Is Z93.5 a billable ICD-10-CM code?

No. Z93.5 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does Z93.5 sit in the tabular list?

Factors influencing health status and contact with health services (Z00-Z99), in the block Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99).

Z93.5

Z93.5 — Cystostomy status

Non-billable headerICD-10-CM

Z93.5 is a non-billable header ICD-10-CM code for cystostomy status. It cannot be billed on its own: choose one of the more specific child codes below.

Risk adjustment

Z93.5 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.

Code to one of these instead Z93.5

4 child codes. Green means billable.

Related codes at this level

Codes that share Z93. If Z93.5 is not quite right, the correct code is usually one of these.

Questions about Z93.5

Is Z93.5 a billable ICD-10-CM code?: No. Z93.5 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does Z93.5 sit in the tabular list?: Factors influencing health status and contact with health services (Z00-Z99), in the block Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99).