ICD-10-CM Code Z40.0

Encounter for prophylactic surgery for risk factors related to malignant neoplasms

Version 2020 Non-Billable Code

Not Valid for Submission

Z40.0 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 for risk factors related to malignant neoplasms. The code is NOT valid for the year 2020 for the submission of HIPAA-covered transactions.

ICD-10:Z40.0
Short Description:Encntr for prophylc surg for risks related to malig neoplm
Long Description:Encounter for prophylactic surgery for risk factors related to malignant neoplasms

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

  • 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

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 Z40.0:

Inclusion Terms

Inclusion Terms
These 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.
  • Admission for prophylactic organ removal

Use Additional Code

Use Additional Code
The “use additional code” indicates that a secondary code could be used to further specify the patient’s condition. This note is not mandatory and is only used if enough information is available to assign an additional code.
  • code to identify risk factor

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

Information for Patients


Cancer

Cancer begins in your cells, which are the building blocks of your body. Normally, your body forms new cells as you need them, replacing old cells that die. Sometimes this process goes wrong. New cells grow even when you don't need them, and old cells don't die when they should. These extra cells can form a mass called a tumor. Tumors can be benign or malignant. Benign tumors aren't cancer while malignant ones are. Cells from malignant tumors can invade nearby tissues. They can also break away and spread to other parts of the body.

Cancer is not just one disease but many diseases. There are more than 100 different types of cancer. Most cancers are named for where they start. For example, lung cancer starts in the lung, and breast cancer starts in the breast. The spread of cancer from one part of the body to another is called metastasis. Symptoms and treatment depend on the cancer type and how advanced it is. Most treatment plans may include surgery, radiation and/or chemotherapy. Some may involve hormone therapy, immunotherapy or other types of biologic therapy, or stem cell transplantation.

NIH: National Cancer Institute


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