ICD 10 Chapter XXI: Factors influencing health status and contact with health services

The International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10) is a coding of diseases and signs, symptoms, abnormal findings, complaints, social circumstances and external causes of injury or diseases, as classified by the World Health Organization (WHO). This page contains ICD-10 Chapter XXI: Factors influencing health status and contact with health services.

Z codes typically represent the reason for which the encounter has taken place. A related procedure code should always accompany the diagnosis code, in case a procedure is performed. Categories Z00-Z99 are for occasions where situations other than a disease, external or internal injury, or other external cause of which is classifiable to categories A00-Y89 are recorded as one of the diagnoses or presenting problems. Such situation can arise from one of two ways:

To receive limited care or service for an ongoing condition, to donate and organ and/or tissue, to receive prophylactic immunization, or to discuss a problem other than a disease or injury.

for a situation or problem that influences the person's health status, however, is not currently an illness or injury.

Factors influencing health status and contact with health services

(Z00–Z13) Persons encountering health services for examination and investigation

(Z00) General examination and investigation of persons without complaint and reported diagnosis

(Z01) Other special examinations and investigations of persons without complaint or reported diagnosis

(Z02) Examination and encounter for administrative purposes

(Z03) Medical observation and evaluation for suspected diseases and conditions

(Z04) Examination and observation for other reasons

(Z08) Follow-up examination after treatment for malignant neoplasms

(Z09) Follow-up examination after treatment for conditions other than malignant neoplasms

(Z10) Routine general health check-up of defined subpopulation

(Z11) Special screening examination for infectious and parasitic diseases

(Z12) Special screening examination for neoplasms

(Z13) Special screening examination for other diseases and disorders

(Z20) Contact with and exposure to communicable diseases

(Z21) Asymptomatic human immunodeficiency virus (HIV) infection status

(Z22) Carrier of infectious disease

(Z23) Need for immunization against single bacterial diseases

(Z24) Need for immunization against certain single viral diseases

(Z25) Need for immunization against other single viral diseases

(Z26) Need for immunization against other single infectious diseases

(Z27) Need for immunization against combinations of infectious diseases

(Z28) Immunization not carried out

(Z29) Need for other prophylactic measures

(Z30) Contraceptive management

Z30.0 General counselling and advice on contraception

Z30.1 Insertion of (intrauterine) contraceptive device

Z30.2 Sterilization

Z30.3 Menstrual extraction

Z30.4 Surveillance of contraceptive drugs

Z30.5 Surveillance of (intrauterine) contraceptive device

Z30.8 Other contraceptive management

Z30.9 Contraceptive management, unspecified

(Z31) Procreative management

(Z32) Pregnancy examination and test

(Z33) Pregnant state, incidental

(Z34) Supervision of normal pregnancy

(Z35) Supervision of high-risk pregnancy

(Z36) Antenatal screening

(Z36.0) Antenatal screening for chromosomal anomalies

Amniocentesis

(Z36.1) Antenatal screening for raised alphafetoprotein level

(Z36.2) Other antenatal screening based on amniocentesis

(Z36.3) Antenatal screening for malformations using ultrasound and other physical methods

(Z36.4) Antenatal screening for fetal growth retardation using ultrasound and other physical methods

(Z36.5) Antenatal screening for isoimmunization

(Z36.8) Other antenatal screening

(Z36.9) Antenatal screening, unspecified

(Z37) Outcome of delivery

(Z38) Liveborn infants according to place of birth

(Z39) Postpartum care and examination

(Z40–Z54) Persons encountering health services for specific procedures and health care

(Z40) Prophylactic surgery

(Z41) Procedures for purposes other than remedying health state

(Z42) Follow-up care involving plastic surgery

(Z43) Attention to artificial openings

(Z44) Fitting and adjustment of external prosthetic device

(Z45) Adjustment and management of implanted device

(Z46) Fitting and adjustment of other devices

(Z47) Other orthopaedic follow-up care

(Z48) Other surgical follow-up care

(Z49) Care involving dialysis

(Z50) Care involving use of rehabilitation procedures

(Z51) Other medical care

(Z52) Donors of organs and tissues

(Z53) Persons encountering health services for specific procedures, not carried out

(Z54) Convalescence

(Z55) Problems related to education and literacy

(Z56) Problems related to employment and unemployment

(Z57) Occupational exposure to risk-factors

(Z58) Problems related to physical environment

(Z59) Problems related to housing and economic circumstances

(Z60) Problems related to social environment

(Z61) Problems related to negative life events in childhood

(Z62) Other problems related to upbringing

(Z63) Other problems related to primary support group, including family circumstances

(Z64) Problems related to certain psychosocial circumstances

(Z65) Problems related to other psychosocial circumstances

(Z70–Z76) Persons encountering health services in other circumstances

(Z70) Counselling related to sexual attitude, behaviour and orientation.

(Z71) Persons encountering health services for other counselling and medical advice, not elsewhere classified.

(Z72) Problems related to lifestyle.

(Z73) Problems related to life-management difficulty.

(Z74) Problems related to care-provider dependency.

(Z75) Problems related to medical facilities and other health care.

(Z76) Persons encountering health services in other circumstances.

(Z80) Family history of malignant neoplasm

(Z81) Family history of mental and behavioural disorders

(Z82) Family history of certain disabilities and chronic diseases leading to disablement

(Z83) Family history of other specific disorders

(Z84) Family history of other conditions

(Z85) Personal history of malignant neoplasm

(Z86) Personal history of certain other diseases

(Z87) Personal history of other diseases and conditions

(Z88) Personal history of allergy to drugs, medicaments and biological substances

(Z88.0) Personal history of allergy to penicillin

(Z88.1) Personal history of allergy to other antibiotic agents

(Z88.2) Personal history of allergy to sulfonamides

(Z89) Acquired absence of limb

(Z90) Acquired absence of organs, not elsewhere classified

(Z91) Personal history of risk-factors, not elsewhere classified

(Z92) Personal history of medical treatment

(Z93) Artificial opening status

(Z93.0) Tracheostomy status

(Z93.1) Gastrostomy status

(Z93.2) Ileostomy status

(Z93.3) Colostomy status

(Z93.4) Other artificial openings of gastrointestinal tract status

(Z93.5) Cystostomy status

(Z93.6) Other artificial openings of urinary tract status

(Z93.8) Other artificial opening status

(Z93.9) Artificial opening status, unspecified

(Z94) Transplanted organ and tissue status

(Z95) Presence of cardiac and vascular implants and grafts

(Z96) Presence of other functional implants

(Z97) Presence of other devices

(Z98) Other postsurgical states

(Z99) Dependence on enabling machines and devices, not elsewhere classified

References

ICD-10 Chapter XXI: Factors influencing health status and contact with health services Wikipedia

(Text) CC BY-SA

Contents

(Z00–Z13) Persons encountering health services for examination and investigation

(Z20–Z29) Persons with potential health hazards related to communicable diseases

(Z30–Z39) Persons encountering health services in circumstances related to reproduction

(Z40–Z54) Persons encountering health services for specific procedures and health care

(Z55–Z65) Persons with potential health hazards related to socioeconomic and psychosocial circumstances

(Z70–Z76) Persons encountering health services in other circumstances

(Z80–Z99) Persons with potential health hazards related to family and personal history and certain conditions influencing health status

References