Is Z08 a billable ICD-10-CM code?

Yes. Z08 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does Z08 sit in the tabular list?

Factors influencing health status and contact with health services (Z00-Z99), in the block Persons encountering health services for examinations (Z00-Z13).

What cannot be coded together with Z08?

Z08 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

Z08

Z08 — Encounter for follow-up examination after completed treatment for malignant neoplasm

Billable / specific codeICD-10-CMPOA exempt

Z08 is a billable, specific ICD-10-CM code for encounter for follow-up examination after completed treatment for malignant neoplasm. It is valid for submission on a claim.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

aftercare following medical care (Z43-Z49, Z51)

Use additional code

Add a secondary code to capture the detail described below.

code to identify any acquired absence of organs (Z90.-)
code to identify the personal history of malignant neoplasm (Z85.-)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Medical surveillance following completed treatment

Other codes that can never be billed with Z08

These codes carry an Excludes1 note pointing at Z08. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Z08 alone.

Z51Encounter for other aftercare and medical care
Z01.41Encounter for routine gynecological examination
Z12.72Encounter for screening for malignant neoplasm of vagina
Z48Encounter for other postprocedural aftercare

Risk adjustment

Z08 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Medicare coverage

Z08 is named in 22 Medicare coverage policies — 22 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A54768Billing and Coding: Cardiac Blood Pool Imaging (Multiple Gated Acquisition Scanning- MUGA, Ventriculography) When Performed in Conjunction with Cardiotoxic Chemotherapy
A56389Billing and Coding: Upper Gastrointestinal Endoscopy and Visualization
A56394Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic
A56448Billing and Coding: Breast Imaging Mammography/Breast Echography (Sonography)/Breast MRI/Ductography

How Z08 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to Z08.

Examination›follow-up›malignant neoplasm
Examination›follow-up›chemotherapy NEC›malignant neoplasm
Examination›follow-up›radiotherapy NEC›malignant neoplasm
Examination›follow-up›surgery NEC›malignant neoplasm
Examination›following›treatment›malignant neoplasm
Examination›following›treatment›combined NEC›malignant neoplasm

Questions about Z08

Is Z08 a billable ICD-10-CM code?: Yes. Z08 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does Z08 sit in the tabular list?: Factors influencing health status and contact with health services (Z00-Z99), in the block Persons encountering health services for examinations (Z00-Z13).
What cannot be coded together with Z08?: Z08 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.