Z42

Encounter for plastic and reconstructive surgery following medical procedure or healed injury

Non-billable header

Z42 is a non-billable header code. Use one of the more specific codes below.

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.

Applicable to

  • Categories Z40-Z53 are intended for use to indicate a reason for care. They may be used for patients who have already been treated for a disease or injury, but who are receiving aftercare or prophylactic care, or care to consolidate the treatment, or to deal with a residual state

Excludes1

Not coded here — never report together with this code.

  • encounter for cosmetic plastic surgery (Z41.1)
  • encounter for plastic surgery for treatment of current injury - code to relevent injury

Excludes2

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

  • follow-up examination for medical surveillance after treatment (Z08-Z09)

Also known as

  • Categories Z40-Z53 are intended for use to indicate a reason for care. They may be used for patients who have already been treated for a disease or injury, but who are receiving aftercare or prophylactic care, or care to consolidate the treatment, or to deal with a residual state

More specific codes Z42

  • Z42.1Encounter for breast reconstruction following mastectomyBillable
  • Z42.8Encounter for other plastic and reconstructive surgery following medical procedure or healed injuryBillable

Related codes

  • Z40Encounter for prophylactic surgeryHeader
  • Z41Encounter for procedures for purposes other than remedying health stateHeader
  • Z43Encounter for attention to artificial openingsHeader
  • Z44Encounter for fitting and adjustment of external prosthetic deviceHeader
  • Z45Encounter for adjustment and management of implanted deviceHeader
  • Z46Encounter for fitting and adjustment of other devicesHeader
  • Z47Orthopedic aftercareHeader
  • Z48Encounter for other postprocedural aftercareHeader
  • Z49Encounter for care involving renal dialysisHeader
  • Z51Encounter for other aftercare and medical careHeader
  • Z52Donors of organs and tissuesHeader
  • Z53Persons encountering health services for specific procedures and treatment, not carried outHeader

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