List of Z Codes That May Only be Principal/First-Listed Diagnosis As per 2017 ICD Guidelines

     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:
  • Z00 Encounter for general examination without complaint, suspected or reported diagnosis. Except: Z00.6
  • Z01 Encounter for other special examination without complaint, suspected or reported diagnosis
  • Z02 Encounter for administrative examination
  • Z03 Encounter for medical observation for suspected diseases and conditions ruled out
  • Z04 Encounter for examination and observation for other reasons
  • Z31.81 Encounter for male factor infertility in female patient
  • Z31.83 Encounter for assisted reproductive fertility procedure cycle
  • Z31.84 Encounter for fertility preservation procedure
  • Z33.2 Encounter for elective termination of pregnancy
  • Z34 Encounter for supervision of normal pregnancy
  • Z38 Liveborn infants according to place of birth and type of delivery
  • Z39 Encounter for maternal postpartum care and examination
  • Z42 Encounter for plastic and reconstructive surgery following medical procedure or healed injury
  • Z51.0 Encounter for antineoplastic radiation therapy
  • Z51.1- Encounter for antineoplastic chemotherapy and immunotherapy
  • Z52 Donors of organs and tissues   Except: Z52.9, Donor of unspecified organ or tissue 
  • Z76.1 Encounter for health supervision and care of foundling
  • Z76.2 Encounter for health supervision and care of other healthy infant and child
  • Z99.12 Encounter for respirator [ventilator] dependence during power failure

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