Z09

Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm

Billable / specificPOA exempt

Z09 is a billable, specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes in FY2027.

Inclusion terms

Includes

  • Note: Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
  • Note: (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
  • Note: (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.
  • Note: Nonspecific abnormal findings disclosed at the time of these examinations are classified to categories R70-R94.

Applicable to

  • Medical surveillance following completed treatment

Excludes1

Not coded here — never report together with this code.

  • aftercare following medical care (Z43-Z49, Z51)
  • surveillance of contraception (Z30.4-)
  • surveillance of prosthetic and other medical devices (Z44-Z46)

Excludes2

Not included here — may be reported together when both conditions exist.

  • examinations related to pregnancy and reproduction (Z30-Z36, Z39.-)

Use additional code

Add a code to identify the following, if applicable.

  • code to identify any applicable history of disease code (Z86.-, Z87.-)

Also known as

  • Medical surveillance following completed treatment
  • Admission, follow-up examination
  • Examination, following treatment
  • Examination, following treatment, combined NEC
  • Examination, following treatment, mental disorder
  • Examination, following treatment, specified condition NEC
  • Examination, follow-up
  • Examination, follow-up, chemotherapy NEC
  • Examination, follow-up, fracture
  • Examination, follow-up, psychotherapy
  • Examination, follow-up, radiotherapy NEC
  • Examination, follow-up, surgery NEC
  • Examination, psychiatric NEC, follow-up not needing further care

Related codes

  • Z00Encounter for general examination without complaint, suspected or reported diagnosisHeader
  • Z01Encounter for other special examination without complaint, suspected or reported diagnosisHeader
  • Z02Encounter for administrative examinationHeader
  • Z03Encounter for medical observation for suspected diseases and conditions ruled outHeader
  • Z04Encounter for examination and observation for other reasonsHeader
  • Z05Encounter for observation and evaluation of newborn for suspected diseases and conditions ruled outHeader
  • Z08Encounter for follow-up examination after completed treatment for malignant neoplasmBillable
  • Z11Encounter for screening for infectious and parasitic diseasesHeader
  • Z12Encounter for screening for malignant neoplasmsHeader
  • Z13Encounter for screening for other diseases and disordersHeader

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