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In the inpatient setting, when a Z code is used as a diagnosis for a given procedure or a reason for the encounter, a procedure code is not necessary to identify that the procedure was performed

A. True
B. False

1 Answer

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Final answer:

The statement is false; even if a Z code is used as the primary diagnosis, a specific procedure code must also be reported to document the services provided.

Step-by-step explanation:

The statement given is false. In the inpatient setting, when a Z code is used as a diagnosis or a reason for an encounter, it is generally used for non-medical conditions that may influence patient care, such as a history of tobacco use or a need for immunization. However, even when a Z code is provided as the primary diagnosis, the specific procedure performed still needs to be reported with a corresponding procedure code. Procedure codes are essential for documenting the actual services provided and are necessary for billing and claims processing, irrespective of the use of Z codes.

ICD codes, including Z codes, are found in various locations in the healthcare system. You would likely find an ICD code on medical laboratory orders, to identify tests that must be performed to confirm a diagnosis, and within the health-care management system, to ensure that all treatments and laboratory work are appropriate for a specific diagnosis.

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