Z48.3

Z48.3: Aftercare following surgery for neoplasm

Billable / specific codeICD-10-CMPOA exempt

Z48.3 is a billable, specific ICD-10-CM code for aftercare following surgery for neoplasm. It is valid for submission on a claim.

Check Z48.3 with the rest of the claim: free scrubber

Use additional code

Add a secondary code to capture the detail described below.

code to identify the neoplasm

Excludes1 inherited from the categories above Z48.3

A category’s note binds every code beneath it.

Written on Z48: Encounter for other postprocedural aftercare

encounter for follow-up examination after completed treatment (Z08-Z09)
encounter for aftercare following injury - code to Injury, by site, with appropriate 7th character for subsequent encounter

Excludes2 inherited from the categories above Z48.3

Not part of this code, but both may be coded when both are present.

Written on Z48: Encounter for other postprocedural aftercare

encounter for attention to artificial openings (Z43.-)
encounter for fitting and adjustment of prosthetic and other devices (Z44-Z46)

Other codes that can never be billed with Z48.3

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

Z48.81Encounter for surgical aftercare following surgery on specified body systems

Risk adjustment

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

Medicare coverage

Z48.3 is named in 11 Medicare coverage policies: 11 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A53058Billing and Coding: Home Health Physical Therapy
A53065Billing and Coding: Outpatient Physical Therapy
A56034Billing and Coding: Nerve Blockade for Treatment of Chronic Pain and Neuropathy
A56587Billing and Coding: Cosmetic and Reconstructive Surgery