q71-Q73)
Z89.0 Acquired absence of thumb and other finger(s)
Z89.01 Acquired absence of thumb
Z89.011 Acquired absence of right thumb
Z89.012 Acquired absence of left thumb
Z89.019 Acquired absence of unspecified thumb
Z89.02 Acquired absence of other finger(s)
Excludes2: acquired absence of thumb (Z89.01-)
Z89.021 Acquired absence of right finger(s)
Z89.022 Acquired absence of left finger(s)
Z89.029 Acquired absence of unspecified finger(s)
Z89.1 Acquired absence of hand and wrist
Z89.11 Acquired absence of hand
Z89.111 Acquired absence of right hand
Z89.112 Acquired absence of left hand
Z89.119 Acquired absence of unspecified hand
Z89.12 Acquired absence of wrist
Disarticulation at wrist
Z89.121 Acquired absence of right wrist
Z89.122 Acquired absence of left wrist
Z89.129 Acquired absence of unspecified wrist
Z89.2 Acquired absence of upper limb above wrist
Z89.20 Acquired absence of upper limb, unspecified level
Z89.201 Acquired absence of right upper limb, unspecified level
Z89.202 Acquired absence of left upper limb, unspecified level
Z89.209 Acquired absence of unspecified upper limb, unspecified level
Acquired absence of arm NOS
Z89.21 Acquired absence of upper limb below elbow
Z89.211 Acquired absence of right upper limb below elbow
Z89.212 Acquired absence of left upper limb below elbow
Z89.219 Acquired absence of unspecified upper limb below elbow
Z89.22 Acquired absence of upper limb above elbow
Disarticulation at elbow
Z89.221 Acquired absence of right upper limb above elbow
Z89.222 Acquired absence of left upper limb above elbow
Z89.229 Acquired absence of unspecified upper limb above elbow
Z89.23 Acquired absence of shoulder
Z89.231 Acquired absence of right shoulder
Z89.232 Acquired absence of left shoulder
Z89.239 Acquired absence of unspecified shoulder
Z89.4 Acquired absence of toe(s), foot, and ankle
Z89.41 Acquired absence of great toe
Z89.411 Acquired absence of right great toe
Z89.412 Acquired absence of left great toe
Z89.419 Acquired absence of unspecified great toe
Z89.42 Acquired absence of other toe(s)
Excludes2: acquired absence of great toe (Z89.41-)
Z89.421 Acquired absence of other right toe(s)
Z89.422 Acquired absence of other left toe(s)
Z89.429 Acquired absence of other toe(s), unspecified side
Z89.43 Acquired absence of foot
Z89.431 Acquired absence of right foot
Z89.432 Acquired absence of left foot
Z89.439 Acquired absence of unspecified foot
Z89.44 Acquired absence of ankle
Disarticulation of ankle
Z89.441 Acquired absence of right ankle
Z89.442 Acquired absence of left ankle
Z89.449 Acquired absence of unspecified ankle
Z89.5 Acquired absence of leg below knee
Z89.50 Acquired absence of leg knee, unspecified side
Z89.51 Acquired absence of right leg below knee
Z89.52 Acquired absence of left leg below knee
Z89.6 Acquired absence of leg above knee
Z89.61 Acquired absence of leg above knee
Acquired absence of leg NOS
Disarticulation at knee
Z89.611 Acquired absence of right leg above knee
Z89.612 Acquired absence of left leg above knee
Z89.619 Acquired absence of unspecified leg above knee
Z89.62 Acquired absence of hip
Disarticulation at hip
Z89.621 Acquired absence of right hip
Z89.622 Acquired absence of left hip
Z89.629 Acquired absence of unspecified hip
Z89.9 Acquired absence of limb, unspecified

Z90 Acquired absence of organs, not elsewhere classified[edit]

Includes: postprocedural or post-traumatic loss of body part NEC
Excludes1: congenital absence - see Alphabetical Index
Excludes2: postprocedural absence of endocrine glands (E89.-)
Z90.0 Acquired absence of part of head and neck
Z90.01 Acquired absence of eye
Z90.02 Acquired absence of larynx
Z90.09 Acquired absence of other part of head and neck
Acquired absence of nose
Excludes2: teeth (K08.1)
Z90.1 Acquired absence of breast and nipple
Z90.10 Acquired absence of unspecified breast and nipple
Z90.11 Acquired absence of right breast and nipple
Z90.12 Acquired absence of left breast and nipple
Z90.13 Acquired absence of bilateral breasts and nipples
Z90.2 Acquired absence of lung [part of]
Z90.3 Acquired absence of stomach [part of]
Z90.4 Acquired absence of other parts of digestive tract
Z90.5 Acquired absence of kidney
Z90.6 Acquired absence of other parts of urinary tract
Acquired absence of bladder
Z90.7 Acquired absence of genital organ(s)
Excludes1: personal history of sex reassignment (Z87.890)
Excludes2: female genital mutilation status (N90.81-)
Z90.71 Acquired absence of cervix and uterus
Z90.710 Acquired absence of both cervix and uterus
Acquired absence of uterus NOS
Status post total hysterectomy
Z90.711 Acquired absence of uterus with remaining cervical stump
Status post partial hysterectomy with remaining cervical stump
Z90.712 Acquired absence of cervix with remaining uterus
Z90.72 Acquired absence of ovaries
Z90.721 Acquired absence of ovaries, unilateral
Z90.722 Acquired absence of ovaries, bilateral
Z90.79 Acquired absence of other genital organ(s)
Z90.8 Acquired absence of other organs
Z90.81 Acquired absence of spleen
Z90.89 Acquired absence of other organs

Z91 Personal risk factors, not elsewhere classified[edit]

Excludes2: contact with and (suspected) exposures hazardous to health (Z77.-)
exposure to pollution and other problems related to physical environment (Z77.1-)
personal history of physical injury and trauma (Z87.81, Z87.82-)
occupational exposure to risk factors (Z57.-)
Z91.0 Allergy status, other than to drugs and biological substances
Excludes2: Allergy status to drugs, medicaments, and biological substances (Z88.-)
Z91.01 Food allergy status
Excludes2: food additives allergy status (Z91.02)
Z91.010 Allergy to peanuts
Z91.011 Allergy to milk products
Excludes1: lactose intolerance (E73.-)
Z91.012 Allergy to eggs
Z91.013 Allergy to seafood
Allergy to shellfish
Allergy to octopus or squid ink
Z91.018 Allergy to other foods
Allergy to nuts other than peanuts
Z91.02 Food additives allergy status
Z91.03 Insect allergy status
Z91.030 Bee allergy status
Z91.038 Other insect allergy status
Z91.04 Nonmedicinal substance allergy status
Z91.040 Latex allergy status
Latex sensitivity status
Z91.041 Radiographic dye allergy status
Allergy status to contrast media used for diagnostic x-ray procedure
Z91.048 Other nonmedicinal substance allergy status
Z91.09 Other allergy status, other than to drugs and biological substances
Z91.1 Patient's noncompliance with medical treatment and regimen
Z91.11 Patient's noncompliance with dietary regimen
Z91.12 Patient's intentional underdosing of medication regimen
Code first underdosing of medication (T36-T50) with fifth or sixth character 6
Excludes1: adverse effect of prescribed drug taken as directed- code to adverse effect
poisoning (overdose) -code to poisoning
Z91.120 Patient's intentional underdosing of medication regimen due to financial hardship
Z91.128 Patient's intentional underdosing of medication regimen for other reason
Z91.13 Patient's unintentional underdosing of medication regimen
Code first underdosing of medication (T36-T50) with fifth or sixth character 6
Excludes1: adverse effect of prescribed drug taken as directed- code to adverse effect
poisoning (overdose) -code to poisoning
Z91.130 Patient's unintentional underdosing of medication regimen due to age-related debility
Z91.138 Patient's unintentional underdosing of medication regimen for other reason
Z91.14 Patient's other noncompliance with medication regimen
Patient's underdosing of medication NOS
Z91.15 Patient's noncomplicance with renal dialysis
Z91.19 Patient's noncompliance with other medical treatment and regimen
Z91.4 Personal history of psychological trauma, not elsewhere classified
Z91.41 Personal history of adult abuse
Excludes2: personal history of abuse in childhood (Z62.81-)
Z91.410 Personal history of adult physical and sexual abuse
Excludes1: current adult physical abuse (T74.11, T76.11)
current adult sexual abuse (T74. 21, T76.11)
Z91.411 Personal history of adult psychological abuse
Z91.412 Personal history of adult neglect
Excludes1: current adult neglect (T74.01, T76.01)
Z91.419 Personal history of unspecified adult abuse
Z91.49 Other personal history of psychological trauma, not elsewhere classified
Z91.5 Personal history of self-harm
Personal history of parasuicide
Personal history of self-poisoning
Personal history of suicide attempt
Z91.8 Other specified personal risk factors, not elsewhere classified
Z91.81 History of falling
At risk for falling
Z91.82 Personal history of military deployment
Individual (civilian or military) with past history of military war, peacekeeping and humanitarian deployment (current or past conflict)
Returned from military deployment
Z91.89 Other specified personal risk factors, not elsewhere classified

Z92 Personal history of medical treatment[edit]

Excludes2: postprocedural states (Z98.-)
Z92.0 Personal history of contraception
Excludes1: counseling or management of current contraceptive practices (Z30.-)
long term (current) use of contraception (Z79.3)
presence of (intrauterine) contraceptive device (Z97.5)
Z92.2 Personal history of drug therapy
Excludes2: long term (current) drug therapy (Z79.-)
Z92.21 Personal history of antineoplastic chemotherapy
Z92.22 Personal history of monoclonal drug therapy
Z92.23 Personal history of estrogen therapy
Z92.24 Personal history of steroid therapy
Z92.240 Personal history of inhaled steroid therapy
Z92.241 Personal history of systemic steroid therapy
Personal history of steroid therapy NOS
Z92.25 Personal history of immunosupression therapy
Excludes2: personal history of steroid therapy (Z92.24)
Z92.29 Personal history of other drug therapy
Z92.3 Personal history of irradiation
Personal history of exposure to therapeutic radiation
Excludes1: exposure to radiation in the physical environment (Z77.12)
occupational exposure to radiation (Z57.1)
Z92.8 Personal history of other medical treatment
Z92.81 Personal history of extracorporeal membrane oxygenation (ECMO)
Z92.82 Status post administration of tPA (rtPA) in a different facility within the last 24 hours prior to admission to current facility
Code first condition requiring tPA administration, such as:
acute cerebral infarction (I63.-)
acute myocardial infarction (I21.-, I22.-)
Z92.83 Personal history of failed moderate sedation
Personal history of failed conscious sedation
Excludes2: failed moderate sedation during procedure (T88.52)
Z92.89 Personal history of other medical treatment

Z93 Artificial opening status[edit]

Excludes1: artificial openings requiring attention or management (Z43.-)
complications of external stoma (J95.0-, K91.4-, K91.7-, N99.5-)
Z93.0 Tracheostomy status
Z93.1 Gastrostomy status
Z93.2 Ileostomy status
Z93.3 Colostomy status
Z93.4 Other artificial openings of gastrointestinal tract status
Z93.5 Cystostomy status
Z93.50 Unspecified cystostomy status
Z93.51 Cutaneous-vesicostomy status
Z93.52 Appendico-vesicostomy status
Z93.59 Other cystostomy status
Z93.6 Other artificial openings of urinary tract status
Nephrostomy status
Ureterostomy status
Urethrostomy status
Z93.8 Other artificial opening status
Z93.9 Artificial opening status, unspecified

Z94 Transplanted organ and tissue status[edit]

Includes: organ or tissue replaced by heterogenous or homogenous transplant
Excludes1: complications of transplanted organ or tissue - see Alphabetical Index
Excludes2: presence of vascular grafts (Z95.-)
Z94.0 Kidney transplant status
Z94.1 Heart transplant status
Excludes1: artificial heart status (Z95.811)
heart-valve replacement status (Z95.2-Z95.4)
Z94.2 Lung transplant status
Z94.3 Heart and lungs transplant status
Z94.4 Liver transplant status
Z94.5 Skin transplant status
Autogenous skin transplant status
Z94.6 Bone transplant status
Z94.7 Corneal transplant status
Z94.8 Other transplanted organ and tissue status
Z94.81 Bone marrow transplant status
Z94.82 Intestine transplant status
Z94.83 Pancreas transplant status
Z94.84 Stem cells transplant status
Z94.89 Other transplanted organ and tissue status
Z94.9 Transplanted organ and tissue status, unspecified

Z95 Presence of cardiac and vascular implants and grafts[edit]

Excludes1: complications of cardiac and vascular devices, implants and grafts (T82.-)
Z95.0 Presence of cardiac pacemaker
Excludes1: adjustment or management of cardiac pacemaker (Z45.0)
Z95.1 Presence of aortocoronary bypass graft
Z95.2 Presence of prosthetic heart valve
Presence of heart valve NOS
Z95.3 Presence of xenogenic heart valve
Z95.4 Presence of other heart-valve replacement
Z95.5 Presence of coronary angioplasty implant and graft
Excludes1: coronary angioplasty status without implant and graft (Z98.61)
Z95.8 Presence of other cardiac and vascular implants and grafts
Z95.81 Presence of other cardiac implants and grafts
Z95.810 Presence of automatic (implantable) cardiac defibrillator
Z95.811 Presence of heart assist device
Z95.812 Presence of fully implantable artificial heart
Z95.818 Presence of other cardiac implants and grafts
Z95.82 Presence of other vascular implants and grafts
Z95.820 Peripheral vascular angioplasty status with implants and grafts
Excludes1: peripheral vascular angioplasty without implant and graft (Z98.62)
Z95.828 Presence of other vascular implants and grafts
Presence of intravascular prosthesis NEC
Z95.9 Presence of cardiac and vascular implant and graft, unspecified

Z96 Presence of other functional implants[edit]

Excludes1: complications of internal prosthetic devices, implants and grafts (T82-T85)
fitting and adjustment of prosthetic and other devices (Z44-Z46)
Z96.0 Presence of urogenital implants
Z96.1 Presence of intraocular lens
Presence of pseudophakia
Z96.2 Presence of otological and audiological implants
Z96.20 Presence of otological and audiological implant, unspecified
Z96.21 Cochlear implant status
Z96.22 Myringotomy tube(s) status
Z96.29 Presence of other otological and audiological implants
Presence of bone-conduction hearing device
Presence of eustachian tube stent
Stapes replacement
Z96.3 Presence of artificial larynx
Z96.4 Presence of endocrine implants
Z96.41 Presence of insulin pump (external) (internal)
Z96.49 Presence of other endocrine implants
Z96.5 Presence of tooth-root and mandibular implants
Z96.6 Presence of orthopedic joint implants
Z96.60 Presence of unspecified orthopedic joint implant
Z96.61 Presence of artificial shoulder joint
Z96.611 Presence of right artificial shoulder joint
Z96.612 Presence of left artificial shoulder joint
Z96.619 Presence of unspecified artificial shoulder joint
Z96.62 Presence of artificial elbow joint
Z96.621 Presence of right artificial elbow joint
Z96.622 Presence of left artificial elbow joint
Z96.629 Presence of unspecified artificial elbow joint
Z96.63 Presence of artificial wrist joint
Z96.631 Presence of right artificial wrist joint
Z96.632 Presence of left artificial wrist joint
Z96.639 Presence of unspecified artificial wrist joint
Z96.64 Presence of artificial hip joint
Hip-joint replacement (partial) (total)
Z96.641 Presence of right artificial hip joint
Z96.642 Presence of left artificial hip joint
Z96.643 Presence of artificial hip joint, bilateral
Z96.649 Presence of unspecified artificial hip joint
Z96.65 Presence of artificial knee joint
Z96.651 Presence of right artificial knee joint
Z96.652 Presence of left artificial knee joint
Z96.653 Presence of artificial knee joint, bilateral
Z96.659 Presence of unspecified artificial knee joint
Z96.66 Presence of artificial ankle joint
Z96.661 Presence of right artificial ankle joint
Z96.662 Presence of left artificial ankle joint
Z96.669 Presence of unspecified artificial ankle joint
Z96.69 Presence of other orthopedic joint implants
Z96.691 Finger-joint replacement of right hand
Z96.692 Finger-joint replacement of left hand
Z96.693 Finger-joint replacement, bilateral
Z96.698 Presence of other orthopedic joint implants
Z96.7 Presence of other bone and tendon implants
Presence of skull plate
Z96.8 Presence of other specified functional implants
Z96.81 Presence of artificial skin
Z96.89 Presence of other specified functional implants
Z96.9 Presence of functional implant, unspecified

Z97 Presence of other devices[edit]

Excludes1: complications of internal prosthetic devices, implants and grafts (T82-T85)
fitting and adjustment of prosthetic and other devices (Z44-Z46)
Excludes2: presence of cerebrospinal fluid drainage device (Z98.2)
Z97.0 Presence of artificial eye
Z97.1 Presence of artificial limb (complete) (partial)
Z97.10 Presence of artificial limb (complete) (partial), unspecified
Z97.11 Presence of artificial right arm (complete) (partial)
Z97.12 Presence of artificial left arm (complete) (partial)
Z97.13 Presence of artificial right leg (complete) (partial)
Z97.14 Presence of artificial left leg (complete) (partial)
Z97.15 Presence of artificial arms, bilateral (complete) (partial)
Z97.16 Presence of artificial legs, bilateral (complete) (partial)
Z97.2 Presence of dental prosthetic device (complete) (partial)
Presence of dentures (complete) (partial)
Z97.3 Presence of spectacles and contact lenses
Z97.4 Presence of external hearing-aid
Z97.5 Presence of (intrauterine) contraceptive device
Excludes1: checking, reinsertion or removal of contraceptive device (Z30.44)
Z97.8 Presence of other specified devices

Z98 Other postprocedural states[edit]

Excludes2: aftercare (Z43-Z49, Z51)
follow-up medical care (Z08- Z09)
postprocedural complication - see Alphabetical Index
Z98.0 Intestinal bypass and anastomosis status
Excludes2: bariatric surgery status (Z98.84)
gastric bypass status (Z98.84)
obesity surgery status (Z98.84)
Z98.1 Arthrodesis status
Z98.2 Presence of cerebrospinal fluid drainage device
Presence of CSF shunt
Z98.3 Post therapeutic collapse of lung status
Code first underlying disease
Z98.4 Cataract extraction status
Use additional code to identify intraocular lens implant status (Z96.1)
Excludes1: aphakia (H27.0)
Z98.41 Cataract extraction status, right eye
Z98.42 Cataract extraction status, left eye
Z98.49 Cataract extraction status, unspecified eye
Z98.5 Sterilization status
Excludes1: female infertility (N97.-)
male infertility (N46.-)
Z98.51 Tubal ligation status
Z98.52 Vasectomy status
Z98.6 Angioplasty status
Z98.61 Coronary angioplasty status
Excludes1: coronary angioplasty status with implant and graft (Z95.5)
Z98.62 Peripheral vascular angioplasty status
Excludes1: peripheral vascular angioplasty status with implant and graft (Z95.820)
Z98.8 Other specified postprocedural states
Z98.81 Dental procedure status
Z98.810 Dental sealant status
Z98.811 Dental restoration status
Dental crown status
Dental fillings status
Z98.818 Other dental procedure status
Z98.82 Breast implant status
Excludes1: breast implant removal status (Z98.86)
Z98.83 Filtering (vitreous) bleb after glaucoma surgery status
Excludes1: Inflammation (infection) of postprocedural bleb (H59.4-)
Z98.84 Bariatric surgery status
Gastric banding status
Gastric bypass status for obesity
Obesity surgery status
Excludes1: bariatric surgery status complicating pregnancy, childbirth, or the puerperium (O99.84)
Excludes2: intestinal bypass and anastomosis status (Z98.0)
Z98.85 Transplanted organ removal status
Transplanted organ previously removed due to complication, failure, rejection or infection
Excludes1: encounter for removal of transplanted organ -code to complication of transplanted organ (T86.-)
Z98.86 Personal history of breast implant removal
Z98.87 Personal history of in utero procedure
Z98.870 Personal history of in utero procedure during pregnancy
Excludes2: complications from in utero procedure for current pregnancy (O35.7))
supervision of current pregnancy with history of in utero procedure during previous pregnancy (O09.82-)
Z98.871 Personal history of in utero procedure while a fetus
Z98.89 Other specified postprocedural states
Personal history of surgery, not elsewhere classified

Z99 Dependence on enabling machines and devices, not elsewhere classified[edit]

Excludes1: cardiac pacemaker status (Z95.0)
Z99.0 Dependence on aspirator
Z99.1 Dependence on respirator
Dependence on ventilator
Z99.11 Dependence on respirator [ventilator] status
Z99.12 Encounter for respirator [ventilator] dependence during power failure
Excludes1: mechanical complication of respirator [ventilator] (J95.850)
Z99.2 Dependence on renal dialysis
Hemodialysis status
Peritoneal dialysis status
Presence of arteriovenous shunt for dialysis
Renal dialysis status NOS
Excludes1: encounter for fitting and adjustment of dialysis catheter (Z49.0-)
noncompliance with renal dialysis (Z91.15)
Z99.3 Dependence on wheelchair
Wheelchair confinement status
Code first cause of dependence, such as:
muscular dystrophy (G71.0)
obestity (E66.-)
Z99.8 Dependence on other enabling machines and devices
Z99.81 Dependence on supplemental oxygen
Dependence on long-term oxygen
Z99.89 Dependence on other enabling machines and devices
Dependence on machine or device NOS