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

ICD-10 Z48.815

Billable / Specific

Encounter for surgical aftercare following surgery on the digestive system

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

About ICD-10-CM Z48.815

ICD-10-CM code Z48.815 represents Encounter for surgical aftercare following surgery on the digestive system. This is a billable/specific code in the Factors Influencing Health Status chapter (block Z48). The 2026 edition of ICD-10-CM Z48.815 became effective on October 1, 2025.

Medicare LCD Coverage for Z48.815

Local Coverage Determinations (LCDs) from CMS MACs that list Z48.815 as a covered diagnosis.

No Medicare LCDs reference Z48.815 as covered

This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.

Commercial Payer Coverage

Coverage policies from major commercial payers referencing Z48.815.

1 policies

1 Aetna

Magnetic Resonance Cholangiopancreatography
Policy ID: CPB-0384

CPT Codes Commonly Billed with Z48.815

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

No procedure linkages on file for Z48.815

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 Z48.815 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
Z48.815 V5875 10000

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

Codes Adjacent To Z48.815

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

ICD-10 Z48.815, Billing FAQ

Is ICD-10 code Z48.815 billable? +

Yes, Z48.815 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What ICD-9 codes does Z48.815 map to? +

Per CMS GEMs, Z48.815 maps to ICD-9 codes: V5875. 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 June 1, 2026.

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