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Z09 - Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm

ICD-10-CM Chapter 21: Factors influencing health status and contact with health services · Z00-Z13 Persons encountering health services for examinations (Z00-Z13) · Top-level category · FY2027

Applicable To

Inclusion terms listed under Z09 in the ICD-10-CM tabular list.

  • Medical surveillance following completed treatment

Includes, Excludes and Coding Notes

Excludes 1 — Not Coded HereFrom Z09

Mutually exclusive: these conditions are never reported 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)
Use Additional CodeFrom Z09

Add a secondary code to identify the associated condition or cause when it is documented.

  • code to identify any applicable history of disease code (Z86.-, Z87.-)
Excludes 2 — Not Included HereFrom Z00-Z13 Persons encountering health services for examinations (Z00-Z13)

Not part of this code; report both codes when the patient has both conditions.

  • examinations related to pregnancy and reproduction (Z30-Z36, Z39.-)
NotesFrom Z00-Z13 Persons encountering health services for examinations (Z00-Z13)

Instructional notes from the ICD-10-CM tabular list.

  • Nonspecific abnormal findings disclosed at the time of these examinations are classified to categories R70-R94.
NotesFrom Chapter Z00-Z99

Instructional notes from the ICD-10-CM tabular list.

  • 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:
  • (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.
  • (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.

Inpatient DRG Payments

DRG 9517,034 discharges

Other Factors Influencing Health Status

Avg. Medicare Payment

$4,626

Total Payment$6,055
Patient Responsibility$1,428
Hospital Charge$25,572

Related condition guides

Documentation requirements, coding pitfalls and FAQs for conditions coded with Z09.