ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 Z48.1

Billable / Specific

Encounter for planned postprocedural wound closure

Z48
Block
0
Synonyms
116
LCDs
1
Payer Policies
0
Linked CPTs

About ICD-10-CM Z48.1

ICD-10-CM code Z48.1 represents Encounter for planned postprocedural wound closure. This is a billable/specific code in the Factors Influencing Health Status chapter (block Z48). The 2026 edition of ICD-10-CM Z48.1 became effective on October 1, 2025.

Type 1 Excludes

Pure excludes, these codes can never be coded together with Z48.1. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • encounter for attention to dressings and sutures (Z48.0-)

Medicare LCD Coverage for Z48.1

Local Coverage Determinations (LCDs) from CMS MACs that list Z48.1 as a covered diagnosis.

116 LCDs

Showing top 10 of 116 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Cosmetic and Reconstructive Surgery
Article ID: 56658, Effective: 2026-01-01 00:00:00, 647 covered, 6 non-covered
CPT 21121 →
CMS LCD: Billing and Coding: Cosmetic and Reconstructive Surgery
Article ID: 56658, Effective: 2026-01-01 00:00:00, 647 covered, 6 non-covered
CPT 21145 →
CMS LCD: Billing and Coding: Cosmetic and Reconstructive Surgery
Article ID: 56658, Effective: 2026-01-01 00:00:00, 647 covered, 6 non-covered
CPT 19371 →
CMS LCD: Billing and Coding: Cosmetic and Reconstructive Surgery
Article ID: 56658, Effective: 2026-01-01 00:00:00, 647 covered, 6 non-covered
CPT 21138 →
CMS LCD: Billing and Coding: Cosmetic and Reconstructive Surgery
Article ID: 56658, Effective: 2026-01-01 00:00:00, 647 covered, 6 non-covered
CPT 21244 →
CMS LCD: Billing and Coding: Cosmetic and Reconstructive Surgery
Article ID: 56658, Effective: 2026-01-01 00:00:00, 647 covered, 6 non-covered
CPT 21209 →
CMS LCD: Billing and Coding: Cosmetic and Reconstructive Surgery
Article ID: 56658, Effective: 2026-01-01 00:00:00, 647 covered, 6 non-covered
CPT 21089 →
CMS LCD: Billing and Coding: Cosmetic and Reconstructive Surgery
Article ID: 56658, Effective: 2026-01-01 00:00:00, 647 covered, 6 non-covered
CPT 21249 →
CMS LCD: Billing and Coding: Cosmetic and Reconstructive Surgery
Article ID: 56658, Effective: 2026-01-01 00:00:00, 647 covered, 6 non-covered
CPT 30462 →
CMS LCD: Billing and Coding: Cosmetic and Reconstructive Surgery
Article ID: 56658, Effective: 2026-01-01 00:00:00, 647 covered, 6 non-covered
CPT 21182 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing Z48.1.

1 policies

1 Medicare

Billing and Coding: Cosmetic and Reconstructive Surgery
Policy ID: ART-56658

CPT Codes Commonly Billed with Z48.1

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for Z48.1

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert Z48.1 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
Z48.1 V5841 00000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

Codes Adjacent To Z48.1

Other codes in section Z40-Z53 (Encounters for other specific health care).

ICD-10 Z48.1, Billing FAQ

Is ICD-10 code Z48.1 billable? +

Yes, Z48.1 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What codes are Type 1 Excludes for Z48.1? +

Type 1 Excludes (never code together with Z48.1): encounter for attention to dressings and sutures (Z48.0-)

What ICD-9 codes does Z48.1 map to? +

Per CMS GEMs, Z48.1 maps to ICD-9 codes: V5841. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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