Final answer:
The correct Z code assignment for a patient admitted for a prophylactic oophorectomy with a family history of epithelial ovarian carcinoma is D. Z40.02, Z80.41. Z40.02 represents the prophylactic removal of an ovary, and Z80.41 corresponds to family history of ovarian cancer.
Step-by-step explanation:
Understanding Z Codes and Prophylactic Oophorectomy
A prophylactic oophorectomy is a preventive surgical procedure to remove the ovaries and is sometimes chosen by women with a high risk of developing ovarian cancer, particularly when there is a strong family history of the disease. This can significantly reduce the risk of ovarian cancer. In the medical coding context, a Z code is used to describe reasons for encounters other than disease or injury.
For a prophylactic oophorectomy, the correct Z code is Z40.02, which stands for Encounter for prophylactic removal of ovary. A history of familial ovarian cancer would warrant an additional code: Z80.41, which corresponds to Family history of malignant neoplasm of ovary. Therefore, the accurate coding for a patient admitted for a prophylactic oophorectomy with a family history of epithelial ovarian carcinoma would be D. Z40.02, Z80.41.