ICD-10 block
Z40–Z54 Persons encountering health services for specific procedures and health care
The block Z40–Z54 of ICD-10 is titled “Persons encountering health services for specific procedures and health care”. It is part of Chapter XXI, Factors influencing health status and contact with health services, and holds 15 groups.
What Z40–Z54 excludes
Conditions that look similar but belong under another code.
- follow-up examination for medical surveillance after treatment Z08-Z09
Coding notes
- Categories Z40-Z54 are intended for use to indicate a reason for care. They may be used for patients who have already been treated for a disease or injury, but who are receiving follow-up or prophylactic care, convalescent care, or care to consolidate the treatment, to deal with residual states, to ensure that the condition has not recurred, or to prevent recurrence.
Codes in Z40–Z54
- Z42.0Follow-up care involving plastic surgery of head and neck
- Z42.1Follow-up care involving plastic surgery of breast
- Z42.2Follow-up care involving plastic surgery of other parts of trunk
- Z42.3Follow-up care involving plastic surgery of upper extremity
- Z42.4Follow-up care involving plastic surgery of lower extremity
- Z42.8Follow-up care involving plastic surgery of other body part
- Z42.9Follow-up care involving plastic surgery, unspecified
- Z43.0Attention to tracheostomy
- Z43.1Attention to gastrostomy
- Z43.2Attention to ileostomy
- Z43.3Attention to colostomy
- Z43.4Attention to other artificial openings of digestive tract
- Z43.5Attention to cystostomy
- Z43.6Attention to other artificial openings of urinary tract
- Z43.7Attention to artificial vagina
- Z43.8Attention to other artificial openings
- Z43.9Attention to unspecified artificial opening
- Z44.0Fitting and adjustment of artificial arm (complete)(partial)
- Z44.1Fitting and adjustment of artificial leg (complete)(partial)
- Z44.2Fitting and adjustment of artificial eye
- Z44.3Fitting and adjustment of external breast prosthesis
- Z44.8Fitting and adjustment of other external prosthetic devices
- Z44.9Fitting and adjustment of unspecified external prosthetic device
- Z45.0Adjustment and management of cardiac devices
- Z45.1Adjustment and management of infusion pump
- Z45.2Adjustment and management of vascular access device
- Z45.3Adjustment and management of implanted hearing device
- Z45.8Adjustment and management of other implanted devices
- Z45.9Adjustment and management of unspecified implanted device
- Z46.0Fitting and adjustment of spectacles and contact lenses
- Z46.1Fitting and adjustment of hearing aid
- Z46.2Fitting and adjustment of other devices related to nervous system and special senses
- Z46.3Fitting and adjustment of dental prosthetic device
- Z46.4Fitting and adjustment of orthodontic device
- Z46.5Fitting and adjustment of ileostomy and other intestinal appliances
- Z46.6Fitting and adjustment of urinary device
- Z46.7Fitting and adjustment of orthopaedic device
- Z46.8Fitting and adjustment of other specified devices
- Z46.9Fitting and adjustment of unspecified device
- Z50.0Cardiac rehabilitation
- Z50.1Other physical therapy
- Z50.2Alcohol rehabilitation
- Z50.3Drug rehabilitation
- Z50.4Psychotherapy, not elsewhere classified
- Z50.5Speech therapy
- Z50.6Orthoptic training
- Z50.7Occupational therapy and vocational rehabilitation, not elsewhere classified
- Z50.8Care involving use of other rehabilitation procedures
- Z50.9Care involving use of rehabilitation procedure, unspecified
- Z51.0Radiotherapy session
- Z51.1Chemotherapy session for neoplasm
- Z51.2Other chemotherapy
- Z51.3Blood transfusion (without reported diagnosis)
- Z51.4Preparatory care for subsequent treatment, not elsewhere classified
- Z51.5Palliative care
- Z51.6Desensitization to allergens
- Z51.8Other specified medical care
- Z51.9Medical care, unspecified
- Z53.0Procedure not carried out because of contraindication
- Z53.1Procedure not carried out because of patient's decision for reasons of belief and group pressure
- Z53.2Procedure not carried out because of patient's decision for other and unspecified reasons
- Z53.8Procedure not carried out for other reasons
- Z53.9Procedure not carried out, unspecified reason
- Z54.0Convalescence following surgery
- Z54.1Convalescence following radiotherapy
- Z54.2Convalescence following chemotherapy
- Z54.3Convalescence following psychotherapy
- Z54.4Convalescence following treatment of fracture
- Z54.7Convalescence following combined treatment
- Z54.8Convalescence following other treatment
- Z54.9Convalescence following unspecified treatment
Based on the World Health Organization’s International Statistical Classification of Diseases and Related Health Problems, 10th revision (ICD-10), 2019 version, and the national editions published by each country’s health authority. This page is a reference, not coding advice; follow your national coding rules when you report.
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