2025 ICD-10-CM code Z51.0
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Factors influencing health status and contact with health services - Encounters for other specific health care (Z40-Z53) Factors influencing health status and contact with health services (Z00-Z99) Feed
Encounter for antineoplastic radiation therapy.
Modifiers may be applicable depending on the circumstances of the service.Consult the official guidelines for appropriate modifier usage.
Medical necessity for Z51.0 is established by the presence of a cancerous condition requiring radiation therapy as part of a comprehensive treatment plan developed by a qualified oncologist or radiation oncologist.The plan should demonstrate that the radiation therapy is appropriate for the specific tumor type, stage, and patient's overall health.
Oncologist, radiation oncologist, or other qualified healthcare professional administering the radiation therapy.
- Factors influencing health status and contact with health services (Z00-Z99)
- Z51: Encounter for radiotherapy
In simple words: This code means the patient went to the doctor or hospital for cancer treatment using radiation therapy.This might be a single treatment or part of a series of treatments.
This code signifies an encounter for antineoplastic radiation therapy.It's used when a patient receives radiation therapy as part of cancer treatment.The code indicates the reason for the encounter and is used in conjunction with a procedure code if a specific procedure was performed during the visit.
Example 1: A patient with newly diagnosed lung cancer presents for their first fraction of external beam radiation therapy to the lung., A patient with breast cancer who has completed chemotherapy is receiving adjuvant radiation therapy to the chest wall. This is a follow-up visit for the second fraction of a planned course of radiation therapy., A patient with recurrent prostate cancer undergoes brachytherapy (internal radiation therapy) as part of their treatment plan. This is the patient's first visit to implant the radioactive seeds.
* Diagnosis of cancer requiring radiation therapy.* Treatment plan outlining the type, dose, and schedule of radiation therapy.* Documentation of the specific radiation therapy delivered (e.g., external beam radiation therapy, brachytherapy, stereotactic body radiation therapy).* Date(s) of service for each radiation treatment fraction.
** This code should only be used for encounters where the primary reason for the visit is to receive antineoplastic radiation therapy.It should not be used for routine follow-up appointments unless a specific procedure related to radiation therapy is also performed.
- Payment Status: Active
- Modifier TC rule: Not applicable to this diagnosis code.
- Specialties:Oncology, Radiation Oncology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Radiation Oncology Clinic, Ambulatory Surgical Center