Z40.8 Non-Billable Code
Encounter for other prophylactic surgery
Effective From: 10/01/2016
Effective To: 09/30/2025
Chapter Classification
Chapter 21
Factors influencing health status and contact with health services (Z00-Z99)
Section Detail
Z40-Z53
Encounters for other specific health care (Z40-Z53)
Code Hierarchy
This code is a child of Z40.
As a non-billable code, it requires more specific digits to be used on a medical claim.
As a non-billable code, it requires more specific digits to be used on a medical claim.
More Specific Diagnosis Codes
This code is not billable as it requires a higher level of specificity. Select a more specific code below.
- Z40.81 - Encounter for prophylactic surgery for removal of ovary(s) for persons without known genetic/familial risk factors Billable
- Z40.82 - Encounter for prophylactic surgery for removal of fallopian tube(s) for persons without known genetic/familial risk factors Billable
- Z40.89 - Encounter for other prophylactic surgery Billable
OPPS Editing Flags
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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