ICD-10-CM Code Z03.89

Encounter for observation for other suspected diseases and conditions ruled out

Version 2020 Billable Code POA Exempt

Valid for Submission

Z03.89 is a billable code used to specify a medical diagnosis of encounter for observation for other suspected diseases and conditions ruled out. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code Z03.89 might also be used to specify conditions or terms like acute infectious hepatitis suspected, acute poliomyelitis suspected, anthrax suspected, axis i diagnosis, axis iv diagnosis, axis v diagnosis, etc The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

ICD-10:Z03.89
Short Description:Encntr for obs for oth suspected diseases and cond ruled out
Long Description:Encounter for observation for other suspected diseases and conditions ruled out

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code Z03.89 are found in the index:


Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Acute infectious hepatitis suspected
  • Acute poliomyelitis suspected
  • Anthrax suspected
  • Axis I diagnosis
  • Axis IV diagnosis
  • Axis V diagnosis
  • Botulism suspected
  • Brucellosis suspected
  • Cauda equina syndrome suspected
  • Cholera suspected
  • Deferred diagnosis on Axis I
  • Deferred diagnosis on Axis IV
  • Deferred diagnosis on Axis V
  • Diphtheria suspected
  • Disease suspected
  • Glaucoma suspect
  • Glaucoma suspect
  • Hemolytic uremic syndrome suspected
  • Hemorrhagic gastroenteritis suspected
  • Infective encephalitis suspected
  • Infective meningitis suspected
  • Invasive Group A beta-hemolytic streptococcal disease suspected
  • Legionella pneumonia suspected
  • Leprosy suspected
  • Malaria suspected
  • Measles suspected
  • Meningococcal septicemia suspected
  • Mumps suspected
  • Paratyphoid fever suspected
  • Pertussis suspected
  • Plague suspected
  • Probable rabies
  • Probable SARS
  • Rubella suspected
  • Scarlet fever suspected
  • Smallpox suspected
  • Suspect patient pretending that medication was taken
  • Suspected abuse hard drugs
  • Suspected abuse soft drugs
  • Suspected benign pigmented skin lesion
  • Suspected bilateral glaucoma
  • Suspected bowel cancer
  • Suspected brain tumor
  • Suspected central nervous system cancer
  • Suspected chromosome abnormality
  • Suspected clinical finding
  • Suspected compulsive personality disorder
  • Suspected coronavirus infection
  • Suspected cystic fibrosis
  • Suspected dengue
  • Suspected Downs syndrome
  • Suspected drug abuse
  • Suspected erythema migrans
  • Suspected glaucoma of bilateral eyes caused by steroids
  • Suspected glaucoma of left eye
  • Suspected glaucoma of left eye caused by steroids
  • Suspected glaucoma of right eye
  • Suspected glaucoma of right eye caused by steroids
  • Suspected gynecological cancer
  • Suspected head and neck cancer
  • Suspected heart disease
  • Suspected heart failure
  • Suspected lower gastrointestinal cancer
  • Suspected Lyme disease
  • Suspected malignant pigmented skin lesion
  • Suspected mental condition not found
  • Suspected neuroblastoma
  • Suspected neurological disease
  • Suspected ovarian cancer
  • Suspected poisoning
  • Suspected pressure injury of deep tissue
  • Suspected pulmonary embolism
  • Suspected rabies
  • Suspected renal osteodystrophy
  • Suspected respiratory disease
  • Suspected respiratory disease
  • Suspected respiratory disease
  • Suspected respiratory disease
  • Suspected sarcoma
  • Suspected SARS
  • Suspected soft tissue infection
  • Suspected soft tissue infection
  • Suspected soft tissue infection
  • Suspected upper gastrointestinal cancer
  • Suspected viral infection of skin
  • Suspected vulva cancer
  • Suspicion of gastritis
  • Tetanus suspected
  • Tuberculosis suspected
  • Typhoid fever suspected
  • Typhus suspected
  • Viral hemorrhagic fever suspected
  • Yellow fever suspected

Present on Admission (POA)

Z03.89 is exempt from POA reporting - 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. Review other POA exempt codes here .

CMS POA Indicator Options and Definitions
POA Indicator CodePOA Reason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO

Convert Z03.89 to ICD-9

  • V71.89 - Observ-suspect cond NEC (Approximate Flag)

Code Classification

  • Factors influencing health status and contact with health services (Z00–Z99)
    • Persons encountering health services for examinations (Z00-Z13)
      • Encntr for medical obs for susp diseases and cond ruled out (Z03)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020