octoHealth

Z04.1

Billable

Encounter for examination and observation following transport accident

Chapter 21: Factors influencing health status and contact with health services

Additional Information

From parent codes: Z00-Z99 (Chapter 21)

NotesFrom Z00-Z99

Additional notes from parent codes that apply to this code.

  • Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
  • (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
  • (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.

Inpatient DRG Payments

DRG 92222 discharges

Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc

Avg. Medicare Payment

$10,568

Total Payment$12,420
Patient Responsibility$1,852
Hospital Charge$53,634
DRG 92311 discharges

Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc

Avg. Medicare Payment

$10,890

Total Payment$14,385
Patient Responsibility$3,496
Hospital Charge$96,675