2024 ICD-10-CM Diagnosis Code Z05.81
Observation and evaluation of newborn for suspected condition related to home physiologic monitoring device ruled out
- ICD-10-CM Code:
- Z05.81
- ICD-10 Code for:
- Obs & eval NB for susp cond rel to home physio mon dev R/O
- Is Billable?
- Yes - Valid for Submission
- Code Navigator:
Z05.81 is a billable diagnosis code used to specify a medical diagnosis of observation and evaluation of newborn for suspected condition related to home physiologic monitoring device ruled out. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
The code Z05.81 is applicable to newborn patients only. It is clinically and virtually impossible to use this code on a non-newborn patient.
New 2024 ICD-10-CM Code
Z05.81 is new to ICD-10-CM code set for the FY 2024, effective October 1, 2023. The National Center for Health Statistics (NCHS) has published an update to the ICD-10-CM diagnosis codes which became effective October 1, 2023. This is a new and revised code for the FY 2024 (October 1, 2023 - September 30, 2024).
Tabular List of Diseases and Injuries
The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.
Inclusion Terms
Inclusion TermsThese terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
- Encounter for observation of newborn for apnea alarm without findings
- Encounter for observation of newborn for bradycardia alarm without findings
- Encounter for observation of newborn for malfunction of home cardiorespiratory monitor
- Encounter for observation of newborn for non-specific findings home physiologic monitoring device
- Encounter for observation of newborn for pulse oximeter alarm without findings
Type 1 Excludes
Type 1 ExcludesA type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
Index to Diseases and Injuries References
The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).
Code Edits
The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10-CM Code Edits are applicable to this code:
- Perinatal / Newborn diagnoses - The Medicare Code Editor detects inconsistencies in perinatal / newborn cases by checking a patient's age and any diagnosis on the patient's record. The newborn code edits apply to patients age 0 years only; a subset of diagnoses which will only occur during the perinatal or newborn period of age 0 (e.g., tetanus neonatorum, health examination for newborn under 8 days old).
Present on Admission (POA)
Z05.81 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 | Reason for Code | CMS will pay the CC/MCC DRG? |
|---|---|---|
| Y | Diagnosis was present at time of inpatient admission. | YES |
| N | Diagnosis was not present at time of inpatient admission. | NO |
| U | Documentation insufficient to determine if the condition was present at the time of inpatient admission. | NO |
| W | Clinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission. | YES |
| 1 | Unreported/Not used - Exempt from POA reporting. | NO |
Replacement Code
Z0581 replaces the following previously assigned ICD-10-CM code(s):
- Z05.8 - Obs & eval of NB for oth suspected condition ruled out
Code History
- FY 2024 - Code Added, effective from 10/1/2023 through 9/30/2024