ANSWER:
YES
ICD-10-CM guidelines list which Z codes are reportable only as the first listed diagnosis. However, most often, providers would be using the Z codes along with a primary diagnosis code that describes the illness or injury
ICD-10-CM Official Guidelines for Coding and Reporting
FY 2020
21. Chapter 21:
Factors influencing health status and contact with health services (Z00-Z99)
Note: The chapter specific guidelines provide additional information about the use of Z codes for specified encounters.
a. Use of Z Codes in Any Healthcare Setting Z codes are for use in any healthcare setting. Z codes may be used as either a first-listed (principal diagnosis code in the inpatient setting) or secondary code, depending on the circumstances of the encounter. Certain Z codes may only be used as first-listed or principal diagnosis.
16) Z Codes That May Only be Principal/First-Listed
Diagnosis
The following Z codes/categories may only be reported as the
principal/first-listed diagnosis, except when there are multiple
encounters on the same day and the medical records for the
encounters are combined:
Z00 Encounter for general examination without
complaint, suspected or reported diagnosis
Except: Z00.6
Z01 Encounter for other special examination without
complaint, suspected or reported diagnosis
Z02 Encounter for administrative examination
Z03 Encounter for medical observation for suspected
diseases and conditions ruled out
Z04 Encounter for examination and observation for other
reasons
Z33.2 Encounter for elective termination of pregnancy
Z31.81 Encounter for male factor infertility in female patient
Z31.83 Encounter for assisted reproductive fertility
procedure cycle
Z31.84 Encounter for fertility preservation procedure
Z34 Encounter for supervision of normal pregnancy
Z39 Encounter for maternal postpartum care and
examination
Z38 Liveborn infants according to place of birth and type
of delivery
Z40 Encounter for prophylactic surgery
Z42 Encounter for plastic and reconstructive surgery
following medical procedure or healed injury
Z51.0 Encounter for antineoplastic radiation therapy
Z51.1- Encounter for antineoplastic chemotherapy and
immunotherapy
Z52 Donors of organs and tissues
Except: Z52.9, Donor of unspecified organ or tissue
Z76.1 Encounter for health supervision and care of
foundling
Z76.2 Encounter for health supervision and care of other
healthy infant and child
Z99.12 Encounter for respirator [ventilator] dependence
during power failure
YES
ICD-10-CM guidelines list which Z codes are reportable only as the first listed diagnosis. However, most often, providers would be using the Z codes along with a primary diagnosis code that describes the illness or injury
ICD-10-CM Official Guidelines for Coding and Reporting
FY 2020
21. Chapter 21:
Factors influencing health status and contact with health services (Z00-Z99)
Note: The chapter specific guidelines provide additional information about the use of Z codes for specified encounters.
a. Use of Z Codes in Any Healthcare Setting Z codes are for use in any healthcare setting. Z codes may be used as either a first-listed (principal diagnosis code in the inpatient setting) or secondary code, depending on the circumstances of the encounter. Certain Z codes may only be used as first-listed or principal diagnosis.
16) Z Codes That May Only be Principal/First-Listed
Diagnosis
The following Z codes/categories may only be reported as the
principal/first-listed diagnosis, except when there are multiple
encounters on the same day and the medical records for the
encounters are combined:
Z00 Encounter for general examination without
complaint, suspected or reported diagnosis
Except: Z00.6
Z01 Encounter for other special examination without
complaint, suspected or reported diagnosis
Z02 Encounter for administrative examination
Z03 Encounter for medical observation for suspected
diseases and conditions ruled out
Z04 Encounter for examination and observation for other
reasons
Z33.2 Encounter for elective termination of pregnancy
Z31.81 Encounter for male factor infertility in female patient
Z31.83 Encounter for assisted reproductive fertility
procedure cycle
Z31.84 Encounter for fertility preservation procedure
Z34 Encounter for supervision of normal pregnancy
Z39 Encounter for maternal postpartum care and
examination
Z38 Liveborn infants according to place of birth and type
of delivery
Z40 Encounter for prophylactic surgery
Z42 Encounter for plastic and reconstructive surgery
following medical procedure or healed injury
Z51.0 Encounter for antineoplastic radiation therapy
Z51.1- Encounter for antineoplastic chemotherapy and
immunotherapy
Z52 Donors of organs and tissues
Except: Z52.9, Donor of unspecified organ or tissue
Z76.1 Encounter for health supervision and care of
foundling
Z76.2 Encounter for health supervision and care of other
healthy infant and child
Z99.12 Encounter for respirator [ventilator] dependence
during power failure