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ICD-10_CM Z Codes

Understanding Z codes in ICD_10-CM

QuestionAnswer
Is it acceptable to use Z codes a diagnosis code in the outpatient setting? Yes
Where are Z codes more likely to be used? Inpatient or Outpatient? Outpatient
How many codes should be coded in the outpatient setting? As many as needed to describe all conditions and/or problems that are managed during the encounter.
What is the intent of abstracting information from the medical record for codes? to communicate the story of the patient encounter.
What question should the coder ask herself as she is reading the medical record? "Is this information pertinent to the care provided during the visit?"
Are Z codes ever first-listed diagnosis codes? Yes, Sometimes.
Where can the coder find out whether a Z code MUST be first-listed? In the notes
Do Z codes convey procedures performed during the encounter? No. As appropriate, procedure codes must also be added to the claim.
What category of Z codes indicate contact with, and suspected exposure to, communicable diseases, but has no signs or symptoms? Z20
What is the patient IS showing signs or has symptoms of a communicable disease? Is a Z code still appropriate? No. A Z code would not be appropriate.
Which Z code indicates that the encounter was for a vaccination? Z23
Which kinds of Z Codes can be used as a first-listed code to explain an encounter for testing for a potential health risk or as a secondary code to identify a potential risk? Z77
What is the difference between a Status code and a History code? Status codes indicates the current situation. History codes indicate that the patient no longer has a given condition.
Which Chapter contains the Z codes? Chapter 21
Created by: ZonaB2