MCMedicalCodingSoftware
Z49

Z49: Encounter for care involving renal dialysis

Non-billable headerICD-10-CM

Z49 is a non-billable header ICD-10-CM code for encounter for care involving renal dialysis. It cannot be billed on its own: choose one of the more specific child codes below.

Code also

Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.

  • associated end stage renal disease (N18.6)

Other codes that can never be billed with Z49

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

  • Z08Encounter for follow-up examination after completed treatment for malignant neoplasm
  • Z09Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm
  • Z45.2Encounter for adjustment and management of vascular access device
  • Z99.2Dependence on renal dialysis

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 Z49

2 child codes. Green means billable.

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.