Z42
Z42: Encounter for plastic and reconstructive surgery following medical procedure or healed injury
Non-billable headerICD-10-CM
Z42 is a non-billable header ICD-10-CM code for encounter for plastic and reconstructive surgery following medical procedure or healed injury. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- encounter for cosmetic plastic surgery (Z41.1)
- encounter for plastic surgery for treatment of current injury - code to relevent injury
Other codes that can never be billed with Z42
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.
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead Z42
2 child codes. Green means billable.