Z40.0

Z40.0: Encounter for prophylactic surgery for risk factors related to malignant neoplasms

Non-billable headerICD-10-CM

Z40.0 is a non-billable header ICD-10-CM code for encounter for prophylactic surgery for risk factors related to malignant neoplasms. It cannot be billed on its own: choose one of the more specific child codes below.

Use additional code

Add a secondary code to capture the detail described below.

code to identify risk factor, such as genetic susceptibility to malignant neoplasm Z15.-

Inclusion terms

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

Admission for prophylactic organ removal

Excludes1 inherited from the categories above Z40.0

A category’s note binds every code beneath it.

Written on Z40: Encounter for prophylactic surgery

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

Other codes that can never be billed with Z40.0

Their own Excludes1 notes name this code, so the conflict is not listed above.

Z29Encounter for other prophylactic measures

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead Z40.0

5 child codes. Green means billable.