2025 ICD-10-CM code Z08
Encounter for follow-up examination after completed treatment for malignant neoplasm. Medical surveillance following completed treatment.
Medical necessity for follow-up examinations after cancer treatment is based on the need to monitor for recurrence, assess treatment response, manage long-term effects of treatment, and provide ongoing support and guidance to the patient.The frequency and intensity of follow-up are determined by the type and stage of the cancer, the treatment received, and the patient's overall health.
The physician's responsibility is to conduct a thorough follow-up examination to monitor the patient's condition after cancer treatment, looking for signs of recurrence, complications, or long-term effects of treatment.This may involve physical examination, imaging studies, laboratory tests, and discussion of the patient's overall health and well-being.
- Chapter 21: Factors influencing health status and contact with health services (Z00-Z99)
- Persons encountering health services for examinations (Z00-Z13)
In simple words: This code is used when a patient who has completed treatment for cancer goes to the doctor for a follow-up examination to check for any signs of recurrence or other related health issues.
This code is used for encounters for follow-up examination after completed treatment for malignant neoplasm.It is intended for medical surveillance following completed treatment.Use additional code to identify any acquired absence of organs (Z90.-). Use additional code to identify the personal history of malignant neoplasm (Z85.-).
Example 1: A patient who has completed chemotherapy for breast cancer returns for a scheduled follow-up examination to assess treatment response and monitor for any recurrence., A patient who has undergone surgery and radiation therapy for prostate cancer has a follow-up visit to evaluate post-treatment recovery and check for any signs of the cancer returning., A patient who completed treatment for leukemia several months ago is seen for a routine follow-up examination including blood tests to check for remission status and any long-term effects of treatment.
Documentation should include the type of cancer treatment completed (surgery, chemotherapy, radiation, etc.), the date of treatment completion, the results of the physical examination, any relevant imaging or lab results, and an assessment of the patient's overall health status.
- Specialties:Oncology, primary care, surgery
- Place of Service:Office, Outpatient Hospital, Clinic