ICD-10-CM Code Z11.59

Encounter for screening for other viral diseases

Version 2020 Billable Code Unacceptable Principal Diagnosis POA Exempt

Valid for Submission

Z11.59 is a billable code used to specify a medical diagnosis of encounter for screening for other viral diseases. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code Z11.59 might also be used to specify conditions or terms like anti-dengue igg antibody negative, anti-dengue immunoglobulin m antibody negative, hepatitis a test negative, hepatitis b surface antigen enzyme-linked immunosorbent assay negative, hepatitis b surface antigen negative, hepatitis c antibody test negative, etc The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

The code Z11.59 describes a circumstance which influences the patient's health status but not a current illness or injury. The code is unacceptable as a principal diagnosis.

ICD-10:Z11.59
Short Description:Encounter for screening for other viral diseases
Long Description:Encounter for screening for other viral diseases

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 Z11.59 are found in the index:


Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:

  • Unacceptable 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.

Synonyms

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

  • Anti-dengue IgG antibody negative
  • Anti-dengue immunoglobulin M antibody negative
  • Hepatitis A test negative
  • Hepatitis B surface antigen enzyme-linked immunosorbent assay negative
  • Hepatitis B surface antigen negative
  • Hepatitis C antibody test negative
  • Monospot test negative

Present on Admission (POA)

Z11.59 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 Z11.59 to ICD-9

  • V73.0 - Screening-poliomyelitis (Approximate Flag)
  • V73.2 - Screening for measles (Approximate Flag)
  • V73.3 - Screening for rubella (Approximate Flag)
  • V73.4 - Screening-yellow fever (Approximate Flag)
  • V73.5 - Screening-arbovirus dis (Approximate Flag)
  • V73.89 - Scrn oth spcf viral dis (Approximate Flag)

Code Classification

  • Factors influencing health status and contact with health services (Z00–Z99)
    • Persons encountering health services for examinations (Z00-Z13)
      • Encounter for screening for infec/parastc diseases (Z11)

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

Information for Patients


Health Screening

Screenings are tests that look for diseases before you have symptoms. Screening tests can find diseases early, when they're easier to treat. You can get some screenings in your doctor's office. Others need special equipment, so you may need to go to a different office or clinic.

Some conditions that doctors commonly screen for include

  • Breast cancer and cervical cancer in women
  • Colorectal cancer
  • Diabetes
  • High blood pressure
  • High cholesterol
  • Osteoporosis
  • Overweight and obesity
  • Prostate cancer in men

Which tests you need depends on your age, your sex, your family history, and whether you have risk factors for certain diseases. After a screening test, ask when you will get the results and whom to talk to about them.

Agency for Healthcare Research and Quality


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Viral Infections

Viruses are very tiny germs. They are made of genetic material inside of a protein coating. Viruses cause familiar infectious diseases such as the common cold, flu and warts. They also cause severe illnesses such as HIV/AIDS, smallpox, and Ebola.

Viruses are like hijackers. They invade living, normal cells and use those cells to multiply and produce other viruses like themselves. This can kill, damage, or change the cells and make you sick. Different viruses attack certain cells in your body such as your liver, respiratory system, or blood.

When you get a virus, you may not always get sick from it. Your immune system may be able to fight it off.

For most viral infections, treatments can only help with symptoms while you wait for your immune system to fight off the virus. Antibiotics do not work for viral infections. There are antiviral medicines to treat some viral infections. Vaccines can help prevent you from getting many viral diseases.


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