Complete ICD-10-CM coding and documentation guide for icd-10 coding for status post craniotomy includes clinical validation requirements, medical necessity guidelines, and coding policies.
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Essential facts and insights about ICD-10 Coding for Status Post Craniotomy
Use ICD-10 code Z48.811 for encounter for surgical aftercare following nervous system surgery, ensuring proper documentation in clinical notes.
Additional codes that may be used with this diagnosis
Postprocedural nervous system complications
Use when there are documented complications such as CSF leak or seizures.
The ICD-10 code for status post craniotomy is Z48.811 for surgical aftercare and Z98.890 for historical reference without active management.
Z48.811 should be used for encounters focused on active management of post-op care, such as wound checks or imaging review.