Z48.811

Z48.811: Encounter for surgical aftercare following surgery on the nervous system

Billable / specific codeICD-10-CMPOA exempt

Z48.811 is a billable, specific ICD-10-CM code for encounter for surgical aftercare following surgery on the nervous system. It is valid for submission on a claim.

Check Z48.811 with the rest of the claim: free scrubber

Excludes2: not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

encounter for surgical aftercare following surgery on the sense organs (Z48.810)

Excludes1 inherited from the categories above Z48.811

A category’s note binds every code beneath it.

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

aftercare for injury- code the injury with 7th character D
aftercare following surgery for neoplasm (Z48.3)

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 Z48.811

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

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

aftercare following organ transplant (Z48.2-)
orthopedic aftercare (Z47.-)

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)

Risk adjustment

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

Medicare coverage

Z48.811 is named in 4 Medicare coverage policies: 4 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A57204Billing and Coding: MRI and CT Scans of the Head and Neck
A58801Billing and Coding: Pharmacogenomics Testing
A58812Billing and Coding: Pharmacogenomics Testing
A59915Billing and Coding: Pharmacogenomic Testing

Alphabetic index entries that lead here

Aftercare›following surgery›nervous system
Aftercare›following surgery›specified body system›nervous

Code history

Unchanged in every release from FY2024 to FY2027.