Factors influencing health status and contact with health services (Z00-Z99)

Note:
Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
(a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
(b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.

Persons with potential health hazards related to communicable diseases (Z20-Z29)

Z20 Contact with and (suspected) exposure to communicable diseases [+]
Excludes 1: carrier of infectious disease (Z22.-)
diagnosed current infectious or parasitic disease -see Alphabetic Index
Excludes 2: personal history of infectious and parasitic diseases (Z86.1-)
Z21 Asymptomatic human immunodeficiency virus [HIV] infection status
HIV positive NOS
Code first Human immunodeficiency virus [HIV] disease complicating pregnancy, childbirth and the puerperium, if applicable (O98.7-)
Excludes 1: acquired immunodeficiency syndrome (B20)
contact with human immunodeficiency virus [HIV] (Z20.6)
exposure to human immunodeficiency virus [HIV] (Z20.6)
human immunodeficiency virus [HIV] disease (B20)
inconclusive laboratory evidence of human immunodeficiency virus [HIV] (R75)
Z22 Carrier of infectious disease [+]
Includes: colonization status
suspected carrier
Excludes 2: carrier of viral hepatitis (B18.-)
Z23 Encounter for immunization
Note: procedure codes are required to identify the types of immunizations given
Code first any routine childhood examination
Code also , if applicable, encounter for immunization safety counseling (Z71.85)
Z28 Immunization not carried out and underimmunization status [+]
Includes: vaccination not carried out
Code also , if applicable, encounter for immunization safety counseling (Z71.85)
Z29 Encounter for other prophylactic measures [+]
Excludes 1: desensitization to allergens (Z51.6)
prophylactic surgery (Z40.-)

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