Z48.81

Encounter for surgical aftercare following surgery on specified body systems

Non-billable header

Z48.81 is a non-billable header code. Use one of the more specific codes below.

Inclusion terms

Applicable to

  • These codes identify the body system requiring aftercare. They are for use in conjunction with other aftercare codes to fully explain the aftercare encounter. The condition treated should also be coded if still present.

Includes (from Z48)

  • 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.

Excludes1

Not coded here — never report together with this code.

  • aftercare for injury- code the injury with 7th character D
  • aftercare following surgery for neoplasm (Z48.3)
  • encounter for follow-up examination after completed treatment (Z08-Z09) (from Z48)
  • encounter for aftercare following injury - code to Injury, by site, with appropriate 7th character for subsequent encounter (from Z48)

Excludes2

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

  • aftercare following organ transplant (Z48.2-)
  • orthopedic aftercare (Z47.-)
  • follow-up examination for medical surveillance after treatment (Z08-Z09) (from Z48)
  • encounter for attention to artificial openings (Z43.-) (from Z48)
  • encounter for fitting and adjustment of prosthetic and other devices (Z44-Z46) (from Z48)

Also known as

  • These codes identify the body system requiring aftercare. They are for use in conjunction with other aftercare codes to fully explain the aftercare encounter. The condition treated should also be coded if still present.

Parent code

  • Z48.8Encounter for other specified postprocedural aftercareHeader

More specific codes Z48.81

  • Z48.810Encounter for surgical aftercare following surgery on the sense organsBillable
  • Z48.811Encounter for surgical aftercare following surgery on the nervous systemBillable
  • Z48.812Encounter for surgical aftercare following surgery on the circulatory systemBillable
  • Z48.813Encounter for surgical aftercare following surgery on the respiratory systemBillable
  • Z48.814Encounter for surgical aftercare following surgery on the teeth or oral cavityBillable
  • Z48.815Encounter for surgical aftercare following surgery on the digestive systemBillable
  • Z48.816Encounter for surgical aftercare following surgery on the genitourinary systemBillable
  • Z48.817Encounter for surgical aftercare following surgery on the skin and subcutaneous tissueBillable

Related codes

  • Z48.89Encounter for other specified surgical aftercareBillable

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