Z09 Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm

✓ Billable ICD-10-CM 2026
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The ICD-10-CM code for Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm is Z09 (FY2026). It is a billable, claim-ready diagnosis code.

Classification

Section
Z00-Z13: Persons encountering health services for examinations (Z00-Z13)
Category Z09
1 code (1 billable)
FY2026 Status
Stable since FY2024

Also Known As

ICD-10-CM Alphabetic Index entries that lead to Z09:

  • Admission (for) › follow-up examination
  • Examination (for) (following) (general) (of) (routine) › follow-up (routine) (following)
  • Examination (for) (following) (general) (of) (routine) › follow-up (routine) (following) › psychotherapy
  • Examination (for) (following) (general) (of) (routine) › follow-up (routine) (following) › surgery NEC
  • Examination (for) (following) (general) (of) (routine) › follow-up (routine) (following) › fracture
  • Examination (for) (following) (general) (of) (routine) › following › treatment (for)
  • Examination (for) (following) (general) (of) (routine) › psychiatric NEC › follow-up not needing further care
  • Examination (for) (following) (general) (of) (routine) › follow-up (routine) (following) › radiotherapy NEC
Excludes1
Not coded here. These conditions should NOT be coded together with Z09.
  • aftercare following medical care (Z43-Z49, Z51)
  • surveillance of contraception (Z30.4-)
  • surveillance of prosthetic and other medical devices (Z44-Z46)
Use Additional Code
  • code to identify any applicable history of disease code (Z86.-, Z87.-)

Inclusion Terms

  • Medical surveillance following completed treatment

U.S. Hospital Utilization

  • An estimated 5,825 U.S. inpatient stays in 2023 included Z09 among the documented diagnoses.

Source: National Inpatient Sample (NIS), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, 2016–2023. National survey-weighted estimates.

Official Coding Guidelines

Follow-up after resolved infection; no residual & negative test

(j) Follow-up visits after COVID-19 infection has resolved For individuals who previously had COVID-19, without residual symptom(s) or condition(s), and are being seen for follow-up evaluation, and COVID-19 test results are negative, assign codes Z09, Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm, and Z86.16, Personal history of COVID-19.

— ICD-10-CM Official Guidelines for Coding and Reporting, FY2026, Section I.C.1.g.1.j
Follow-up Z codes/categories list and Z08/Z09 use after any modality

The follow-up Z codes/categories: Z08 Encounter for follow-up examination after completed treatment for malignant neoplasm Z09 Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm Codes Z08, Encounter for follow-up examination after completed treatment for malignant neoplasm, and Z09, Encounter for follow up examination after completed treatment for conditions other than malignant neoplasm, may be assigned following any type of completed treatment modality (including both medical and surgical treatments). Z39 Encounter for maternal postpartum care and examination

— ICD-10-CM Official Guidelines for Coding and Reporting, FY2026, Section I.C.21.c.8

Source: CMS — ICD-10-CM Official Guidelines for Coding and Reporting, FY2026

References

Cite This Page

Reference Z09 with the canonical source and edition:

Z09 — Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm. ICD-10 Coding Pro (ICD-10-CM FY2026). https://icd10codingpro.com/codes/Z09

Canonical URL: https://icd10codingpro.com/codes/Z09

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Reviewed by Prajwal Shrestha, CPC, CRC
Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC) · AAPC Member ID 01997614 · About · Editorial policy · Content last reviewed: 2025-10-01

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