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ICD-10_CM Z Codes
Understanding Z codes in ICD_10-CM
Question | Answer |
---|---|
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 |