ICD-10-CM Code Z71.3

Dietary counseling and surveillance

Version 2020 Billable Code Unacceptable Principal Diagnosis POA Exempt

Valid for Submission

Z71.3 is a billable code used to specify a medical diagnosis of dietary counseling and surveillance. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code Z71.3 might also be used to specify conditions or terms like educated about weight management, family education about dietary regime, has seen dietitian - diabetes, has seen dietitian - obesity, patient advised about safe drinking - water, patient advised about weight management, etc The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

The code Z71.3 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:Z71.3
Short Description:Dietary counseling and surveillance
Long Description:Dietary counseling and surveillance

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 Z71.3:

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 for any associated underlying medical condition

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 Z71.3 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:

  • Educated about weight management
  • Family education about dietary regime
  • Has seen dietitian - diabetes
  • Has seen dietitian - obesity
  • Patient advised about safe drinking - water
  • Patient advised about weight management
  • Patient advised clear fluids
  • Recommended thickened fluids
  • Seen by community-based dietetics service
  • Seen by dietetics service
  • Seen by dietitian
  • Seen by hospital-based dietetics service
  • Sees or has seen dietician
  • Wants to lose weight
  • Weight gain advised
  • Weight loss advised
  • Weight maintenance regimen

Present on Admission (POA)

Z71.3 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 Z71.3 to ICD-9

  • V65.3 - Dietary surveil/counsel

Code Classification

  • Factors influencing health status and contact with health services (Z00–Z99)
    • Persons encountering health services in other circumstances (Z69-Z76)
      • Persons encntr health serv for oth cnsl and med advice, NEC (Z71)

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


Nutrition

Food provides the energy and nutrients you need to be healthy. Nutrients include proteins, carbohydrates, fats, vitamins, minerals, and water.

Healthy eating is not hard. The key is to

  • Eat a variety of foods, including vegetables, fruits, and whole-grain products
  • Eat lean meats, poultry, fish, beans, and low-fat dairy products
  • Drink lots of water
  • Limit salt, sugar, alcohol, saturated fat, and trans fat in your diet

Saturated fats are usually fats that come from animals. Look for trans fat on the labels of processed foods, margarines, and shortenings.

Centers for Disease Control and Prevention


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