Complete ICD-10-CM coding and documentation guide for icd-10 coding for preoperative exam includes clinical validation requirements, medical necessity guidelines, and coding policies.
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Essential facts and insights about ICD-10 Coding for Preoperative Exam
Use ICD-10 code Z01.810 for encounter for preprocedural cardiovascular examination, ensuring proper documentation in clinical notes.
Additional codes that may be used with this diagnosis
Essential (primary) hypertension
Use alongside Z01.810 when hypertension is a comorbidity.
Chronic obstructive pulmonary disease with (acute) exacerbation
Use alongside Z01.811 when COPD is present.
The ICD-10 code for a preoperative exam is Z01.81x, with specific subcodes like Z01.810 for cardiovascular evaluations.
Document the surgeon's request, the specific system evaluated, and any findings such as EKG results or spirometry.