ICD-10-CM Section · Z40-Z53

Encounters for other specific health care

221 codes in this section

221
Total Codes
164
Billable
57
Header (Non-Billable)
13
Top-Level Codes

About Section Z40-Z53

Section Z40-Z53 (Z40-Z53) covers encounters for other specific health care. It sits within the Factors influencing health status and contact with health services chapter (Z00-Z99). This section contains 221 ICD-10-CM codes, 164 billable diagnoses you can submit on a claim, and 57 non-billable header codes used to organize the hierarchy.

Codes are organized below by 3-character root. Click the root to see all subcodes underneath it, or click any individual code for full coverage data, payer policies, and linked CPT procedures.

Codes in Z40-Z53

Grouped by 3-character root code. Click any code for full detail.

Z40 Encounter for prophylactic surgery
11 subcodes
Z40.0 Encounter for prophylactic surgery for risk factors related to malignant neoplasms Header
Z40.00 Encounter for prophylactic removal of unspecified organ Billable
Z40.01 Encounter for prophylactic removal of breast Billable
Z40.02 Encounter for prophylactic removal of ovary(s) Billable
Z40.03 Encounter for prophylactic removal of fallopian tube(s) Billable
Z40.09 Encounter for prophylactic removal of other organ Billable
Z40.8 Encounter for other prophylactic surgery Header
Z40.81 Encounter for prophylactic surgery for removal of ovary(s) for persons without known genetic/familial risk factors Billable
Z40.82 Encounter for prophylactic surgery for removal of fallopian tube(s) for persons without known genetic/familial risk factors Billable
Z40.89 Encounter for other prophylactic surgery Billable
Z40.9 Encounter for prophylactic surgery, unspecified Billable
Z41 Encounter for procedures for purposes other than remedying health state
5 subcodes
Z41.1 Encounter for cosmetic surgery Billable
Z41.2 Encounter for routine and ritual male circumcision Billable
Z41.3 Encounter for ear piercing Billable
Z41.8 Encounter for other procedures for purposes other than remedying health state Billable
Z41.9 Encounter for procedure for purposes other than remedying health state, unspecified Billable
Z42 Encounter for plastic and reconstructive surgery following medical procedure or healed injury
2 subcodes
Z42.1 Encounter for breast reconstruction following mastectomy Billable
Z42.8 Encounter for other plastic and reconstructive surgery following medical procedure or healed injury Billable
Z43 Encounter for attention to artificial openings
10 subcodes
Z43.0 Encounter for attention to tracheostomy Billable
Z43.1 Encounter for attention to gastrostomy Billable
Z43.2 Encounter for attention to ileostomy Billable
Z43.3 Encounter for attention to colostomy Billable
Z43.4 Encounter for attention to other artificial openings of digestive tract Billable
Z43.5 Encounter for attention to cystostomy Billable
Z43.6 Encounter for attention to other artificial openings of urinary tract Billable
Z43.7 Encounter for attention to artificial vagina Billable
Z43.8 Encounter for attention to other artificial openings Billable
Z43.9 Encounter for attention to unspecified artificial opening Billable
Z44 Encounter for fitting and adjustment of external prosthetic device
36 subcodes
Z44.0 Encounter for fitting and adjustment of artificial arm Header
Z44.00 Encounter for fitting and adjustment of unspecified artificial arm Header
Z44.001 Encounter for fitting and adjustment of unspecified right artificial arm Billable
Z44.002 Encounter for fitting and adjustment of unspecified left artificial arm Billable
Z44.009 Encounter for fitting and adjustment of unspecified artificial arm, unspecified arm Billable
Z44.01 Encounter for fitting and adjustment of complete artificial arm Header
Z44.011 Encounter for fitting and adjustment of complete right artificial arm Billable
Z44.012 Encounter for fitting and adjustment of complete left artificial arm Billable
Z44.019 Encounter for fitting and adjustment of complete artificial arm, unspecified arm Billable
Z44.02 Encounter for fitting and adjustment of partial artificial arm Header
Z44.021 Encounter for fitting and adjustment of partial artificial right arm Billable
Z44.022 Encounter for fitting and adjustment of partial artificial left arm Billable
Z44.029 Encounter for fitting and adjustment of partial artificial arm, unspecified arm Billable
Z44.1 Encounter for fitting and adjustment of artificial leg Header
Z44.10 Encounter for fitting and adjustment of unspecified artificial leg Header
Z44.101 Encounter for fitting and adjustment of unspecified right artificial leg Billable
Z44.102 Encounter for fitting and adjustment of unspecified left artificial leg Billable
Z44.109 Encounter for fitting and adjustment of unspecified artificial leg, unspecified leg Billable
Z44.11 Encounter for fitting and adjustment of complete artificial leg Header
Z44.111 Encounter for fitting and adjustment of complete right artificial leg Billable
Z44.112 Encounter for fitting and adjustment of complete left artificial leg Billable
Z44.119 Encounter for fitting and adjustment of complete artificial leg, unspecified leg Billable
Z44.12 Encounter for fitting and adjustment of partial artificial leg Header
Z44.121 Encounter for fitting and adjustment of partial artificial right leg Billable
Z44.122 Encounter for fitting and adjustment of partial artificial left leg Billable
Z44.129 Encounter for fitting and adjustment of partial artificial leg, unspecified leg Billable
Z44.2 Encounter for fitting and adjustment of artificial eye Header
Z44.20 Encounter for fitting and adjustment of artificial eye, unspecified Billable
Z44.21 Encounter for fitting and adjustment of artificial right eye Billable
Z44.22 Encounter for fitting and adjustment of artificial left eye Billable
Z44.3 Encounter for fitting and adjustment of external breast prosthesis Header
Z44.30 Encounter for fitting and adjustment of external breast prosthesis, unspecified breast Billable
Z44.31 Encounter for fitting and adjustment of external right breast prosthesis Billable
Z44.32 Encounter for fitting and adjustment of external left breast prosthesis Billable
Z44.8 Encounter for fitting and adjustment of other external prosthetic devices Billable
Z44.9 Encounter for fitting and adjustment of unspecified external prosthetic device Billable
Z45 Encounter for adjustment and management of implanted device
26 subcodes
Z45.0 Encounter for adjustment and management of cardiac device Header
Z45.01 Encounter for adjustment and management of cardiac pacemaker Header
Z45.010 Encounter for checking and testing of cardiac pacemaker pulse generator [battery] Billable
Z45.018 Encounter for adjustment and management of other part of cardiac pacemaker Billable
Z45.02 Encounter for adjustment and management of automatic implantable cardiac defibrillator Billable
Z45.09 Encounter for adjustment and management of other cardiac device Billable
Z45.1 Encounter for adjustment and management of infusion pump Billable
Z45.2 Encounter for adjustment and management of vascular access device Billable
Z45.3 Encounter for adjustment and management of implanted devices of the special senses Header
Z45.31 Encounter for adjustment and management of implanted visual substitution device Billable
Z45.32 Encounter for adjustment and management of implanted hearing device Header
Z45.320 Encounter for adjustment and management of bone conduction device Billable
Z45.321 Encounter for adjustment and management of cochlear device Billable
Z45.328 Encounter for adjustment and management of other implanted hearing device Billable
Z45.4 Encounter for adjustment and management of implanted nervous system device Header
Z45.41 Encounter for adjustment and management of cerebrospinal fluid drainage device Billable
Z45.42 Encounter for adjustment and management of neurostimulator Billable
Z45.49 Encounter for adjustment and management of other implanted nervous system device Billable
Z45.8 Encounter for adjustment and management of other implanted devices Header
Z45.81 Encounter for adjustment or removal of breast implant Header
Z45.811 Encounter for adjustment or removal of right breast implant Billable
Z45.812 Encounter for adjustment or removal of left breast implant Billable
Z45.819 Encounter for adjustment or removal of unspecified breast implant Billable
Z45.82 Encounter for adjustment or removal of myringotomy device (stent) (tube) Billable
Z45.89 Encounter for adjustment and management of other implanted devices Billable
Z45.9 Encounter for adjustment and management of unspecified implanted device Billable
Z46 Encounter for fitting and adjustment of other devices
14 subcodes
Z46.0 Encounter for fitting and adjustment of spectacles and contact lenses Billable
Z46.1 Encounter for fitting and adjustment of hearing aid Billable
Z46.2 Encounter for fitting and adjustment of other devices related to nervous system and special senses Billable
Z46.3 Encounter for fitting and adjustment of dental prosthetic device Billable
Z46.4 Encounter for fitting and adjustment of orthodontic device Billable
Z46.5 Encounter for fitting and adjustment of other gastrointestinal appliance and device Header
Z46.51 Encounter for fitting and adjustment of gastric lap band Billable
Z46.59 Encounter for fitting and adjustment of other gastrointestinal appliance and device Billable
Z46.6 Encounter for fitting and adjustment of urinary device Billable
Z46.8 Encounter for fitting and adjustment of other specified devices Header
Z46.81 Encounter for fitting and adjustment of insulin pump Billable
Z46.82 Encounter for fitting and adjustment of non-vascular catheter Billable
Z46.89 Encounter for fitting and adjustment of other specified devices Billable
Z46.9 Encounter for fitting and adjustment of unspecified device Billable
Z47 Orthopedic aftercare
10 subcodes
Z47.1 Aftercare following joint replacement surgery Billable
Z47.2 Encounter for removal of internal fixation device Billable
Z47.3 Aftercare following explantation of joint prosthesis Header
Z47.31 Aftercare following explantation of shoulder joint prosthesis Billable
Z47.32 Aftercare following explantation of hip joint prosthesis Billable
Z47.33 Aftercare following explantation of knee joint prosthesis Billable
Z47.8 Encounter for other orthopedic aftercare Header
Z47.81 Encounter for orthopedic aftercare following surgical amputation Billable
Z47.82 Encounter for orthopedic aftercare following scoliosis surgery Billable
Z47.89 Encounter for other orthopedic aftercare Billable
Z48 Encounter for other postprocedural aftercare
29 subcodes
Z48.0 Encounter for attention to dressings, sutures and drains Header
Z48.00 Encounter for change or removal of nonsurgical wound dressing Billable
Z48.01 Encounter for change or removal of surgical wound dressing Billable
Z48.02 Encounter for removal of sutures Billable
Z48.03 Encounter for change or removal of drains Billable
Z48.1 Encounter for planned postprocedural wound closure Billable
Z48.2 Encounter for aftercare following organ transplant Header
Z48.21 Encounter for aftercare following heart transplant Billable
Z48.22 Encounter for aftercare following kidney transplant Billable
Z48.23 Encounter for aftercare following liver transplant Billable
Z48.24 Encounter for aftercare following lung transplant Billable
Z48.28 Encounter for aftercare following multiple organ transplant Header
Z48.280 Encounter for aftercare following heart-lung transplant Billable
Z48.288 Encounter for aftercare following multiple organ transplant Billable
Z48.29 Encounter for aftercare following other organ transplant Header
Z48.290 Encounter for aftercare following bone marrow transplant Billable
Z48.298 Encounter for aftercare following other organ transplant Billable
Z48.3 Aftercare following surgery for neoplasm Billable
Z48.8 Encounter for other specified postprocedural aftercare Header
Z48.81 Encounter for surgical aftercare following surgery on specified body systems Header
Z48.810 Encounter for surgical aftercare following surgery on the sense organs Billable
Z48.811 Encounter for surgical aftercare following surgery on the nervous system Billable
Z48.812 Encounter for surgical aftercare following surgery on the circulatory system Billable
Z48.813 Encounter for surgical aftercare following surgery on the respiratory system Billable
Z48.814 Encounter for surgical aftercare following surgery on the teeth or oral cavity Billable
Z48.815 Encounter for surgical aftercare following surgery on the digestive system Billable
Z48.816 Encounter for surgical aftercare following surgery on the genitourinary system Billable
Z48.817 Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue Billable
Z48.89 Encounter for other specified surgical aftercare Billable
Z49 Encounter for care involving renal dialysis
6 subcodes
Z49.0 Preparatory care for renal dialysis Header
Z49.01 Encounter for fitting and adjustment of extracorporeal dialysis catheter Billable
Z49.02 Encounter for fitting and adjustment of peritoneal dialysis catheter Billable
Z49.3 Encounter for adequacy testing for dialysis Header
Z49.31 Encounter for adequacy testing for hemodialysis Billable
Z49.32 Encounter for adequacy testing for peritoneal dialysis Billable
Z51 Encounter for other aftercare and medical care
10 subcodes
Z51.0 Encounter for antineoplastic radiation therapy Billable
Z51.1 Encounter for antineoplastic chemotherapy and immunotherapy Header
Z51.11 Encounter for antineoplastic chemotherapy Billable
Z51.12 Encounter for antineoplastic immunotherapy Billable
Z51.5 Encounter for palliative care Billable
Z51.6 Encounter for desensitization to allergens Billable
Z51.8 Encounter for other specified aftercare Header
Z51.81 Encounter for therapeutic drug level monitoring Billable
Z51.89 Encounter for other specified aftercare Billable
Z51.A Encounter for sepsis aftercare Billable
Z52 Donors of organs and tissues
34 subcodes
Z52.0 Blood donor Header
Z52.00 Unspecified blood donor Header
Z52.000 Unspecified donor, whole blood Billable
Z52.001 Unspecified donor, stem cells Billable
Z52.008 Unspecified donor, other blood Billable
Z52.01 Autologous blood donor Header
Z52.010 Autologous donor, whole blood Billable
Z52.011 Autologous donor, stem cells Billable
Z52.018 Autologous donor, other blood Billable
Z52.09 Other blood donor Header
Z52.090 Other blood donor, whole blood Billable
Z52.091 Other blood donor, stem cells Billable
Z52.098 Other blood donor, other blood Billable
Z52.1 Skin donor Header
Z52.10 Skin donor, unspecified Billable
Z52.11 Skin donor, autologous Billable
Z52.19 Skin donor, other Billable
Z52.2 Bone donor Header
Z52.20 Bone donor, unspecified Billable
Z52.21 Bone donor, autologous Billable
Z52.29 Bone donor, other Billable
Z52.3 Bone marrow donor Billable
Z52.4 Kidney donor Billable
Z52.5 Cornea donor Billable
Z52.6 Liver donor Billable
Z52.8 Donor of other specified organs or tissues Header
Z52.81 Egg (Oocyte) donor Header
Z52.810 Egg (Oocyte) donor under age 35, anonymous recipient Billable
Z52.811 Egg (Oocyte) donor under age 35, designated recipient Billable
Z52.812 Egg (Oocyte) donor age 35 and over, anonymous recipient Billable
Z52.813 Egg (Oocyte) donor age 35 and over, designated recipient Billable
Z52.819 Egg (Oocyte) donor, unspecified Billable
Z52.89 Donor of other specified organs or tissues Billable
Z52.9 Donor of unspecified organ or tissue Billable
Z53 Persons encountering health services for specific procedures and treatment, not carried out
15 subcodes
Z53.0 Procedure and treatment not carried out because of contraindication Header
Z53.01 Procedure and treatment not carried out due to patient smoking Billable
Z53.09 Procedure and treatment not carried out because of other contraindication Billable
Z53.1 Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure Billable
Z53.2 Procedure and treatment not carried out because of patient's decision for other and unspecified reasons Header
Z53.20 Procedure and treatment not carried out because of patient's decision for unspecified reasons Billable
Z53.21 Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider Billable
Z53.29 Procedure and treatment not carried out because of patient's decision for other reasons Billable
Z53.3 Procedure converted to open procedure Header
Z53.31 Laparoscopic surgical procedure converted to open procedure Billable
Z53.32 Thoracoscopic surgical procedure converted to open procedure Billable
Z53.33 Arthroscopic surgical procedure converted to open procedure Billable
Z53.39 Other specified procedure converted to open procedure Billable
Z53.8 Procedure and treatment not carried out for other reasons Billable
Z53.9 Procedure and treatment not carried out, unspecified reason Billable

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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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