Are there age restrictions for ICD-10-CM code Z39.1?

Yes, this code is restricted to patients between the ages of 9 and 64 years.

Is Z39.1 an acceptable principal diagnosis?

No, code Z39.1 is identified as an unacceptable principal diagnosis (Edit 113) due to OPPS coding requirements.

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Medical Coding
ICD-10-CM
Chapter 21
Z39.1

Z39.1 Billable Code

Encounter for care and examination of lactating mother

Effective From: 10/01/2016

Chapter Classification

Chapter 21 Factors influencing health status and contact with health services (Z00-Z99)

Section Detail

Z30-Z39 Persons encountering health services in circumstances related to reproduction (Z30-Z39)

Code Hierarchy

This code is a child of Z39.

Coding Guidelines & Notes

excludes1

disorders of lactation (O92.-)

OPPS Editing Flags

Age Restrictions Ages 9 to 64

External Cause No

Mental Health No

Manifestation (Edit 89) No

Code First Applicable ?This code represents a manifestation of an underlying disease. The underlying condition must be coded first as the principal diagnosis. No

Unacceptable PDX (Edit 113) Yes

PDX Exclusion Logic

OPPS Required: Yes
Bill Type Override: No

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