ICD-10-CM Code Z40

Encounter for prophylactic surgery

Version 2020 Non-Billable Code

Not Valid for Submission

Z40 is a "header" nonspecific and non-billable code code, consider using a code with a higher level of specificity for a diagnosis of encounter for prophylactic surgery. The code is NOT valid for the year 2020 for the submission of HIPAA-covered transactions.

Short Description:Encounter for prophylactic surgery
Long Description:Encounter for prophylactic surgery

Consider the following ICD-10 codes with a higher level of specificity:

  • Z40.0 - Encounter for prophylactic surgery for risk factors related to malignant neoplasms
  • Z40.00 - Encounter for prophylactic removal of unspecified organ
  • Z40.01 - Encounter for prophylactic removal of breast
  • Z40.02 - Encounter for prophylactic removal of ovary(s)
  • Z40.03 - Encounter for prophylactic removal of fallopian tube(s)
  • Z40.09 - Encounter for prophylactic removal of other organ
  • Z40.8 - Encounter for other prophylactic surgery
  • Z40.9 - ... unspecified

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code Z40:

Type 1 Excludes

Type 1 Excludes
A 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.
  • organ donations Z52
  • therapeutic organ removal-code to condition

Code Classification

  • Factors influencing health status and contact with health services (Z00–Z99)
    • Encounters for other specific health care (Z40-Z53)
      • Encounter for prophylactic surgery (Z40)

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