2025 ICD-10-CM code Z77.01
(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 (Z77-Z99) Factors influencing health status and contact with health services (Z00-Z99) Feed
Contact with and (suspected) exposure to hazardous metals.
Modifiers may be applicable depending on the specific circumstances of the encounter and the services provided. Consult the current CPT and HCPCS modifier guidelines for further information.
Medical necessity is established based on the documented exposure to hazardous metals, potential health risks associated with such exposure, and the need for appropriate evaluation and management to prevent or mitigate potential adverse health effects. Clinical judgment and appropriate documentation are crucial to support the medical necessity of coding Z77.01.
The clinical responsibility depends on the specific hazardous metal and the patient's presentation.It may involve assessment of exposure history, physical examination, laboratory tests (blood, urine, etc.), imaging studies (if indicated), and appropriate management based on findings.Depending on the severity of the exposure, this may be handled by a general practitioner, a toxicologist, or an occupational medicine specialist.
In simple words: This code means a person has come into contact with, or might have been exposed to, dangerous metals. The doctor might be checking for problems caused by this exposure, or it might be noted if there's a concern about the exposure, even if no symptoms are present.
This ICD-10-CM code signifies contact with or suspected exposure to hazardous metals.It's used when a patient presents for evaluation or treatment related to potential metal exposure, regardless of whether symptoms are present. This code might be the primary diagnosis when the encounter's primary purpose is managing the exposure, or it might be a secondary code to document a risk factor in conjunction with other diagnoses or procedures.
Example 1: A patient presents to the emergency room after an industrial accident involving a spill of mercury.The physician documents Z77.01 to reflect the exposure and orders laboratory tests and initiates decontamination protocols., A construction worker undergoes a routine health check, and elevated levels of lead are found in their bloodwork. Z77.01 is used to document the elevated lead level found during the routine physical., A child is suspected of ingesting lead-based paint chips.Z77.01 is used to document the suspected exposure, and additional laboratory work and imaging studies are ordered to determine the extent of lead absorption and assess for any associated health problems.
Detailed documentation should include the specific hazardous metal involved, the route and nature of exposure (e.g., inhalation, ingestion, dermal contact), date and time of exposure, details of the exposure event (if applicable), any symptoms experienced by the patient, results of any laboratory tests or imaging studies conducted to evaluate the exposure, and the physician's assessment and management plan.
** Always refer to the official ICD-10-CM coding guidelines for the most up-to-date information and any changes in code usage or definitions.Understanding the context of the encounter and appropriate documentation are critical for accurate coding.
- Payment Status: Active
- Modifier TC rule: Not applicable to this diagnosis code.
- Specialties:Occupational medicine, toxicology, emergency medicine, pediatrics (in cases involving children), and other relevant specialties depending on the specific metal and clinical circumstances.
- Place of Service:Office, Emergency Room - Hospital, Inpatient Hospital, Outpatient Hospital, Urgent Care Facility, other relevant settings depending on the circumstances.