Z95.2
BillablePresence of prosthetic heart valve
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 31425,543 discharges
Other Circulatory System Diagnoses With Mcc
Avg. Medicare Payment
$17,602
Total Payment$21,323
Patient Responsibility$3,721
Hospital Charge$99,413
DRG 3158,781 discharges
Other Circulatory System Diagnoses With Cc
Avg. Medicare Payment
$7,710
Total Payment$10,367
Patient Responsibility$2,657
Hospital Charge$52,030
DRG 31625 discharges
Other Circulatory System Diagnoses Without Cc/mcc
Avg. Medicare Payment
$5,578
Total Payment$7,470
Patient Responsibility$1,892
Hospital Charge$46,733
Chapter Information
Chapter 21: Factors influencing health status and contact with health services
Range: Z00-Z99
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