2025 ICD-10-CM code Z98.89
(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 Factors influencing health status and contact with health services (Z00-Z99) Feed
Other specified post-procedural states; a code used to document the status of a patient following a surgical or other medical procedure, when a more specific code is not available.
Not applicable to ICD-10 codes. Modifiers apply to CPT and HCPCS codes.
Medical necessity for using Z98.89 is established by the presence of a prior procedure and the documented impact of that procedure on the patient's current health.This code is generally used for documentation and tracking purposes to provide a complete picture of the patient's medical history, rather than as a basis for reimbursement.
The clinical responsibility for using code Z98.89 lies with the physician documenting the patient's post-procedure status.The physician must ensure that all relevant information regarding the procedure and its impact on the patient's current health is documented accurately.
- Factors influencing health status and contact with health services (Z00-Z99)
- Z98 (Other specified postprocedural states)
In simple words: This code is used to note that a person has had a medical procedure in the past, and that this procedure might still be affecting their health in some way, even if there is no specific problem now.It's used when doctors don't have a more precise code to describe the situation.
Z98.89, Other specified postprocedural states, is an ICD-10-CM code used to classify a patient's condition after a surgical or other medical procedure when no other, more specific code accurately reflects the patient's post-procedure status.This code is applied when the patient's condition is related to a previous procedure but doesn't meet the criteria for any other, more specific post-procedure code. It's crucial to note that this is a supplementary code and should always be used in conjunction with a primary diagnosis code related to the patient's current reason for encounter.The use of Z98.89 indicates the existence of a prior procedure that continues to influence the patient's health status. It does not directly code for any specific complication or condition.
Example 1: A patient presents for a follow-up appointment after LASIK surgery.They report mild dry eye.The primary diagnosis would code the dry eye, and Z98.89 would be used as a secondary code to indicate the status post-LASIK. , A patient presents for cataract surgery.They have a history of previous retinal detachment repair. The primary diagnosis would address the current cataract. Z98.89 could be used as a secondary code to document the status post-retinal detachment repair., A patient has a routine checkup after a recent knee replacement. The physician notes some mild stiffness related to the surgery but no specific complications. The primary diagnosis would document the reason for the visit, and Z98.89 would document the post-surgical status.
Documentation should include details of the previous procedure(s), the date(s) of the procedure(s), and any ongoing effects of the procedure(s) on the patient's current health status.The physician's clinical notes should clearly justify the use of this code.
** Z98.89 is primarily used as a secondary code to provide context regarding a patient's post-procedure status.Reimbursement for this code alone is usually not allowed.Always pair this with a primary diagnosis code reflecting the reason for the current visit.
- Revenue Code: Revenue codes will vary depending on the specific procedure and place of service. Consult your specific payer's guidelines.
- RVU: RVUs are not directly assigned to ICD-10 codes.RVUs are associated with CPT codes which would be used to bill for services rendered.
- Global Days: Not applicable to ICD-10 codes.Global periods are defined by CPT codes.
- Payment Status: Active
- Modifier TC rule: Not applicable to ICD-10 codes.
- Fee Schedule: Not applicable to ICD-10 codes. Fee schedules are associated with CPT and HCPCS codes.
- Specialties:All specialties may use this code depending on the prior procedure.
- Place of Service:This code can be used in various places of service, including but not limited to: Office, Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center.