# ICD-10-CM (2010)/CHAPTER 21

    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)Persons encountering health services for examinations (Z00-Z13)

    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 diagnosisZ00 Encounter for general examination without complaint, suspected or reported diagnosis

    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 diagnosisZ01 Encounter for other special examination without complaint, suspected or reported diagnosis

    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. ​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 examinationZ02 Encounter for administrative examination

    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 outZ03 Encounter for medical observation for suspected diseases and conditions ruled out

    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 reasonsZ04 Encounter for examination and observation for other reasons

    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 neoplasmZ08 Encounter for follow-up examination after completed treatment for malignant neoplasm

    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

    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 diseasesZ11 Encounter for screening for infectious and parasitic diseases

    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 neoplasmsZ12 Encounter for screening for malignant neoplasms

    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 disordersZ13 Encounter for screening for other diseases and disorders

    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)Genetic carrier and genetic susceptibility to disease (Z14-Z15)
## Z14 Genetic carrierZ14 Genetic carrier

    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 diseaseZ15 Genetic susceptibility to disease

    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)Infection with drug resistant microorganisms (Z16)
## Z16 Infection with drug resistant microorganismsZ16 Infection with drug resistant microorganisms

    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)Estrogen receptor status (Z17)
## Z17 Estrogen receptor statusZ17 Estrogen receptor status

    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)
## Z20 Contact with and (suspected) exposure to communicable diseasesZ20 Contact with and (suspected) exposure to communicable diseases

    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 statusZ21 Asymptomatic human immunodeficiency virus [HIV] infection status

    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 diseaseZ22 Carrier of infectious disease

    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 immunizationZ23 Encounter for immunization

    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

    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)
## Z30 Encounter for contraceptive managementZ30 Encounter for contraceptive management

    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 managementZ31 Encounter for procreative management

    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 instructionZ32 Encounter for pregnancy test and childbirth and childcare instruction

    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 stateZ33 Pregnant state

    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 pregnancyZ34 Encounter for supervision of normal pregnancy

    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 motherZ36 Encounter for antenatal screening of mother

    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 deliveryZ37 Outcome of delivery

    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 deliveryZ38 Liveborn infants according to place of birth and type of delivery

    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 examinationZ39 Encounter for maternal postpartum care and examination

    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)Encounters for other specific health care (Z40-Z53)

    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 surgeryZ40 Encounter for prophylactic surgery

    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 stateZ41 Encounter for procedures for purposes other than remedying health state

    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 injuryZ42 Encounter for plastic and reconstructive surgery following medical procedure or healed injury

    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 openingsZ43 Encounter for attention to artificial openings

    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 deviceZ44 Encounter for fitting and adjustment of external prosthetic device

    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 deviceZ45 Encounter for adjustment and management of implanted device

    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 devicesZ46 Encounter for fitting and adjustment of other devices

    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 aftercareZ47 Orthopedic aftercare

    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 aftercareZ48 Encounter for other postprocedural aftercare

    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 dialysisZ49 Encounter for care involving renal dialysis

    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 aftercareZ51 Encounter for other aftercare

    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 tissuesZ52 Donors of organs and tissues

    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 outZ53 Persons encountering health services for specific procedures and treatment, not carried out

    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)Persons with potential health hazards related to socioeconomic and psychosocial circumstances (Z55-Z65)
## Z55 Problems related to education and literacyZ55 Problems related to education and literacy

    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 unemploymentZ56 Problems related to employment and unemployment

    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 factorsZ57 Occupational exposure to risk factors

    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 circumstancesZ59 Problems related to housing and economic circumstances

    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 environmentZ60 Problems related to social environment

    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 upbringingZ62 Problems related to upbringing

    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 circumstancesZ63 Other problems related to primary support group, including family circumstances

    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 circumstancesZ64 Problems related to certain psychosocial circumstances

    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 circumstancesZ65 Problems related to other psychosocial circumstances

    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)Do not resuscitate status (Z66)
## Z66 Do not resuscitateZ66 Do not resuscitate

    Includes: DNR status

# Blood type (Z67)Blood type (Z67)
## Z67 Blood typeZ67 Blood type

    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)
## Z68 Body mass index (BMI)Z68 Body mass index (BMI)

    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)
## Z69 Encounter for mental health services for victim and perpetrator of abuseZ69 Encounter for mental health services for victim and perpetrator of abuse

    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 orientationZ70 Counseling related to sexual attitude, behavior and orientation

    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 classifiedZ71 Persons encountering health services for other counseling and medical advice, not elsewhere classified

    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 lifestyleZ72 Problems related to lifestyle

    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 difficultyZ73 Problems related to life management difficulty

    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

    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 careZ75 Problems related to medical facilities and other health care

    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 circumstancesZ76 Persons encountering health services in other circumstances

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

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

## Z77 Other contact with and (suspected) exposures hazardous to healthZ77 Other contact with and (suspected) exposures hazardous to health

    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 statusZ78 Other specified health status

    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 therapyZ79 Long term (current) drug therapy

    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 neoplasmZ80 Family history of primary malignant neoplasm

    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 disordersZ81 Family history of mental and behavioral disorders

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

    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 disordersZ83 Family history of other specific disorders

    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 conditionsZ84 Family history of other conditions

    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 neoplasmZ85 Personal history of malignant neoplasm

    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 diseasesZ86 Personal history of certain other diseases

    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 conditionsZ87 Personal history of other diseases and conditions

    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 substancesZ88 Allergy status to drugs, medicaments and biological substances

    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 limbZ89 Acquired absence of limb

    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 classifiedZ90 Acquired absence of organs, not elsewhere classified

    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 classifiedZ91 Personal risk factors, not elsewhere classified

    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 treatmentZ92 Personal history of medical treatment

    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 statusZ93 Artificial opening status

    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 statusZ94 Transplanted organ and tissue status

    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 graftsZ95 Presence of cardiac and vascular implants and grafts

    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 implantsZ96 Presence of other functional implants

    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 devicesZ97 Presence of other devices

    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 statesZ98 Other postprocedural states

    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 classifiedZ99 Dependence on enabling machines and devices, not elsewhere classified

    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