Z00-Z99

Factors influencing health status and contact with health services

Chapter 21

Covers factors influencing health status and contact with health services including examinations, screenings, and follow-up care.

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.

Codes in this Chapter (89)

Z00Encounter for general examination without complaint, suspected or reported diagnosis8 codesZ01Encounter for other special examination without complaint, suspected or reported diagnosis6 codesZ02Encounter for administrative examination10 codesZ03Encounter for medical observation for suspected diseases and conditions ruled out3 codesZ04Encounter for examination and observation for other reasons8 codesZ05Encounter for observation and evaluation of newborn for suspected diseases and conditions ruled out10 codesZ08Encounter for follow-up examination after completed treatment for malignant neoplasmZ09Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasmZ11Encounter for screening for infectious and parasitic diseases10 codesZ12Encounter for screening for malignant neoplasms10 codesZ13Encounter for screening for other diseases and disorders10 codesZ14Genetic carrier3 codesZ15Genetic susceptibility to disease4 codesZ16Resistance to antimicrobial drugs3 codesZ17Estrogen, and other hormones and factors receptor status5 codesZ18Retained foreign body fragments6 codesZ19Hormone sensitivity malignancy status2 codesZ20Contact with and (suspected) exposure to communicable diseases10 codesZ21Asymptomatic human immunodeficiency virus [HIV] infection statusZ22Carrier of infectious disease9 codesZ23Encounter for immunizationZ28Immunization not carried out and underimmunization status6 codesZ29Encounter for other prophylactic measures4 codesZ30Encounter for contraceptive management5 codesZ31Encounter for procreative management7 codesZ32Encounter for pregnancy test and childbirth and childcare instruction3 codesZ33Pregnant state3 codesZ34Encounter for supervision of normal pregnancy3 codesZ36Encounter for antenatal screening of mother8 codesZ37Outcome of delivery9 codesZ38Liveborn infants according to place of birth and type of delivery9 codesZ39Encounter for maternal postpartum care and examination3 codesZ40Encounter for prophylactic surgery3 codesZ41Encounter for procedures for purposes other than remedying health state5 codesZ42Encounter for plastic and reconstructive surgery following medical procedure or healed injury2 codesZ43Encounter for attention to artificial openings10 codesZ44Encounter for fitting and adjustment of external prosthetic device6 codesZ45Encounter for adjustment and management of implanted device7 codesZ46Encounter for fitting and adjustment of other devices9 codesZ47Orthopedic aftercare4 codesZ48Encounter for other postprocedural aftercare5 codesZ49Encounter for care involving renal dialysis2 codesZ51Encounter for other aftercare and medical care6 codesZ52Donors of organs and tissues9 codesZ53Persons encountering health services for specific procedures and treatment, not carried out6 codesZ55Problems related to education and literacy9 codesZ56Problems related to employment and unemployment9 codesZ57Occupational exposure to risk factors10 codesZ58Problems related to physical environment2 codesZ59Problems related to housing and economic circumstances10 codesZ60Problems related to social environment7 codesZ62Problems related to upbringing7 codesZ63Other problems related to primary support group, including family circumstances9 codesZ64Problems related to certain psychosocial circumstances3 codesZ65Problems related to other psychosocial circumstances8 codesZ66Do not resuscitateZ67Blood type6 codesZ68Body mass index [BMI]5 codesZ69Encounter for mental health services for victim and perpetrator of abuse3 codesZ70Counseling related to sexual attitude, behavior and orientation6 codesZ71Persons encountering health services for other counseling and medical advice, not elsewhere classified10 codesZ72Problems related to lifestyle7 codesZ73Problems related to life management difficulty9 codesZ74Problems related to care provider dependency6 codesZ75Problems related to medical facilities and other health care8 codesZ76Persons encountering health services in other circumstances7 codesZ77Other contact with and (suspected) exposures hazardous to health4 codesZ78Other specified health status3 codesZ79Long term (current) drug therapy8 codesZ80Family history of primary malignant neoplasm10 codesZ81Family history of mental and behavioral disorders6 codesZ82Family history of certain disabilities and chronic diseases (leading to disablement)9 codesZ83Family history of other specific disorders8 codesZ84Family history of other conditions5 codesZ85Personal history of malignant neoplasm10 codesZ86Personal history of certain other diseases7 codesZ87Personal history of other diseases and conditions9 codesZ88Allergy status to drugs, medicaments and biological substances10 codesZ89Acquired absence of limb7 codesZ90Acquired absence of organs, not elsewhere classified9 codesZ91Personal risk factors, not elsewhere classified6 codesZ92Personal history of medical treatment4 codesZ93Artificial opening status9 codesZ94Transplanted organ and tissue status10 codesZ95Presence of cardiac and vascular implants and grafts8 codesZ96Presence of other functional implants10 codesZ97Presence of other devices7 codesZ98Other postprocedural states8 codesZ99Dependence on enabling machines and devices, not elsewhere classified5 codes