Z40.0 — Encounter for prophylactic surgery for risk factors related to malignant neoplasms
Is Z40.0 billable?
No — Z40.0 is a non-billable header code. Z40.0 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 5 billable codes beneath Z40.0.
Billable codes under this header
Z40.0 at a glance
| Code | Z40.0 |
|---|---|
| Description | Encounter for prophylactic surgery for risk factors related to malignant neoplasms |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Use additional code
Report an additional code alongside Z40.0 to fully describe the condition. Z40.0 is sequenced first.
- code to identify risk factor, such as genetic susceptibility to malignant neoplasm Z15.-
Inclusion terms
Alternative wording in documentation that is classified to Z40.0.
- Admission for prophylactic organ removal
Excludes1 — never code together — inherited from Z40
The conditions below can never be reported together with Z40.0 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- organ donations (Z52.-)
- therapeutic organ removal-code to condition
Excludes2 — not included here — inherited from Z40-Z53
The conditions below are not part of Z40.0, but a patient may have both at the same time. When documentation supports it, Z40.0 and the excluded code may both be reported.
- follow-up examination for medical surveillance after treatment (Z08-Z09)
What codes fall under Z40.0? (5)
How long has Z40.0 existed?
Z40.0 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.