AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2016 Issue 4; ICD-10-CM NEW/REVISED CODES
Z Codes Update
Effective October 1, 2016, Z codes have been deleted and new Z codes have been created as noted below. Status Codes Z19.1, Hormone sensitive malignancy status, and Z19.2, Hormone resistant malignancy status, have been created to identify hormone sensitivity and resistant malignancy status. These codes are intended to be secondary diagnoses as the code for the malignant neoplasm should be coded first. Codes in subcategory Z22.5, Carrier of viral hepatitis, which specifically identified carriers of unspecified viral hepatitis, hepatitis B, hepatitis C and other viral hepatitis have been deleted. Instead, carriers of viral hepatitis are...
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Article Overview
This article reviews an ICD-10-CM update focused on Z codes effective October 1, 2016. It summarizes new, revised, and deleted Z code categories related to status reporting, family and personal history, newborn observation, aftercare, obstetrical and reproductive services, prophylactic measures, and procedure-conversion situations. The content is useful for coding professionals who need to understand the scope of the Z code revisions and the general areas affected by the update.
Why This Topic Matters
Z code updates can affect diagnosis reporting, data tracking, and code selection across multiple specialties. This article helps readers identify which parts of the ICD-10-CM Z code family changed and what general clinical documentation areas are impacted.
Article Sections
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Status
Covers changes to status-related Z codes and related reporting areas, including newly added categories and deleted carrier classifications.
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History (of)
Summarizes new family history and personal history Z codes introduced in this update.
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Observation
Describes newly created newborn observation and evaluation codes for suspected conditions that are ruled out.
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Aftercare
Reviews a new aftercare-related Z code added for desensitization encounters.
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Encounters for Obstetrical and Reproductive Services
Covers updates to obstetrical and reproductive service coding, including contraceptive management and gestational carrier-related reporting.
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Miscellaneous
Summarizes additional prophylactic measure codes and codes for procedures converted from a scope-based approach to an open procedure.
What You Will Learn
- Which broad Z code categories were added, revised, or deleted in this ICD-10-CM update
- What types of documentation areas are affected by the new history, observation, obstetrical, and prophylactic reporting categories
- How the article groups the major Z code changes for coding reference and code set awareness
- Which general clinical scenarios are addressed by the updated Z code family
Who Should Read This
- Medical coders
- Coding auditors
- Clinical documentation specialists
- Compliance staff
- Health information management professionals
Codes Discussed
Code Ranges Discussed
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