ICD-10-CM Code Z42

Encounter for plastic and reconstructive surgery following medical procedure or healed injury

Version 2020 Non-Billable Code

Not Valid for Submission

Z42 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 plastic and reconstructive surgery following medical procedure or healed injury. The code is NOT valid for the year 2020 for the submission of HIPAA-covered transactions.

ICD-10:Z42
Short Description:Encntr for plast/recnst surg fol med proc or healed injury
Long Description:Encounter for plastic and reconstructive surgery following medical procedure or healed injury

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

  • Z42.1 - Encounter for breast reconstruction following mastectomy
  • Z42.8 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury

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 Z42:

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.
  • encounter for cosmetic plastic surgery Z41.1
  • encounter for plastic surgery for treatment of current injury - code to relevent injury

Code Classification

  • Factors influencing health status and contact with health services (Z00–Z99)
    • Encounters for other specific health care (Z40-Z53)
      • Encntr for plast/recnst surg fol med proc or healed injury (Z42)

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


Plastic and Cosmetic Surgery

Surgeons can reshape the appearance of body parts through cosmetic surgery. Some of the most common body parts people want to improve through surgery include

  • Breasts: Increase or reduce the size of breasts or reshape sagging breasts
  • Ears: Reduce the size of large ears or set protruding ears back closer to the head
  • Eyes: Correct drooping upper eyelids or remove puffy bags below the eyes
  • Face: Remove facial wrinkles, creases or acne scars
  • Hair: Fill in balding areas with one's own hair
  • Nose: Change the shape of the nose
  • Tummy: Flatten the abdomen

[Learn More]