Z09: Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm
Z09 is a billable, specific ICD-10-CM code for encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm. It is valid for submission on a claim.
Check Z09 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Use additional code
Add a secondary code to capture the detail described below.
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 Z09
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
Z09 is named in 45 Medicare coverage policies: 45 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52850Billing and Coding: Cardiac Catheterization and Coronary Angiography
- A52992Billing and Coding: Non-Invasive Cerebrovascular Arterial Studies
- A52993Billing and Coding: Peripheral Venous Ultrasound
- A53060Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
Alphabetic index entries that lead here
- Admission›follow-up examination
- Examination›follow-up(routine) (following)
- Examination›follow-up›chemotherapy NEC
- Examination›follow-up›fracture
- Examination›follow-up›psychotherapy
- Examination›follow-up›radiotherapy NEC
- Examination›follow-up›surgery NEC
- Examination›following›treatment(for)
- Examination›psychiatric NEC›follow-up not needing further care
- Examination›following›treatment›combined NEC
- Examination›following›treatment›mental disorder
- Examination›following›treatment›specified condition NEC
Code history
Unchanged in every release from FY2024 to FY2027.