Z42.8
Z42.8: Encounter for other plastic and reconstructive surgery following medical procedure or healed injury
Billable / specific codeICD-10-CMPOA exempt
Z42.8 is a billable, specific ICD-10-CM code for encounter for other plastic and reconstructive surgery following medical procedure or healed injury. It is valid for submission on a claim.
Check Z42.8 with the rest of the claim: free scrubberExcludes1 inherited from the categories above Z42.8
A category’s note binds every code beneath it.
Other codes that can never be billed with Z42.8
Their own Excludes1 notes name this code, so the conflict is not listed above.
- Z41.1Encounter for cosmetic surgery
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
Z42.8 is named in 4 Medicare coverage policies: 4 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56587Billing and Coding: Cosmetic and Reconstructive Surgery
- A58573Billing and Coding: Cosmetic and Reconstructive Surgery
- A58774Billing and Coding: Cosmetic and Reconstructive Surgery
- A59299Billing and Coding: Cosmetic and Reconstructive Surgery
Alphabetic index entries that lead here
- Admission›plastic and reconstructive surgery following medical procedure or healed injury NEC
- Admission›reconstructive surgery following medical procedure or healed injury NEC
- Encounter›plastic and reconstructive surgery following medical procedure or healed injury NEC
- Encounter›reconstructive surgery following medical procedure or healed injury NEC
Code history
Unchanged in every release from FY2024 to FY2027.