Encounter for other prophylactic surgery

Not billableICD-10-CM diagnosis code.

This code exists but cannot be submitted on its own. It groups the more specific codes beneath it.

Billable FY2016 to FY2025, and a category header from FY2026.

Submit one of these 3 more specific codes instead:

Z40.81 Encounter for prophylactic surgery for removal of ovary(s) for persons without known genetic/familial risk factors
Z40.82 Encounter for prophylactic surgery for removal of fallopian tube(s) for persons without known genetic/familial risk factors
Z40.89 Encounter for other prophylactic surgery

What has happened to this code

Every change the publisher made, from 2007 to now. Entries marked draft are from the pre-implementation releases: ICD-10 took effect on 1 October 2015, so nothing before FY2016 was ever valid on a claim.

FY2007 Added to the draft code set draft Encounter for other prophylactic surgery
FY2026 Stopped being billable

Official coding rules

Published by CDC for FY2027. A rule attached to a category binds every code beneath it, so the rules inherited from this code's ancestors are shown with the code they come from.

Inherited from Z40 Encounter for prophylactic surgery

Excludes1 - never coded here

organ donations (Z52.-)
therapeutic organ removal-code to condition

Inherited from the Z40-Z53 section Encounters for other specific health care (Z40-Z53)

Excludes2 - not included here

follow-up examination for medical surveillance after treatment (Z08-Z09)

Also known as

Categories Z40-Z53 are intended for use to indicate a reason for care. They may be used for patients who have already been treated for a disease or injury, but who are receiving aftercare or prophylactic care, or care to consolidate the treatment, or to deal with a residual state

Codes in the same group

Code	Description	Status
Z40.0	Encounter for prophylactic surgery for risk factors related to malignant neoplasms	Not billable
Z40.9	Encounter for prophylactic surgery, unspecified	Valid