Z42.8 — Encounter for other plastic and reconstructive surgery following medical procedure or healed injury
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.
Risk adjustment
Z42.8 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
Z42.8 is named in 4 Medicare coverage policies — 4 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- 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
How Z42.8 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 Z42.8.
- 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
Related codes at this level
Codes that share Z42. If Z42.8 is not quite right, the correct code is usually one of these.
Questions about Z42.8
- Is Z42.8 a billable ICD-10-CM code?
- Yes. Z42.8 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does Z42.8 sit in the tabular list?
- Factors influencing health status and contact with health services (Z00-Z99), in the block Encounters for other specific health care (Z40-Z53).