2025 ICD-10-CM code Z29
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Factors influencing health status and contact with health services - Persons with potential health hazards related to communicable diseases Factors influencing health status and contact with health services Feed
Encounter for other prophylactic measures.
Modifiers may be applicable depending on the specific procedure performed. Consult appropriate modifier guidelines for the given circumstance.
Medical necessity for code Z29 is established by the need to prevent disease or injury.This preventative care can be supported by risk factors or known exposures making the preventive measure clinically prudent.
The clinical responsibility depends on the specific prophylactic measure.It could involve a physician, nurse, or other healthcare professional providing counseling, vaccinations, or other preventative services.
In simple words: This code is used when someone goes to the doctor for a checkup or treatment to prevent illness, but it's not for a specific disease or injury.For example, it could be for a vaccination or other preventive measure.
This ICD-10-CM code signifies an encounter for prophylactic measures not otherwise specified.It's used when a patient seeks healthcare for preventive actions against potential health hazards or illnesses, excluding those specifically categorized elsewhere (e.g., allergen desensitization or prophylactic surgery).
Example 1: A patient receives a flu vaccination during an annual checkup., A healthcare worker undergoes routine tuberculosis testing as a preventative measure., A patient is counseled on preventative measures for a communicable disease after exposure to an infected individual.
Documentation should clearly indicate the reason for the encounter, specifying the prophylactic measure taken and the rationale for its use.If applicable, document any relevant risk factors, assessment findings, and the patient's response to the prophylactic intervention.
** This code should not be used if a more specific code exists for the prophylactic measure.
- Payment Status: Active
- Modifier TC rule: Not applicable to Z29.This is a diagnosis code, not a procedural code.
- Specialties:Family Medicine, Internal Medicine, Infectious Disease, Occupational Medicine
- Place of Service:Office, Outpatient Hospital, Clinic, Other Place of Service