post op care

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Kintnersville, PA
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How do we know what icd10 code to use for a routine post op follow up visit? How do we differentiate between z09, z4889, z48.816? Especially for those who have a hysteroscopy d&c done (58558, 0 day global period) and come into the office 2 weeks post surgery for follow up.
 
Hello, I am not an expert and not sure if my answer is correct ( i don't' think it will create a denial) I would use Z09 when illness is gone and pt has no signs, symptoms. Z09 + history of that illness and z98.890- surgical procedure status. I would use Z48- during post op period when the surgeon is monitoring pt's recovery. Z09-Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm. Z48.816-
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Encounter for surgical aftercare following surgery on the genitourinary system
 
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