ICD-10-CM Code Z48.81

Encounter for surgical aftercare following surgery on specified body systems

Version 2020 Non-Billable Code

Not Valid for Submission

Z48.81 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 surgical aftercare following surgery on specified body systems. The code is NOT valid for the year 2020 for the submission of HIPAA-covered transactions.

ICD-10:Z48.81
Short Description:Encntr for surgical aftcr fol surgery on spcf body systems
Long Description:Encounter for surgical aftercare following surgery on specified body systems

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

  • Z48.810 - Encounter for surgical aftercare following surgery on the sense organs
  • Z48.811 - Encounter for surgical aftercare following surgery on the nervous system
  • Z48.812 - Encounter for surgical aftercare following surgery on the circulatory system
  • Z48.813 - Encounter for surgical aftercare following surgery on the respiratory system
  • Z48.814 - Encounter for surgical aftercare following surgery on the teeth or oral cavity
  • Z48.815 - Encounter for surgical aftercare following surgery on the digestive system
  • Z48.816 - Encounter for surgical aftercare following surgery on the genitourinary system
  • Z48.817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue

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 Z48.81:

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.
  • These codes identify the body system requiring aftercare. They are for use in conjunction with other aftercare codes to fully explain the aftercare encounter. The condition treated should also be coded if still present.

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.
  • aftercare for injury- code the injury with 7th character D
  • aftercare following surgery for neoplasm Z48.3

Type 2 Excludes

Type 2 Excludes
A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
  • aftercare following organ transplant Z48.2
  • orthopedic aftercare Z47

Code Classification

  • Factors influencing health status and contact with health services (Z00–Z99)
    • Encounters for other specific health care (Z40-Z53)
      • Encounter for other postprocedural aftercare (Z48)

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


After Surgery

After any operation, you'll have some side effects. There is usually some pain with surgery. There may also be swelling and soreness around the area that the surgeon cut. Your surgeon can tell you which side effects to expect.

There can also be complications. These are unplanned events linked to the operation. Some complications are infection, too much bleeding, reaction to anesthesia, or accidental injury. Some people have a greater risk of complications because of other medical conditions.

Your surgeon can tell you how you might feel and what you will be able to do - or not do - the first few days, weeks, or months after surgery. Some other questions to ask are

  • How long you will be in the hospital
  • What kind of supplies, equipment, and help you might need when you go home
  • When you can go back to work
  • When it is ok to start exercising again
  • Are they any other restrictions in your activities

Following your surgeon's advice can help you recover as soon as possible.

Agency for Healthcare Research and Quality


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