Aftercare visit codes are assigned in situations in which the initial treatment of a disease has been performed but the patient requires continued care during the healing or recovery phase, or for the long-term consequences of the disease.
ICD-10-CM makes two important points about the use of aftercare codes in the final chapter.
- The aftercare Z code should not be used if treatment is directed at a current, acute disease.
- The aftercare Z codes should not be used for aftercare for injuries.
- Why? “The aftercare Z codes should not be used for aftercare for conditions such as injuries or poisonings, where 7th characters are provided to identify subsequent care. For example, for aftercare of an injury, assign the acute injury code with the 7th character “D” (subsequent encounter).”
Certain aftercare Z code categories need a secondary diagnosis code to describe the resolving condition or sequelae. For others, the condition is included in the code title.
Additional Z code aftercare category terms include fitting and adjustment, and attention to artificial openings.
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