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- Z Codes: Who’s on the First? - AAPC Knowledge Center
Some Z codes are reported only as a primary diagnosis ICD-10-CM guidelines list which Z codes are reportable only as the first listed diagnosis, with exception (Note: Italics are added for emphasis, bold text is in the original guidelines):
- AAPC Chapter 5 Practice Questions Flashcards - Quizlet
Can Z codes be listed as a primary code? D: Yes; Z codes can be sequenced as primary and secondary codes Rationale: ICD-10-CM guideline I C 21 a indicates Z codes may be used as either a first listed (principal diagnosis code in the inpatient setting) or secondary code, depending on the circumstances of the encounter
- Z codes that may only be principal first-listed diagnosis
The following Z codes categories may only be reported as the principal first-listed diagnosis, except when there are multiple encounters on the same day and the medical records for the encounters are combined:
- Medical Coding Z Codes | Coding Clarified
Typically, Z codes are used as secondary diagnoses, meaning they are used alongside a primary condition or disease being treated However, in certain circumstances, Z codes can be used as the principal diagnosis —the main reason for the patient’s encounter
- Z Codes That May Only be Principal First-Listed Diagnosis
According to 2018 Guidelines section: 1;C 21 c 16, the following Z codes categories may only be reported as the principal first-listed diagnosis, except when there are multiple encounters on the same day and the medical records for the encounters are combined:
- Z Code (Z00 Z99) Coding and Guidelines - Health Level Seven International
Certain Z codes may only be reported as the first-listed Dx and should never be reported in any position other the primary position Some Z codes cannot be first-listed Other Z codes may be used as either a first-listed or secondary Dx, depending on the circumstances of the encounter
- Find and assign Z codes when appropriate - DecisionHealth
Z codes may be used as either a first-listed (principal diagnosis code in the inpatient setting) or secondary code, depending on the circumstances of the encounter Certain Z codes may only be used as first-listed or principal diagnosis The aftercare Z code should not be used if treatment is directed at a current, acute disease
- Master Z Codes with Our ICD-10 Guide - Wolters Kluwer
Z codes may be used as either a first listed, or principal diagnosis code in the inpatient setting, or a secondary code depending on the circumstances of the encounter For example, codes in category Z16 “Resistance to antimicrobial drugs” are provided for use as additional codes to identify the resistance and non-responsiveness of a
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