Note: | Categories Z40-Z54 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 follow-up or prophylactic care, convalescent care, or care to consolidate the treatment, to deal with residual states, to ensure that the condition has not recurred, or to prevent recurrence. | |||||||
Excludes: | follow-up examination for medical surveillance after treatment
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Z41 | Procedures for purposes other than remedying health state | |||||||
Z41.0 | Hair transplant | |||||||
Z41.1 | Other plastic surgery for unacceptable cosmetic appearance | |||||||
Breast implant
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Excludes: | plastic and reconstructive surgery following healed injury or operation
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Z41.2 | Routine and ritual circumcision | |||||||
Z41.3 | Ear piercing | |||||||
Z41.8 | Other procedures for purposes other than remedying health state | |||||||
Z41.9 | Procedure for purposes other than remedying health state, unspecified |
Z42 | Follow-up care involving plastic surgery | |||||||
Includes: | plastic and reconstructive surgery following healed injury or operation
repair of scarred tissue |
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Excludes: | plastic surgery:
· as treatment for current injury - code to relevant injury - see Alphabetical Index · for unacceptable cosmetic appearance |
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Z42.0 | Follow-up care involving plastic surgery of head and neck | |||||||
Z42.1 | Follow-up care involving plastic surgery of breast | |||||||
Z42.2 | Follow-up care involving plastic surgery of other parts of trunk | |||||||
Z42.3 | Follow-up care involving plastic surgery of upper extremity | |||||||
Z42.4 | Follow-up care involving plastic surgery of lower extremity | |||||||
Z42.8 | Follow-up care involving plastic surgery of other body part | |||||||
Z42.9 | Follow-up care involving plastic surgery, unspecified |
Z43 | Attention to artificial openings | |||||||
Includes: | closure
passage of sounds or bougies reforming removal of catheter toilet or cleansing |
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Excludes: | artificial opening status only, without need for care
complications of external stoma fitting and adjustment of prosthetic and other devices |
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Z43.0 | Attention to tracheostomy | |||||||
Z43.1 | Attention to gastrostomy | |||||||
Z43.2 | Attention to ileostomy | |||||||
Z43.3 | Attention to colostomy | |||||||
Z43.4 | Attention to other artificial openings of digestive tract | |||||||
Z43.5 | Attention to cystostomy | |||||||
Z43.6 | Attention to other artificial openings of urinary tract | |||||||
Nephrostomy
Ureterostomy Urethrostomy |
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Z43.7 | Attention to artificial vagina | |||||||
Z43.8 | Attention to other artificial openings | |||||||
Z43.9 | Attention to unspecified artificial opening |
Z44 | Fitting and adjustment of external prosthetic device | |||||||
Excludes: | presence of prosthetic device
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Z44.0 | Fitting and adjustment of artificial arm (complete)(partial) | |||||||
Z44.1 | Fitting and adjustment of artificial leg (complete)(partial) | |||||||
Z44.2 | Fitting and adjustment of artificial eye | |||||||
Excludes: | mechanical complication of ocular prosthesis
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Z44.3 | Fitting and adjustment of external breast prosthesis | |||||||
Z44.8 | Fitting and adjustment of other external prosthetic devices | |||||||
Z44.9 | Fitting and adjustment of unspecified external prosthetic device |
Z45 | Adjustment and management of implanted device | |||||||
Excludes: | malfunction or other complications of device - see Alphabetical Index
presence of prosthetic and other devices |
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Z45.0 | Adjustment and management of cardiac pacemaker | |||||||
Checking and testing of pulse generator [battery]
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Z45.1 | Adjustment and management of infusion pump | |||||||
Z45.2 | Adjustment and management of vascular access device | |||||||
Z45.3 | Adjustment and management of implanted hearing device | |||||||
Bone conduction device
Cochlear device |
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Z45.8 | Adjustment and management of other implanted devices | |||||||
Z45.9 | Adjustment and management of unspecified implanted device |
Z46 | Fitting and adjustment of other devices | |||||||
Excludes: | issue of repeat prescription only
malfunction or other complications of device - see Alphabetical Index presence of prosthetic and other devices |
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Z46.0 | Fitting and adjustment of spectacles and contact lenses | |||||||
Z46.1 | Fitting and adjustment of hearing aid | |||||||
Z46.2 | Fitting and adjustment of other devices related to nervous system and special senses | |||||||
Z46.3 | Fitting and adjustment of dental prosthetic device | |||||||
Z46.4 | Fitting and adjustment of orthodontic device | |||||||
Z46.5 | Fitting and adjustment of ileostomy and other intestinal appliances | |||||||
Z46.6 | Fitting and adjustment of urinary device | |||||||
Z46.7 | Fitting and adjustment of orthopaedic device | |||||||
Orthopaedic:
· brace · cast · corset · shoes |
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Z46.8 | Fitting and adjustment of other specified devices | |||||||
Wheelchair
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Z46.9 | Fitting and adjustment of unspecified device |
Z47 | Other orthopaedic follow-up care | |||||||
Excludes: | care involving rehabilitation procedures
complication of internal orthopaedic devices, implants and grafts follow-up examination after treatment of fracture |
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Z47.0 | Follow-up care involving removal of fracture plate and other internal fixation device | |||||||
Removal of:
· pins · plates · rods · screws |
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Excludes: | removal of external fixation device
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Z47.8 | Other specified orthopaedic follow-up care | |||||||
Change, checking or removal of:
· external fixation or traction device · plaster cast |
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Z47.9 | Orthopaedic follow-up care, unspecified |
Z48 | Other surgical follow-up care | |||||||
Excludes: | attention to artificial openings
fitting and adjustment of prosthetic and other devices follow-up examination after: · surgery · treatment of fracture orthopaedic follow-up care |
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Z48.0 | Attention to surgical dressings and sutures | |||||||
Change of dressings
Removal of sutures |
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Z48.8 | Other specified surgical follow-up care | |||||||
Z48.9 | Surgical follow-up care, unspecified |
Z49 | Care involving dialysis | |||||||
Includes: | dialysis preparation and treatment
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Excludes: | renal dialysis status
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Z49.0 | Preparatory care for dialysis | |||||||
Z49.1 | Extracorporeal dialysis | |||||||
Dialysis (renal) NOS
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Z49.2 | Other dialysis | |||||||
Peritoneal dialysis
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Z50 | Care involving use of rehabilitation procedures | |||||||
Excludes: | counselling
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Z50.0 | Cardiac rehabilitation | |||||||
Z50.1 | Other physical therapy | |||||||
Therapeutic and remedial exercises
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Z50.2 | Alcohol rehabilitation | |||||||
Z50.3 | Drug rehabilitation | |||||||
Z50.4 | Psychotherapy, not elsewhere classified | |||||||
Z50.5 | Speech therapy | |||||||
Z50.6 | Orthoptic training | |||||||
Z50.7 | Occupational therapy and vocational rehabilitation, not elsewhere classified | |||||||
Z50.8 | Care involving use of other rehabilitation procedures | |||||||
Tobacco rehabilitation
Training in activities of daily living [ADL] NEC |
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Z50.9 | Care involving use of rehabilitation procedure, unspecified | |||||||
Rehabilitation NOS
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Z51 | Other medical care | |||||||
Excludes: | follow-up examination after treatment
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Z51.0 | Radiotherapy session | |||||||
Z51.1 | Chemotherapy session for neoplasm | |||||||
Z51.2 | Other chemotherapy | |||||||
Maintenance chemotherapy NOS
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Excludes: | prophylactic chemotherapy for immunization purposes
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Z51.3 | Blood transfusion without reported diagnosis | |||||||
Z51.4 | Preparatory care for subsequent treatment, not elsewhere classified | |||||||
Excludes: | preparatory care for dialysis
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Z51.5 | Palliative care | |||||||
Z51.6 | Desensitization to allergens | |||||||
Z51.8 | Other specified medical care | |||||||
Excludes: | holiday relief care
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Z51.9 | Medical care, unspecified |
Z52 | Donors of organs and tissues | |||||||
Excludes: | examination of potential donor
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Z52.0 | Blood donor | |||||||
Blood components such as lymphocytes, platelets or stem cells
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Z52.1 | Skin donor | |||||||
Z52.2 | Bone donor | |||||||
Z52.3 | Bone marrow donor | |||||||
Z52.4 | Kidney donor | |||||||
Z52.5 | Cornea donor | |||||||
Z52.6 | Liver donor | |||||||
Z52.7 | Heart donor | |||||||
Z52.8 | Donor of other organs and tissues | |||||||
Z52.9 | Donor of unspecified organ or tissue | |||||||
Donor NOS
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Z53 | Persons encountering health services for specific procedures, not carried out | |||||||
Excludes: | immunization not carried out
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Z53.0 | Procedure not carried out because of contraindication | |||||||
Z53.1 | Procedure not carried out because of patient's decision for reasons of belief and group pressure | |||||||
Z53.2 | Procedure not carried out because of patient's decision for other and unspecified reasons | |||||||
Z53.8 | Procedure not carried out for other reasons | |||||||
Z53.9 | Procedure not carried out, unspecified reason |