ICD-10 Diagnosis Code Z05.43

Obs & eval of NB for suspected immunologic cond ruled out

Diagnosis Code Z05.43

ICD-10: Z05.43
Short Description: Obs & eval of NB for suspected immunologic cond ruled out
Long Description: Observation and evaluation of newborn for suspected immunologic condition ruled out
This is the 2017 version of the ICD-10-CM diagnosis code Z05.43

New 2017 ICD-10 Code
Z05.43 is new to ICD-10 code set for the FY 2017, effective October 1, 2016.

Code Classification
  • Factors influencing health status and contact with health services
    • Persons encountering health services for examinations (Z00-Z13)
      • Enctr for Obs & eval of NB for susp diseases and cond R/O (Z05)

Information for Medical Professionals

Code Edits
The following edits are applicable to this code:
Unacceptable principal diagnosis Additional informationCallout TooltipUnacceptable principal diagnosis
There are selected codes that describe a circumstance which influences an individual’s health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.

Convert to ICD-9 Additional informationCallout TooltipGeneral Equivalence Map
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

Present on Admission (POA) Additional informationCallout TooltipPresent on Admission
The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement.

The code Z05.43 is exempt from POA reporting.

Replacement Code Additional informationCallout TooltipReplacement Code
The National Center for Health Statistics (NCHS) has published an update to the ICD-10-CM diagnosis codes which became effective October 1, 2016. This is a new and revised code for the FY 2017 (October 1, 2016-September 30, 2017).

This code replaces the following previously assigned ICD-10 code(s) listed below:
  • P00.89 - Newborn affected by oth maternal conditions
  • P00.89 - Newborn affected by other maternal conditions

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