Factors Influencing Health Status (Z codes)




This module covers the factors influencing health status, also known as Z codes, This includes the codes for diagnostic and screening services, health history and status, and other healthcare encounters for healthy individuals. This module reviews the structure and format of Z codes, which are found in ICD-10-CM, Chapter 21.


•Describe the structure of the Z code chapter.
•Identify 2 reasons for using Z codes in ICD-10-CM.
•Differentiate between screening and diagnostic examinations and encounters.
•Identify encounters as aftercare vs. follow-up.
•Determine when to use Z codes for routine, administrative, and observation services.
•Identify the difference between history and status codes.
•Recognize new categories of codes for history and status that are available in ICD-10-CM.
•Apply specific codes for noncompliance with medications and medical treatment.
•Identify codes that can only be sequenced as principal or first-listed diagnosis.
•Apply ICD-10-CM coding principles and guidelines to selected clinical scenarios involving Z codes.

CE Credits

This program has been approved for 2 continuing education units for use in fulfilling the continued education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor.

This program has the prior approval of AAPC for 2 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.

Technical Requirments

Recommended operating systems:
Window 7 or higher
Mac OS 10.7 or higher

Supported Browsers:
Microsoft Internet Explorer 9 or greater
Mozilla Firefox 2.0 or greater
Google Chrome 2.0 or greater
Apple Safari 2.0 or greater

DSL or better
Recommended internet connection speed 500 or higher kbps

Additional Software:
Adobe Acrobat Reader
Adobe Flash Player
Current version of Java

Sound: (all modules are fully narrated)
Computer speakers or headset

Printer access to print CEU certifications


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