Description
This ICD-10-CM course Factors Influencing Health Status (Z codes), 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 course also reviews the structure and format of Z codes, which are found in ICD-10-CM, Chapter 21.
Objectives:
Lesson 1: Chapter 21 Structure and Format
- Understand the structure and format of the Z codes in Chapter 21 of ICD-10-CM
- Identify the categories of Z codes
- Describe two reasons for using Z codes in ICD-10-CM
Lesson 2: Evaluation and Therapy
- 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
Lesson 3: Informational Z Codes
- Identify the difference between history and status codes
- Recognize the categories and codes for history and status that are available in ICD-10-CM
Lesson 4: Other and Unspecified Z Codes
- Apply specific codes for noncompliance with medications and medical treatment
- Identify codes that can only be sequenced as principal or first-listed diagnosis
- Recognize the importance of reporting Z codes for social determinants of health
Codes Discussed: Z43 (Encounter for attention to artificial openings category), Z44-Z46 (Fitting and adjustment of devices categories), Z20 (Contact with and suspected exposure to communicable diseases category), Z77 (Other contact with and suspected exposures hazardous to health category), Z20.822 (Contact with and suspected exposure to COVID-19), Z23 (Encounter for immunization), Z51 (Encounter for other aftercare and medical care category), Z08 (Encounter for follow-up examination after completed treatment for malignant neoplasm), Z09 (Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm), Z39 (Encounter for maternal postpartum care and examination category), Z48 (Encounter for other postprocedural aftercare category), Z48.02 (Encounter for removal of sutures), Z52 (Donors of organs and tissues category), Z33.1 (Pregnant state, incidental), Z33.2 (Encounter for elective termination of pregnancy), Z33.3 (Pregnant state, gestational carrier), Z3A (Weeks of gestation category), Z3A.36 (36 weeks gestation of pregnancy), Z3A.09 (9 weeks gestation of pregnancy), Z37 (Outcome of delivery category), Z37.0 (Single live birth), Z39.0 (Encounter for care and examination of mother immediately after delivery), Z38 (Liveborn infants according to place of birth and type of delivery category), T84.021A (Dislocation of internal left hip prosthesis, initial encounter), Z96.642 (Presence of left artificial hip joint), Z68 (Body mass index category), Z79 (Long-term current drug therapy category), Z79.01 (Long term current use of anticoagulants), Z51.81 (Encounter for therapeutic drug level monitoring), Z80 (Family history of primary malignant neoplasm category), Z28 (Immunization not carried out and underimmunization status category), Z55-Z65 (Persons with potential health hazards related to socioeconomic and psychosocial circumstances/social determinants of health code range), Z91.1 (Patient noncompliance with medical treatment and regimen category), Z91.A (Caregiver noncompliance with patient’s medical treatment and regimen category)
Topics Covered: ICD-10-CM Z code coding, ICD-10-CM Chapter 21 coding, factors influencing health status coding, Z codes for healthcare encounters, preventive service coding, informational Z codes, first-listed Z code sequencing, additional Z code sequencing, Z code categories, ICD-10-CM Excludes1 notes, ICD-10-CM Excludes2 notes, encounter for attention to artificial openings, artificial opening complication coding, fitting and adjustment device coding, contact and exposure coding, communicable disease exposure coding, COVID-19 exposure coding, hazardous exposure coding, environmental pollution exposure coding, hazardous body fluid exposure coding, secondhand smoke exposure coding, immunization encounter coding, vaccination encounter coding, flu vaccination coding, screening examination coding, screening versus diagnostic testing, asymptomatic screening coding, symptomatic diagnostic examination coding, mammogram screening coding, breast lump diagnostic mammogram coding, aftercare coding, follow-up coding, aftercare versus follow-up coding, injury aftercare seventh character coding, neoplasm aftercare coding, chemotherapy encounter coding, immunotherapy encounter coding, radiation therapy encounter coding, surveillance after healed condition, postpartum follow-up coding, postprocedural aftercare coding, suture removal coding, organ donor coding, tissue donor coding, autologous donor coding, cadaver donation exclusion, obstetric Z code coding, reproductive services coding, routine pregnancy visit coding, normal pregnancy supervision coding, incidental pregnancy coding, elective termination of pregnancy coding, gestational carrier coding, weeks of gestation coding, maternal record gestational age coding, outcome of delivery coding, maternal delivery record coding, postpartum care coding, newborn Z code coding, liveborn infant coding, birth record coding, place of birth coding, mode of delivery coding, multiple gestation newborn coding, routine examination coding, administrative examination coding, pre-employment physical coding, exam with abnormal findings coding, exam without abnormal findings coding, pregnancy test encounter coding, observation encounter coding, ruled out condition coding, asymptomatic observation coding, history code coding, status code coding, history versus status coding, carrier status coding, residual past condition coding, prosthetic joint status coding, hip replacement status coding, heart valve replacement status coding, porcine valve replacement status, body mass index coding, BMI coding, adult BMI coding, pediatric BMI percentile coding, obesity BMI documentation, malnutrition BMI documentation, nonphysician documentation for BMI, long-term medication use coding, long-term anticoagulant therapy coding, Coumadin therapy coding, therapeutic drug monitoring coding, high-risk medication coding, long-term steroid effect coding, cardiac implant status coding, vascular implant status coding, coronary stent status coding, angioplasty status coding, peripheral vascular stent status coding, cochlear implant status coding, myringotomy tube status coding, joint replacement laterality coding, limb replacement status coding, clinician documentation for laterality, family history coding, personal history coding, family history of diabetes coding, family history of hypercholesterolemia coding, family history of malignant neoplasm coding, family history of substance abuse coding, family history of HIV disease coding, personal history of malignant neoplasm coding, personal history of carcinoid tumor coding, personal history of in-situ neoplasm coding, personal history of benign neoplasm coding, personal history of neoplasm of uncertain behavior coding, personal history of DVT coding, personal history of pulmonary embolism coding, personal history of stress fracture coding, personal history of nontraumatic fracture coding, personal history of osteoporosis fracture coding, history of prostatic dysplasia coding, history of cervical dysplasia coding, miscellaneous Z codes, immunization not carried out coding, underimmunization status coding, COVID-19 vaccination status coding, partially vaccinated coding, unvaccinated coding, delinquent immunization status coding, canceled procedure coding, procedure not carried out coding, laparoscopic procedure converted to open coding, social determinants of health coding, SDOH coding, socioeconomic health factors coding, psychosocial circumstance coding, noncompliance coding, medication noncompliance coding, dietary noncompliance coding, dialysis noncompliance coding, medical treatment noncompliance coding, caregiver noncompliance coding, financial hardship noncompliance coding, principal diagnosis only Z codes, first-listed diagnosis only Z codes, Code Purple practice, Code Red assessment, Z code case scenarios
engaging
Very resourceful
Very informative, easy to understand and navigate through.
I love the set-up of the course–self-paced, able to repeat sections, test questions throughout.
I love your courses! They really make me think!
good
Thank you for the helpful education
GOOD
Format and graphics relaxing. Enjoyed the exercises/tests dispersed within the topics. Few of the test questions were tricky.
was a very good course and cleared up a lot of my questions. thank you.
I think that there could be more examples.
Nice refresher
good brush-up
Thank you.