ICD-10-CM/PCS MS-DRG v40.1 Definitions Manual

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MDC 23 Factors influencing health status and other contacts with health services
Other factors influencing health status
Page 2 of 4

PRINCIPAL DIAGNOSIS (continued)

Z0472Encounter for examination and observation following alleged child physical abuse
Z0481Encounter for examination and observation of victim following forced sexual exploitation
Z0482Encounter for examination and observation of victim following forced labor exploitation
Z0489Encounter for examination and observation for other specified reasons
Z049Encounter for examination and observation for unspecified reason
Z050Observation and evaluation of newborn for suspected cardiac condition ruled out
Z051Observation and evaluation of newborn for suspected infectious condition ruled out
Z052Observation and evaluation of newborn for suspected neurological condition ruled out
Z053Observation and evaluation of newborn for suspected respiratory condition ruled out
Z0541Observation and evaluation of newborn for suspected genetic condition ruled out
Z0542Observation and evaluation of newborn for suspected metabolic condition ruled out
Z0543Observation and evaluation of newborn for suspected immunologic condition ruled out
Z055Observation and evaluation of newborn for suspected gastrointestinal condition ruled out
Z056Observation and evaluation of newborn for suspected genitourinary condition ruled out
Z0571Observation and evaluation of newborn for suspected skin and subcutaneous tissue condition ruled out
Z0572Observation and evaluation of newborn for suspected musculoskeletal condition ruled out
Z0573Observation and evaluation of newborn for suspected connective tissue condition ruled out
Z058Observation and evaluation of newborn for other specified suspected condition ruled out
Z059Observation and evaluation of newborn for unspecified suspected condition ruled out
Z09Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm
Z110Encounter for screening for intestinal infectious diseases
Z111Encounter for screening for respiratory tuberculosis
Z112Encounter for screening for other bacterial diseases
Z113Encounter for screening for infections with a predominantly sexual mode of transmission
Z114Encounter for screening for human immunodeficiency virus [HIV]
Z1151Encounter for screening for human papillomavirus (HPV)
Z1152Encounter for screening for COVID-19
Z1159Encounter for screening for other viral diseases
Z116Encounter for screening for other protozoal diseases and helminthiases
Z117Encounter for testing for latent tuberculosis infection
Z118Encounter for screening for other infectious and parasitic diseases
Z119Encounter for screening for infectious and parasitic diseases, unspecified
Z120Encounter for screening for malignant neoplasm of stomach
Z1210Encounter for screening for malignant neoplasm of intestinal tract, unspecified
Z1211Encounter for screening for malignant neoplasm of colon
Z1212Encounter for screening for malignant neoplasm of rectum
Z1213Encounter for screening for malignant neoplasm of small intestine
Z122Encounter for screening for malignant neoplasm of respiratory organs
Z1231Encounter for screening mammogram for malignant neoplasm of breast
Z1239Encounter for other screening for malignant neoplasm of breast
Z124Encounter for screening for malignant neoplasm of cervix
Z125Encounter for screening for malignant neoplasm of prostate
Z126Encounter for screening for malignant neoplasm of bladder
Z1271Encounter for screening for malignant neoplasm of testis
Z1272Encounter for screening for malignant neoplasm of vagina
Z1273Encounter for screening for malignant neoplasm of ovary
Z1279Encounter for screening for malignant neoplasm of other genitourinary organs
Z1281Encounter for screening for malignant neoplasm of oral cavity
Z1282Encounter for screening for malignant neoplasm of nervous system
Z1283Encounter for screening for malignant neoplasm of skin
Z1289Encounter for screening for malignant neoplasm of other sites
Z129Encounter for screening for malignant neoplasm, site unspecified
Z130Encounter for screening for diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
Z131Encounter for screening for diabetes mellitus
Z1321Encounter for screening for nutritional disorder
Z13220Encounter for screening for lipoid disorders
Z13228Encounter for screening for other metabolic disorders
Z1329Encounter for screening for other suspected endocrine disorder
Z1330Encounter for screening examination for mental health and behavioral disorders, unspecified
Z1331Encounter for screening for depression
Z1332Encounter for screening for maternal depression
Z1339Encounter for screening examination for other mental health and behavioral disorders
Z1340Encounter for screening for unspecified developmental delays
Z1341Encounter for autism screening
Z1342Encounter for screening for global developmental delays (milestones)
Z1349Encounter for screening for other developmental delays
Z135Encounter for screening for eye and ear disorders
Z136Encounter for screening for cardiovascular disorders
Z1371Encounter for nonprocreative screening for genetic disease carrier status
Z1379Encounter for other screening for genetic and chromosomal anomalies
Z13810Encounter for screening for upper gastrointestinal disorder
Z13811Encounter for screening for lower gastrointestinal disorder
Z13818Encounter for screening for other digestive system disorders
Z13820Encounter for screening for osteoporosis
Z13828Encounter for screening for other musculoskeletal disorder
Z1383Encounter for screening for respiratory disorder NEC
Z1384Encounter for screening for dental disorders
Z13850Encounter for screening for traumatic brain injury
Z13858Encounter for screening for other nervous system disorders
Z1388Encounter for screening for disorder due to exposure to contaminants
Z1389Encounter for screening for other disorder
Z139Encounter for screening, unspecified
Z1401Asymptomatic hemophilia A carrier
Z1402Symptomatic hemophilia A carrier
Z141Cystic fibrosis carrier
Z148Genetic carrier of other disease
Z1501Genetic susceptibility to malignant neoplasm of breast
Z1502Genetic susceptibility to malignant neoplasm of ovary
Z1503Genetic susceptibility to malignant neoplasm of prostate
Z1504Genetic susceptibility to malignant neoplasm of endometrium
Z1509Genetic susceptibility to other malignant neoplasm
Z1581Genetic susceptibility to multiple endocrine neoplasia [MEN]
Z1589Genetic susceptibility to other disease
Z170Estrogen receptor positive status [ER+]
Z171Estrogen receptor negative status [ER-]
Z1801Retained depleted uranium fragments
Z1809Other retained radioactive fragments
Z1810Retained metal fragments, unspecified
Z1811Retained magnetic metal fragments
Z1812Retained nonmagnetic metal fragments
Z182Retained plastic fragments
Z1831Retained animal quills or spines
Z1832Retained tooth
Z1833Retained wood fragments
Z1839Other retained organic fragments
Z1881Retained glass fragments
Z1883Retained stone or crystalline fragments
Z1889Other specified retained foreign body fragments
Z189Retained foreign body fragments, unspecified material
Z191Hormone sensitive malignancy status
Z192Hormone resistant malignancy status
Z2001Contact with and (suspected) exposure to intestinal infectious diseases due to Escherichia coli (E. coli)
Z2009Contact with and (suspected) exposure to other intestinal infectious diseases
Z201Contact with and (suspected) exposure to tuberculosis
Z202Contact with and (suspected) exposure to infections with a predominantly sexual mode of transmission
Z203Contact with and (suspected) exposure to rabies
Z204Contact with and (suspected) exposure to rubella
Z205Contact with and (suspected) exposure to viral hepatitis
Z206Contact with and (suspected) exposure to human immunodeficiency virus [HIV]
Z207Contact with and (suspected) exposure to pediculosis, acariasis and other infestations
Z20810Contact with and (suspected) exposure to anthrax
Z20811Contact with and (suspected) exposure to meningococcus
Z20818Contact with and (suspected) exposure to other bacterial communicable diseases
Z20820Contact with and (suspected) exposure to varicella
Z20821Contact with and (suspected) exposure to Zika virus
Z20822Contact with and (suspected) exposure to COVID-19
Z20828Contact with and (suspected) exposure to other viral communicable diseases
Z2089Contact with and (suspected) exposure to other communicable diseases
Z209Contact with and (suspected) exposure to unspecified communicable disease
Z220Carrier of typhoid
Z221Carrier of other intestinal infectious diseases
Z222Carrier of diphtheria
Z2231Carrier of bacterial disease due to meningococci
Z22321Carrier or suspected carrier of Methicillin susceptible Staphylococcus aureus
Z22322Carrier or suspected carrier of Methicillin resistant Staphylococcus aureus
Z22330Carrier of Group B streptococcus
Z22338Carrier of other streptococcus
Z2239Carrier of other specified bacterial diseases
Z224Carrier of infections with a predominantly sexual mode of transmission
Z226Carrier of human T-lymphotropic virus type-1 [HTLV-1] infection
Z227Latent tuberculosis
Z228Carrier of other infectious diseases
Z229Carrier of infectious disease, unspecified
Z23Encounter for immunization
Z2801Immunization not carried out because of acute illness of patient
Z2802Immunization not carried out because of chronic illness or condition of patient
Z2803Immunization not carried out because of immune compromised state of patient
Z2804Immunization not carried out because of patient allergy to vaccine or component
Z2809Immunization not carried out because of other contraindication
Z281Immunization not carried out because of patient decision for reasons of belief or group pressure
Z2820Immunization not carried out because of patient decision for unspecified reason
Z2821Immunization not carried out because of patient refusal
Z2829Immunization not carried out because of patient decision for other reason
Z28310Unvaccinated for COVID-19
Z28311Partially vaccinated for COVID-19
Z2839Other underimmunization status
Z2881Immunization not carried out due to patient having had the disease
Z2882Immunization not carried out because of caregiver refusal
Z2883Immunization not carried out due to unavailability of vaccine
Z2889Immunization not carried out for other reason
Z289Immunization not carried out for unspecified reason
Z2911Encounter for prophylactic immunotherapy for respiratory syncytial virus (RSV)
Z2912Encounter for prophylactic antivenin
Z2913Encounter for prophylactic Rho(D) immune globulin
Z2914Encounter for prophylactic rabies immune globin
Z293Encounter for prophylactic fluoride administration
Z298Encounter for other specified prophylactic measures
Z299Encounter for prophylactic measures, unspecified
Z30011Encounter for initial prescription of contraceptive pills
Z30012Encounter for prescription of emergency contraception
Z30013Encounter for initial prescription of injectable contraceptive
Z30014Encounter for initial prescription of intrauterine contraceptive device
Z30015Encounter for initial prescription of vaginal ring hormonal contraceptive
Z30016Encounter for initial prescription of transdermal patch hormonal contraceptive device
Z30017Encounter for initial prescription of implantable subdermal contraceptive
Z30018Encounter for initial prescription of other contraceptives
Z30019Encounter for initial prescription of contraceptives, unspecified
Z3002Counseling and instruction in natural family planning to avoid pregnancy
Z3009Encounter for other general counseling and advice on contraception
Z3040Encounter for surveillance of contraceptives, unspecified
Z3041Encounter for surveillance of contraceptive pills
Z3042Encounter for surveillance of injectable contraceptive
Z30430Encounter for insertion of intrauterine contraceptive device
Z30431Encounter for routine checking of intrauterine contraceptive device
Z30432Encounter for removal of intrauterine contraceptive device
Z30433Encounter for removal and reinsertion of intrauterine contraceptive device
Z3044Encounter for surveillance of vaginal ring hormonal contraceptive device
Z3045Encounter for surveillance of transdermal patch hormonal contraceptive device
Z3046Encounter for surveillance of implantable subdermal contraceptive
Z3049Encounter for surveillance of other contraceptives
Z308Encounter for other contraceptive management
Z309Encounter for contraceptive management, unspecified
Z3141Encounter for fertility testing
Z3142Aftercare following sterilization reversal
Z31430Encounter of female for testing for genetic disease carrier status for procreative management
Z31438Encounter for other genetic testing of female for procreative management
Z31440Encounter of male for testing for genetic disease carrier status for procreative management
Z31441Encounter for testing of male partner of patient with recurrent pregnancy loss
Z31448Encounter for other genetic testing of male for procreative management
Z3149Encounter for other procreative investigation and testing
Z315Encounter for procreative genetic counseling
Z3161Procreative counseling and advice using natural family planning
Z3162Encounter for fertility preservation counseling
Z3169Encounter for other general counseling and advice on procreation
Z317Encounter for procreative management and counseling for gestational carrier
Z3181Encounter for male factor infertility in female patient
Z3182Encounter for Rh incompatibility status
Z3183Encounter for assisted reproductive fertility procedure cycle
Z3184Encounter for fertility preservation procedure
Z3189Encounter for other procreative management
Z319Encounter for procreative management, unspecified
Z3200Encounter for pregnancy test, result unknown
Z3201Encounter for pregnancy test, result positive
Z3202Encounter for pregnancy test, result negative
Z322Encounter for childbirth instruction
Z323Encounter for childcare instruction
Z331Pregnant state, incidental
Z333Pregnant state, gestational carrier
Z3400Encounter for supervision of normal first pregnancy, unspecified trimester
Z3401Encounter for supervision of normal first pregnancy, first trimester
Z3402Encounter for supervision of normal first pregnancy, second trimester
Z3403Encounter for supervision of normal first pregnancy, third trimester
Z3480Encounter for supervision of other normal pregnancy, unspecified trimester
Z3481Encounter for supervision of other normal pregnancy, first trimester
Z3482Encounter for supervision of other normal pregnancy, second trimester
Z3483Encounter for supervision of other normal pregnancy, third trimester
Z3490Encounter for supervision of normal pregnancy, unspecified, unspecified trimester
Z3491Encounter for supervision of normal pregnancy, unspecified, first trimester
Z3492Encounter for supervision of normal pregnancy, unspecified, second trimester
Z3493Encounter for supervision of normal pregnancy, unspecified, third trimester
Z360Encounter for antenatal screening for chromosomal anomalies
Z361Encounter for antenatal screening for raised alphafetoprotein level
Z362Encounter for other antenatal screening follow-up
Z363Encounter for antenatal screening for malformations
Z364Encounter for antenatal screening for fetal growth retardation
Z365Encounter for antenatal screening for isoimmunization
Z3681Encounter for antenatal screening for hydrops fetalis
Z3682Encounter for antenatal screening for nuchal translucency
Z3683Encounter for fetal screening for congenital cardiac abnormalities
Z3684Encounter for antenatal screening for fetal lung maturity
Z3685Encounter for antenatal screening for Streptococcus B
Z3686Encounter for antenatal screening for cervical length
Z3687Encounter for antenatal screening for uncertain dates
Z3688Encounter for antenatal screening for fetal macrosomia
Z3689Encounter for other specified antenatal screening
Z368AEncounter for antenatal screening for other genetic defects
Z369Encounter for antenatal screening, unspecified
Z370Single live birth
Z371Single stillbirth
Z372Twins, both liveborn
Z373Twins, one liveborn and one stillborn
Z374Twins, both stillborn
Z3750Multiple births, unspecified, all liveborn
Z3751Triplets, all liveborn
Z3752Quadruplets, all liveborn
Z3753Quintuplets, all liveborn
Z3754Sextuplets, all liveborn
Z3759Other multiple births, all liveborn
Z3760Multiple births, unspecified, some liveborn
Z3761Triplets, some liveborn
Z3762Quadruplets, some liveborn
Z3763Quintuplets, some liveborn
Z3764Sextuplets, some liveborn
Z3769Other multiple births, some liveborn
Z377Other multiple births, all stillborn
Z379Outcome of delivery, unspecified
Z391Encounter for care and examination of lactating mother
Z392Encounter for routine postpartum follow-up
Z3A00Weeks of gestation of pregnancy not specified
Z3A01Less than 8 weeks gestation of pregnancy
Z3A088 weeks gestation of pregnancy
Z3A099 weeks gestation of pregnancy
Z3A1010 weeks gestation of pregnancy
Z3A1111 weeks gestation of pregnancy
Z3A1212 weeks gestation of pregnancy
Z3A1313 weeks gestation of pregnancy
Z3A1414 weeks gestation of pregnancy
Z3A1515 weeks gestation of pregnancy
Z3A1616 weeks gestation of pregnancy
Z3A1717 weeks gestation of pregnancy
Z3A1818 weeks gestation of pregnancy
Z3A1919 weeks gestation of pregnancy
Z3A2020 weeks gestation of pregnancy
Z3A2121 weeks gestation of pregnancy
Z3A2222 weeks gestation of pregnancy
Z3A2323 weeks gestation of pregnancy
Z3A2424 weeks gestation of pregnancy
Z3A2525 weeks gestation of pregnancy
Z3A2626 weeks gestation of pregnancy
Z3A2727 weeks gestation of pregnancy
Z3A2828 weeks gestation of pregnancy
Z3A2929 weeks gestation of pregnancy
Z3A3030 weeks gestation of pregnancy
Z3A3131 weeks gestation of pregnancy
Z3A3232 weeks gestation of pregnancy
Z3A3333 weeks gestation of pregnancy
Z3A3434 weeks gestation of pregnancy
Z3A3535 weeks gestation of pregnancy
Z3A3636 weeks gestation of pregnancy
Z3A3737 weeks gestation of pregnancy
Z3A3838 weeks gestation of pregnancy
Z3A3939 weeks gestation of pregnancy
Z3A4040 weeks gestation of pregnancy
Z3A4141 weeks gestation of pregnancy
Z3A4242 weeks gestation of pregnancy
Z3A49Greater than 42 weeks gestation of pregnancy
Z4000Encounter for prophylactic removal of unspecified organ
Z4009Encounter for prophylactic removal of other organ
Z408Encounter for other prophylactic surgery
Z409Encounter for prophylactic surgery, unspecified
Z413Encounter for ear piercing
Z418Encounter for other procedures for purposes other than remedying health state
Z419Encounter for procedure for purposes other than remedying health state, unspecified
Z438Encounter for attention to other artificial openings
Z439Encounter for attention to unspecified artificial opening
Z4420Encounter for fitting and adjustment of artificial eye, unspecified
Z4421Encounter for fitting and adjustment of artificial right eye
Z4422Encounter for fitting and adjustment of artificial left eye
Z4430Encounter for fitting and adjustment of external breast prosthesis, unspecified breast
Z4431Encounter for fitting and adjustment of external right breast prosthesis
Z4432Encounter for fitting and adjustment of external left breast prosthesis
Z45811Encounter for adjustment or removal of right breast implant
Z45812Encounter for adjustment or removal of left breast implant
Z45819Encounter for adjustment or removal of unspecified breast implant
Z4582Encounter for adjustment or removal of myringotomy device (stent) (tube)
Z4589Encounter for adjustment and management of other implanted devices
Z459Encounter for adjustment and management of unspecified implanted device
Z460Encounter for fitting and adjustment of spectacles and contact lenses
Z461Encounter for fitting and adjustment of hearing aid
Z463Encounter for fitting and adjustment of dental prosthetic device
Z464Encounter for fitting and adjustment of orthodontic device
Z4681Encounter for fitting and adjustment of insulin pump
Z4689Encounter for fitting and adjustment of other specified devices
Z469Encounter for fitting and adjustment of unspecified device
Z4800Encounter for change or removal of nonsurgical wound dressing
Z4801Encounter for change or removal of surgical wound dressing
Z4802Encounter for removal of sutures
Z515Encounter for palliative care
Z516Encounter for desensitization to allergens
Z52000Unspecified donor, whole blood
Z52001Unspecified donor, stem cells
Z52008Unspecified donor, other blood
Z52010Autologous donor, whole blood
Z52011Autologous donor, stem cells
Z52018Autologous donor, other blood
Z52090Other blood donor, whole blood
Z52091Other blood donor, stem cells
Z52098Other blood donor, other blood
Z523Bone marrow donor
Z525Cornea donor
Z52810Egg (Oocyte) donor under age 35, anonymous recipient
Z52811Egg (Oocyte) donor under age 35, designated recipient
Z52812Egg (Oocyte) donor age 35 and over, anonymous recipient
Z52813Egg (Oocyte) donor age 35 and over, designated recipient
Z52819Egg (Oocyte) donor, unspecified
Z5289Donor of other specified organs or tissues
Z529Donor of unspecified organ or tissue
Z5301Procedure and treatment not carried out due to patient smoking
Z5309Procedure and treatment not carried out because of other contraindication
Z531Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure
Z5320Procedure and treatment not carried out because of patient's decision for unspecified reasons
Z5321Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider
Z5329Procedure and treatment not carried out because of patient's decision for other reasons
Z5331Laparoscopic surgical procedure converted to open procedure
Z5332Thoracoscopic surgical procedure converted to open procedure
Z5333Arthroscopic surgical procedure converted to open procedure
Z5339Other specified procedure converted to open procedure
Z538Procedure and treatment not carried out for other reasons
Z539Procedure and treatment not carried out, unspecified reason
Z550Illiteracy and low-level literacy
Z551Schooling unavailable and unattainable
Z552Failed school examinations
Z553Underachievement in school
Z554Educational maladjustment and discord with teachers and classmates
Z555Less than a high school diploma
Z556Problems related to health literacy
Z558Other problems related to education and literacy
Z559Problems related to education and literacy, unspecified
Z560Unemployment, unspecified
Z561Change of job
Z562Threat of job loss
Z563Stressful work schedule
Z564Discord with boss and workmates
Z565Uncongenial work environment
Z566Other physical and mental strain related to work
Z5681Sexual harassment on the job
Z5682Military deployment status
Z5689Other problems related to employment
Z569Unspecified problems related to employment
Z570Occupational exposure to noise
Z571Occupational exposure to radiation
Z572Occupational exposure to dust
Z5731Occupational exposure to environmental tobacco smoke
Z5739Occupational exposure to other air contaminants
Z574Occupational exposure to toxic agents in agriculture
Z575Occupational exposure to toxic agents in other industries
Z576Occupational exposure to extreme temperature
Z577Occupational exposure to vibration
Z578Occupational exposure to other risk factors
Z579Occupational exposure to unspecified risk factor
Z586Inadequate drinking-water supply



Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
18 Jan 2023 08:46:59
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