ICD-10 Code Z03.89

Encounter for observation for other suspected diseases and conditions ruled out

Version 2019 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 2019 for the submission of HIPAA-covered transactions.

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

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 mandated 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

Information for Medical Professionals

Convert Z03.89 to ICD-9

The following crosswalk between ICD-10 to ICD-9 is based based on the General Equivalence Mappings (GEMS) information:

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

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.

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

Synonyms

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

  • Axis I diagnosis
  • Axis IV diagnosis
  • Axis V diagnosis
  • Deferred diagnosis on Axis I
  • Deferred diagnosis on Axis IV
  • Deferred diagnosis on Axis V
  • Disease suspected
  • Glaucoma suspect
  • Glaucoma suspect
  • No evidence of mental illness
  • Probable rabies
  • Probable SARS
  • Suspect patient pretending that medication was taken
  • Suspected abuse hard drugs
  • Suspected abuse soft drugs
  • Suspected bilateral glaucoma
  • 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 head and neck cancer
  • Suspected heart disease
  • Suspected heart failure
  • Suspected Lyme disease
  • Suspected mental condition not found
  • Suspected neuroblastoma
  • Suspected neurological disease
  • Suspected pressure injury of deep tissue
  • Suspected pulmonary embolism
  • Suspected rabies
  • Suspected renal osteodystrophy
  • Suspected respiratory disease
  • Suspected respiratory disease
  • Suspected respiratory disease
  • Suspected sarcoma
  • Suspected SARS
  • Suspected soft tissue infection
  • Suspected upper gastrointestinal cancer

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:


ICD-10 Footnotes

General Equivalence Map Definitions
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.

  • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.