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Wiki pre op lab/ekgs

Community Wiki

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B
Code: Z01.812
Encounter for preprocedural laboratory examination
Blood and urine tests prior to treatment or procedure
Parent Code Notes: Z01
Excludes1: encounter for examination for administrative purposes (Z02.-)
encounter for examination for suspected conditions, proven not to exist (Z03.-)
encounter for laboratory and radiologic examinations as a component of general medical examinations (Z00.0-)
encounter for laboratory, radiologic and imaging examinations for sign(s) and symptom(s) - code to the sign(s) or symptom(s)
Excludes2: screening examinations (Z11-Z13)
Includes: routine examination of specific system

Category Notes
Persons encountering health services for examinations (Z00-Z13)
Note: Nonspecific abnormal findings disclosed at the time of these examinations are classified to categories R70-R94.
Excludes 1: examinations related to pregnancy and reproduction (Z30-Z36, Z39.-)

Coding Guidelines
Factors influencing health status and contact with health services (Z00-Z99)
Note: Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
(a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
(b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.

sherri greenwood

Contributor
Local Chapter Officer
Messages
10
Location
Fort Smith, AR
Best answers
0
Here recently I have been having issues with UMR and UHC denying the pre op labs when we have the diagnosis of Z01.812(encounter for preprocedural laboratory examination). I have been looking for documentation stating if this is all we need or do I need to add the surgery diagnosis also? Please help!
 
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