The following code s above Z A type 1 excludes note is a pure excludes. When a type 2 excludes note appears under a code it is acceptable to use both the code Z Type 2 Excludes follow-up examination for medical surveillance after treatment Z08 - Z Factors influencing health status and contact with health services Note Z codes represent reasons for encounters. Diagnosis Index entries containing back-references to Z Type 1 Excludes malfunction or other complications of device - see Alphabetical Index. Type 1 Excludes. A type 2 excludes note represents "not included here". Encounters for other specific health care Applicable To Categories ZZ53 are intended for use to indicate a reason for care. The following code s above Z Type 2 Excludes encounter for attention to artificial openings Z Categories ZZ99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00 -Y89 are recorded as 'diagnoses' or 'problems'. Type 2 Excludes follow-up examination for medical surveillance after treatment Z08 - Z Factors influencing health status and contact with health services Note Z codes represent reasons for encounters.

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