Medical Coding

Category - ICD-10-CM Volumes 1 and 2

What are “Z” codes in the ICD-10-CM?
  1. Z codes should always be listed as the primary code and never as a secondary code.
  2. Z codes are used to identify factors influencing health status and contact with health services and may be used as either primary or secondary codes. They are not procedure codes, so they must always have a corresponding procedure code listed to describe any procedure performed.
  3. Z codes are used to identify factors influencing health status and contact with health services and may only be used as secondary codes. They may also be used as procedure codes, so they may be used independently.
  4. Z codes should always be listed as the primary code and are used to identify factors influencing health status and contact with health services.
Explanation
Answer: B - Z codes are not procedure codes and only indicate the reason for an encounter. They may be used as either primary or secondary codes and cannot be used independently. These codes are used to identify health factors influencing health status and contact with health services for things such as contact/exposures, vaccinations, patient status codes, screenings, observation, aftercare, follow up, and counseling.
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