Chapter 21: Factors influencing health status and contact with health services
373 billable codes (3-4 characters)
Z00.2 Encounter for exam for period of rapid growth in childhood Z00.3 Encounter for examination for adolescent development state Z00.5 Encounter for exam of potential donor of organ and tissue Z00.6 Encntr for exam for nrml cmprsn and ctrl in clncl rsrch prog Z00.8 Encounter for other general examination Z02.0 Encounter for exam for admission to educational institution Z02.1 Encounter for pre-employment examination Z02.2 Encounter for exam for admission to residential institution Z02.3 Encounter for examination for recruitment to armed forces Z02.4 Encounter for examination for driving license Z02.5 Encounter for examination for participation in sport Z02.6 Encounter for examination for insurance purposes Z02.9 Encounter for administrative examinations, unspecified Z03.6 Encntr for obs for susp toxic eff from ingest sub ruled out Z04.1 Encounter for exam and obs following transport accident Z04.2 Encounter for exam and observation following work accident Z04.3 Encounter for exam and observation following oth accident Z04.6 Encntr for general psychiatric exam, requested by authority Z04.9 Encounter for examination and observation for unsp reason Z05.0 Obs & eval of NB for suspected cardiac condition ruled out Z05.1 Obs & eval of NB for suspected infect condition ruled out Z05.2 Obs & eval of NB for suspected neuro condition ruled out Z05.3 Obs & eval of NB for suspected resp condition ruled out Z05.5 Obs & eval of NB for suspected GI condition ruled out Z05.6 Obs & eval of NB for suspected GU condition ruled out Z05.9 Obs & eval of NB for unsp suspected condition ruled out Z08 Encntr for follow-up exam after trtmt for malignant neoplasm Z09 Encntr for f/u exam aft trtmt for cond oth than malig neoplm Z11.0 Encounter for screening for intestinal infectious diseases Z11.1 Encounter for screening for respiratory tuberculosis Z11.2 Encounter for screening for other bacterial diseases Z11.3 Encntr screen for infections w sexl mode of transmiss Z11.4 Encounter for screening for human immunodeficiency virus Z11.6 Encntr screen for oth protozoal diseases and helminthiases Z11.7 Encounter for testing for latent tuberculosis infection Z11.8 Encounter for screening for oth infec/parastc diseases Z11.9 Encounter for screening for infec/parastc diseases, unsp Z12.0 Encounter for screening for malignant neoplasm of stomach Z12.2 Encntr screen for malignant neoplasm of respiratory organs Z12.4 Encounter for screening for malignant neoplasm of cervix Z12.5 Encounter for screening for malignant neoplasm of prostate Z12.6 Encounter for screening for malignant neoplasm of bladder Z12.9 Encounter for screening for malignant neoplasm, site unsp Z13.0 Encntr screen for dis of the bld/bld-form org/immun mechnsm Z13.1 Encounter for screening for diabetes mellitus Z13.5 Encounter for screening for eye and ear disorders Z13.6 Encounter for screening for cardiovascular disorders Z13.9 Encounter for screening, unspecified Z14.1 Cystic fibrosis carrier Z14.8 Genetic carrier of other disease Z15.1 Genetic susceptibility to epi and neurodevelopmental disord Z15.2 Genetic susceptibility to obesity Z15.3 Genetic susceptibility to kidney disease Z17.0 Estrogen receptor positive status [ER+] Z17.1 Estrogen receptor negative status [ER-] Z18.2 Retained plastic fragments Z18.9 Retained foreign body fragments, unspecified material Z19.1 Hormone sensitive malignancy status Z19.2 Hormone resistant malignancy status Z20.1 Contact with and (suspected) exposure to tuberculosis Z20.2 Contact w and exposure to infect w a sexl mode of transmiss Z20.3 Contact with and (suspected) exposure to rabies Z20.4 Contact with and (suspected) exposure to rubella Z20.5 Contact with and (suspected) exposure to viral hepatitis Z20.6 Contact w and (suspected) exposure to human immunodef virus Z20.7 Cntct w & expsr to pediculosis, acariasis & oth infestations Z20.9 Contact w and exposure to unsp communicable disease Z21 Asymptomatic human immunodeficiency virus infection status Z22.0 Carrier of typhoid Z22.1 Carrier of other intestinal infectious diseases Z22.2 Carrier of diphtheria Z22.4 Carrier of infections w sexl mode of transmiss Z22.6 Carrier of human T-lymphotropic virus type-1 infection Z22.7 Latent tuberculosis Z22.8 Carrier of other infectious diseases Z22.9 Carrier of infectious disease, unspecified Z23 Encounter for immunization Z28.1 Immuniz not crd out because of patient belief/grp pressr Z28.9 Immunization not carried out for unspecified reason Z29.3 Encounter for prophylactic fluoride administration Z29.9 Encounter for prophylactic measures, unspecified Z30.2 Encounter for sterilization Z30.8 Encounter for other contraceptive management Z30.9 Encounter for contraceptive management, unspecified Z31.0 Encounter for reversal of previous sterilization Z31.5 Encounter for procreative genetic counseling Z31.7 Enctr for pro mgmt and counseling for gestational carrier Z31.9 Encounter for procreative management, unspecified Z32.2 Encounter for childbirth instruction Z32.3 Encounter for childcare instruction Z33.1 Pregnant state, incidental Z33.2 Encounter for elective termination of pregnancy Z33.3 Pregnant state, gestational carrier Z36.0 Encounter for antenatal screening for chromosomal anomalies Z36.1 Enctr for antenat screen for raised alphafetoprotein level Z36.2 Encounter for other antenatal screening follow-up Z36.3 Encounter for antenatal screening for malformations Z36.4 Enctr for antenatal screening for fetal growth retardation Z36.5 Encounter for antenatal screening for isoimmunization Z36.9 Encounter for antenatal screening, unspecified Z37.0 Single live birth Z37.1 Single stillbirth Z37.2 Twins, both liveborn Z37.3 Twins, one liveborn and one stillborn Z37.4 Twins, both stillborn Z37.7 Other multiple births, all stillborn Z37.9 Outcome of delivery, unspecified Z38.1 Single liveborn infant, born outside hospital Z38.2 Single liveborn infant, unspecified as to place of birth Z38.4 Twin liveborn infant, born outside hospital Z38.5 Twin liveborn infant, unspecified as to place of birth Z38.7 Other multiple liveborn infant, born outside hospital Z38.8 Other multiple liveborn infant, unsp as to place of birth Z39.0 Encntr for care and exam of mother immediately after del Z39.1 Encounter for care and examination of lactating mother Z39.2 Encounter for routine postpartum follow-up Z40.9 Encounter for prophylactic surgery, unspecified Z41.1 Encounter for cosmetic surgery Z41.2 Encounter for routine and ritual male circumcision Z41.3 Encounter for ear piercing Z41.8 Encntr for oth proc for purpose oth than remedy health state Z41.9 Encntr for proc for purpose oth than remedy hlth state, unsp Z42.1 Encounter for breast reconstruction following mastectomy Z42.8 Encntr for oth plast/recnst surg fol med proc or heal injury Z43.0 Encounter for attention to tracheostomy Z43.1 Encounter for attention to gastrostomy Z43.2 Encounter for attention to ileostomy Z43.3 Encounter for attention to colostomy Z43.4 Encounter for attn to oth artif openings of digestive tract Z43.5 Encounter for attention to cystostomy Z43.6 Encounter for attn to oth artif openings of urinary tract Z43.7 Encounter for attention to artificial vagina Z43.8 Encounter for attention to other artificial openings Z43.9 Encounter for attention to unspecified artificial opening Z44.8 Encounter for fit/adjst of external prosthetic devices Z44.9 Encounter for fit/adjst of unsp external prosthetic device Z45.1 Encounter for adjustment and management of infusion pump Z45.2 Encounter for adjustment and management of VAD Z45.9 Encounter for adjust and management of unsp implanted device Z46.0 Encounter for fit/adjst of spectacles and contact lenses Z46.1 Encounter for fitting and adjustment of hearing aid Z46.2 Encntr for fit/adjst of dev rel to nrv sys and specl senses Z46.3 Encounter for fit/adjst of dental prosthetic device Z46.4 Encounter for fitting and adjustment of orthodontic device Z46.6 Encounter for fitting and adjustment of urinary device Z46.9 Encounter for fitting and adjustment of unspecified device Z47.1 Aftercare following joint replacement surgery Z47.2 Encounter for removal of internal fixation device Z48.1 Encounter for planned postprocedural wound closure Z48.3 Aftercare following surgery for neoplasm Z51.0 Encounter for antineoplastic radiation therapy Z51.5 Encounter for palliative care Z51.6 Encounter for desensitization to allergens Z51.A Encounter for sepsis aftercare Z52.3 Bone marrow donor Z52.4 Kidney donor Z52.5 Cornea donor Z52.6 Liver donor Z52.9 Donor of unspecified organ or tissue Z53.1 Proc/trtmt not crd out bec pt belief and group pressure Z53.8 Procedure and treatment not carried out for other reasons Z53.9 Procedure and treatment not carried out, unspecified reason Z55.0 Illiteracy and low-level literacy Z55.1 Schooling unavailable and unattainable Z55.2 Failed school examinations Z55.3 Underachievement in school Z55.4 Educational maladjustment & discord w teachers & classmates Z55.5 Less than a high school diploma Z55.6 Problems related to health literacy Z55.8 Other problems related to education and literacy Z55.9 Problems related to education and literacy, unspecified Z56.0 Unemployment, unspecified Z56.1 Change of job Z56.2 Threat of job loss Z56.3 Stressful work schedule Z56.4 Discord with boss and workmates Z56.5 Uncongenial work environment Z56.6 Other physical and mental strain related to work Z56.9 Unspecified problems related to employment Z57.0 Occupational exposure to noise Z57.1 Occupational exposure to radiation Z57.2 Occupational exposure to dust Z57.4 Occupational exposure to toxic agents in agriculture Z57.5 Occupational exposure to toxic agents in other industries Z57.6 Occupational exposure to extreme temperature Z57.7 Occupational exposure to vibration Z57.8 Occupational exposure to other risk factors Z57.9 Occupational exposure to unspecified risk factor Z58.6 Inadequate drinking-water supply Z59.2 Discord with neighbors, lodgers and landlord Z59.3 Problems related to living in residential institution Z59.5 Extreme poverty Z59.6 Low income Z59.9 Problem related to housing and economic circumstances, unsp Z60.0 Problems of adjustment to life-cycle transitions Z60.2 Problems related to living alone Z60.3 Acculturation difficulty Z60.4 Social exclusion and rejection Z60.5 Target of (perceived) adverse discrimination and persecution Z60.8 Other problems related to social environment Z60.9 Problem related to social environment, unspecified Z62.0 Inadequate parental supervision and control Z62.1 Parental overprotection Z62.3 Hostility towards and scapegoating of child Z62.6 Inappropriate (excessive) parental pressure Z62.9 Problem related to upbringing, unspecified Z63.0 Problems in relationship with spouse or partner Z63.1 Problems in relationship with in-laws Z63.4 Disappearance and death of family member Z63.5 Disruption of family by separation and divorce Z63.6 Dependent relative needing care at home Z63.8 Other specified problems related to primary support group Z63.9 Problem related to primary support group, unspecified Z64.0 Problems related to unwanted pregnancy Z64.1 Problems related to multiparity Z64.4 Discord with counselors Z65.0 Conviction in civil & criminal proceedings w/o imprisonment Z65.1 Imprisonment and other incarceration Z65.2 Problems related to release from prison Z65.3 Problems related to other legal circumstances Z65.4 Victim of crime and terrorism Z65.5 Exposure to disaster, war and other hostilities Z65.8 Oth problems related to psychosocial circumstances Z65.9 Problem related to unspecified psychosocial circumstances Z66 Do not resuscitate Z70.0 Counseling related to sexual attitude Z70.1 Counseling related to patient's sexual behavior and orientn Z70.2 Cnsl related to sexual behavior and orientn of third party Z70.3 Cnsl rel to comb concrn rgrd sex attitude, behav and orientn Z70.8 Other sex counseling Z70.9 Sex counseling, unspecified Z71.0 Prsn encntr hlth serv to consult on behalf of another person Z71.1 Person w feared hlth complaint in whom no diagnosis is made Z71.2 Person consulting for explanation of exam or test findings Z71.3 Dietary counseling and surveillance Z71.6 Tobacco abuse counseling Z71.7 Human immunodeficiency virus [HIV] counseling Z71.9 Counseling, unspecified Z72.0 Tobacco use Z72.3 Lack of physical exercise Z72.4 Inappropriate diet and eating habits Z72.6 Gambling and betting Z72.9 Problem related to lifestyle, unspecified Z73.0 Burn-out Z73.1 Type A behavior pattern Z73.2 Lack of relaxation and leisure Z73.3 Stress, not elsewhere classified Z73.4 Inadequate social skills, not elsewhere classified Z73.5 Social role conflict, not elsewhere classified Z73.6 Limitation of activities due to disability Z73.9 Problem related to life management difficulty, unspecified Z74.1 Need for assistance with personal care Z74.2 Need for assist at home & no house memb able to render care Z74.3 Need for continuous supervision Z74.8 Other problems related to care provider dependency Z74.9 Problem related to care provider dependency, unspecified Z75.0 Medical services not available in home Z75.1 Person awaiting admission to adequate facility elsewhere Z75.2 Other waiting period for investigation and treatment Z75.3 Unavailability and inaccessibility of health-care facilities Z75.4 Unavailability and inaccessibility of other helping agencies Z75.5 Holiday relief care Z75.8 Oth prob related to medical facilities and oth health care Z75.9 Unsp problem related to med facilities and oth health care Z76.0 Encounter for issue of repeat prescription Z76.1 Encounter for health supervision and care of foundling Z76.2 Encntr for hlth suprvsn and care of healthy infant and child Z76.3 Healthy person accompanying sick person Z76.4 Other boarder to healthcare facility Z76.5 Malingerer [conscious simulation] Z77.9 Oth contact w and (suspected) exposures hazardous to health Z78.0 Asymptomatic menopausal state Z78.1 Physical restraint status Z78.9 Other specified health status Z79.1 Long term (current) use of non-steroidal non-inflam (NSAID) Z79.2 Long term (current) use of antibiotics Z79.3 Long term (current) use of hormonal contraceptives Z79.4 Long term (current) use of insulin Z80.0 Family history of malignant neoplasm of digestive organs Z80.1 Family history of malig neoplasm of trachea, bronc and lung Z80.2 Family hx of malig neoplm of resp and intrathorac organs Z80.3 Family history of malignant neoplasm of breast Z80.6 Family history of leukemia Z80.7 Fam hx of malig neoplm of lymphoid, hematpoetc and rel tiss Z80.8 Family history of malignant neoplasm of organs or systems Z80.9 Family history of malignant neoplasm, unspecified Z81.0 Family history of intellectual disabilities Z81.1 Family history of alcohol abuse and dependence Z81.2 Family history of tobacco abuse and dependence Z81.3 Family history of psychoactv substance abuse and dependence Z81.4 Family history of other substance abuse and dependence Z81.8 Family history of other mental and behavioral disorders Z82.0 Family history of epilepsy and oth dis of the nervous sys Z82.1 Family history of blindness and visual loss Z82.2 Family history of deafness and hearing loss Z82.3 Family history of stroke Z82.5 Family history of asthma and oth chronic lower resp diseases Z82.8 Family hx of disabil and chr dis leading to disablement, NEC Z83.0 Family history of human immunodeficiency virus [HIV] disease Z83.1 Family history of other infectious and parasitic diseases Z83.2 Family history of dis of the bld/bld-form org/immun mechnsm Z83.3 Family history of diabetes mellitus Z83.6 Family history of other diseases of the respiratory system Z84.0 Family history of diseases of the skin, subcu Z84.2 Family history of other diseases of the genitourinary system Z84.3 Family history of consanguinity Z84.A Family history of exposure to diethylstilbestrol Z85.3 Personal history of malignant neoplasm of breast Z85.6 Personal history of leukemia Z85.9 Personal history of malignant neoplasm, unspecified Z86.2 Prsnl history of dis of the bld/bld-form org/immun mechnsm Z87.2 Personal history of diseases of the skin, subcu Z88.0 Allergy status to penicillin Z88.1 Allergy status to other antibiotic agents Z88.2 Allergy status to sulfonamides Z88.3 Allergy status to other anti-infective agents Z88.4 Allergy status to anesthetic agent Z88.5 Allergy status to narcotic agent Z88.6 Allergy status to analgesic agent Z88.7 Allergy status to serum and vaccine Z88.8 Allergy status to other drug/meds/biol subst Z88.9 Allergy status to unspecified drug/meds/biol subst Z89.9 Acquired absence of limb, unspecified Z90.2 Acquired absence of lung [part of] Z90.3 Acquired absence of stomach [part of] Z90.5 Acquired absence of kidney Z90.6 Acquired absence of other parts of urinary tract Z91.B Personal risk factor of exposure to diethylstilbestrol Z92.0 Personal history of contraception Z92.3 Personal history of irradiation Z93.0 Tracheostomy status Z93.1 Gastrostomy status Z93.2 Ileostomy status Z93.3 Colostomy status Z93.4 Other artificial openings of gastrointestinal tract status Z93.6 Other artificial openings of urinary tract status Z93.8 Other artificial opening status Z93.9 Artificial opening status, unspecified Z94.0 Kidney transplant status Z94.1 Heart transplant status Z94.2 Lung transplant status Z94.3 Heart and lungs transplant status Z94.4 Liver transplant status Z94.5 Skin transplant status Z94.6 Bone transplant status Z94.7 Corneal transplant status Z94.9 Transplanted organ and tissue status, unspecified Z95.0 Presence of cardiac pacemaker Z95.1 Presence of aortocoronary bypass graft Z95.2 Presence of prosthetic heart valve Z95.3 Presence of xenogenic heart valve Z95.4 Presence of other heart-valve replacement Z95.5 Presence of coronary angioplasty implant and graft Z95.9 Presence of cardiac and vascular implant and graft, unsp Z96.0 Presence of urogenital implants Z96.1 Presence of intraocular lens Z96.3 Presence of artificial larynx Z96.5 Presence of tooth-root and mandibular implants Z96.7 Presence of other bone and tendon implants Z96.9 Presence of functional implant, unspecified Z97.0 Presence of artificial eye Z97.2 Presence of dental prosthetic device (complete) (partial) Z97.3 Presence of spectacles and contact lenses Z97.4 Presence of external hearing-aid Z97.5 Presence of (intrauterine) contraceptive device Z97.8 Presence of other specified devices Z98.0 Intestinal bypass and anastomosis status Z98.1 Arthrodesis status Z98.2 Presence of cerebrospinal fluid drainage device Z98.3 Post therapeutic collapse of lung status Z99.0 Dependence on aspirator Z99.2 Dependence on renal dialysis Z99.3 Dependence on wheelchair