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Z Codes: Who’s on the First? - AAPC Knowledge Center Encounter codes require knowing sequencing guidelines and Medicare exceptions When applied correctly, Z codes improve claims accuracy and specificity, and help to establish medical necessity for treatment That’s reason enough to get to know them better
ICD 10 Diagnosis Code Sequencing - Molina Healthcare External Causes of Morbidity ICD-10 codes in the range V00-Y99 are not accepted as the primary or first listed diagnosis as they describe the cause of the morbidity, not the condition itself
ICD-10-CM Official Guidelines for Coding and Reporting - HHS. gov These guidelines are a set of rules that have been developed to accompany and complement the official conventions and instructions provided within the ICD-10-CM itself The instructions and conventions of the classification take precedence over guidelines
The Impact and Challenges of Sequencing Z Codes for Reimbursement The guidelines highlight instances where aftercare codes can be used as primary or secondary, with variances such as indicating a follow up for a healing fracture with the 7th character of the appropriate fracture code from Chapter 19 of ICD10-CM
ICD-10 in Action: Chapter-specific guidelines Unless otherwise noted, chapter-specific guidelines apply to all health care settings These guidelines contain additional important information for reaching the most appropriate code assignment and proper sequencing of ICD-10-CM codes
Z Code (Z00 – Z99) Coding and Guidelines The ICD-10 Official Guidelines for Coding and Reporting identify which codes may be assigned as first-listed or secondary (depending on the circumstances) Assign as many codes as necessary to fully explain the healthcare encounter
Z Codes That May be Principal First-Listed Diagnosis Z Codes indicate a reason for an encounter and are not procedure codes A corresponding procedure code must accompany a Z code to describe any procedure performed For further information, you may refer to ICD-10-CM Official Guidelines for Coding and Reporting, FY 2018 (PDF)
Follow This Advice and Keep Your ICD-10 Sequencing Guidelines in . . . - AAPC Instructions telling you how to sequence multiple ICD-10 codes are plentiful and distributed throughout ICD-10’s general and chapter-specific guidelines On the surface, that seems both intimidating and the potential cause for numerous coding errors