2025 ICD-10-CM code Z93.0
(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 family and personal history and certain conditions influencing health status Chapter 21: Factors influencing health status and contact with health services Feed
Tracheostomy status indicates the presence of a tracheostomy, a surgically created opening in the trachea (windpipe) to aid breathing.
Modifiers are not applicable to ICD-10 codes.
The medical necessity for Z93.0 is established by the presence of a tracheostomy. This code is used to document the patient's status and is not typically subject to specific medical necessity criteria, as it is a status indicator, not a procedure.
The clinical responsibility for a patient with a tracheostomy will depend on the patient's overall health status and the reason for the encounter.It may involve physicians, nurses, respiratory therapists, or other healthcare professionals, depending on the specific needs of the patient.
- Chapter 21: Factors influencing health status and contact with health services
- Z93-Z99: Persons with potential health hazards related to family and personal history and certain conditions influencing health status
In simple words: This code means the patient has a tracheostomy, which is a hole made in their windpipe to help them breathe.The doctor uses this code to show that the patient has a tracheostomy, whether or not it needs treatment during the visit.
This code, Z93.0, signifies the presence of a tracheostomy, a surgically created opening in the trachea (windpipe), which is used to facilitate breathing.It's a status code indicating the patient has a tracheostomy, irrespective of whether it requires active medical attention during the encounter.The code is used when a patient presents with a tracheostomy and it's relevant to their encounter, even if no specific treatment related to the tracheostomy is provided.It should not be used if the tracheostomy requires specific attention or care, in which case other appropriate codes should be used.
Example 1: A patient with a long-standing tracheostomy presents for a routine check-up with their primary care physician.No specific tracheostomy-related care is needed during the visit. Z93.0 would be appropriate., A patient is admitted to the hospital for pneumonia. The patient also has a tracheostomy which requires suctioning several times a day.The tracheostomy is addressed as part of routine hospital care, but Z93.0 would still be recorded.Additional codes would be needed to reflect the pneumonia and any interventions performed., A patient with a tracheostomy presents to the emergency department for an unrelated injury.The tracheostomy is noted and does not require any specific treatment or intervention. Z93.0 is appropriate.
Documentation should include the presence of the tracheostomy, the date of placement (if known), and any relevant notes regarding its condition or function. If any treatment or procedure is performed related to the tracheostomy, that should also be documented separately.
** Z93.0 is exempt from the "Present on Admission" (POA) reporting requirement.
- Revenue Code: Revenue codes will vary depending on the services provided and the payer.
- RVU: RVUs are not applicable to ICD-10 codes.Reimbursement is based on the procedures and services provided, coded with CPT or HCPCS codes.
- Global Days: Not applicable to ICD-10 codes.
- Payment Status: Active
- Modifier TC rule: Not applicable to ICD-10 codes.
- Fee Schedule: Not applicable to ICD-10 codes. Reimbursement is determined by the procedures and services provided.
- Specialties:Pulmonology, Respiratory Therapy, Otolaryngology, General Surgery
- Place of Service:This code can be used in various settings including Inpatient Hospital, Outpatient Hospital, Office, and other healthcare settings.