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Home/Diagnosis/ICD-10 Coding for Pre-operative Assessment

ICD-10 Coding for Pre-operative Assessment

Z01.810
Z01.811

Complete ICD-10-CM coding and documentation guide for icd-10 coding for pre-operative assessment includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Pre-op Evaluation
Pre-surgical Clearance
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Key Information: ICD-10 Coding for Pre-operative Assessment

Essential facts and insights about ICD-10 Coding for Pre-operative Assessment

Use ICD-10 code Z01.810 for encounter for preprocedural cardiovascular examination, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Encounter for preprocedural cardiovascular examination

Billable Code
Z01.810
Billable

Diagnostic Criteria

  • • Presence of cardiovascular risk factors necessitating pre-op evaluation.

Applicable To

  • • Cardiovascular clearance before surgery

Important Notes

  • • Ensure Z01.810 is sequenced first when the encounter is primarily for cardiovascular pre-op clearance.

Encounter for preprocedural respiratory examination

Billable Code
Z01.811
Billable

Applicable To

  • • Respiratory clearance before surgery

Important Notes

  • • Ensure Z01.811 is sequenced first when the encounter is primarily for respiratory pre-op clearance.
Ancillary Codes

Additional codes that may be used with this diagnosis

I10

Essential (primary) hypertension

Use to indicate hypertension as a comorbidity requiring pre-op optimization.

J44.1

COPD with acute exacerbation

Use to indicate COPD as a comorbidity requiring pre-op optimization.

Frequently Asked Questions

What is the ICD-10 code for preoperative cardiovascular examination?

The ICD-10 code for a preoperative cardiovascular examination is Z01.810. It is used when the primary focus of the encounter is assessing cardiovascular risk before surgery.

How should preoperative codes be sequenced?

Preoperative codes, such as Z01.81-, should be sequenced first when the encounter is primarily for pre-op clearance, followed by codes for the condition requiring surgery.

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