Present on Admission Exempt ICD-10 Codes - Orthopedic aftercare (Z47)

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 ICD-10 diagnosis codes that are exempt from the POA reporting requirement.

  • Z47.1 - Aftercare following joint replacement surgery
  • Z47.2 - Encounter for removal of internal fixation device
  • Z47.31 - Aftercare following explantation of shoulder jt prosthesis
  • Z47.32 - Aftercare following explantation of hip joint prosthesis
  • Z47.33 - Aftercare following explantation of knee joint prosthesis
  • Z47.81 - Encounter for orthopedic aftercare following surgical amp
  • Z47.82 - Encounter for orth aftercare following scoliosis surgery
  • Z47.89 - Encounter for other orthopedic aftercare