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Z03.823 ICD-10-CM Code: Encounter for observation for suspected inserted (injected) foreign body ruled out

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FY 2026 Apr update / Factors influencing health status and contact with health services (Z00-Z99) / Persons encountering health services for examinations (Z00-Z13)

Z03.823

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Encounter for observation for suspected inserted (injected) foreign body ruled out

A medical visit where a patient was evaluated for concern about a foreign object being inserted or injected into the body, but testing ruled out this condition.

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
Z03.8Encounter for observation for other suspected diseases and conditions ruled out
Z03.82Encounter for observation for suspected foreign body ruled out
Z03.823Encounter for observation for suspected inserted (injected) foreign body ruled out

Inclusion Terms

Official
  • Encounter for observation for suspected inserted (injected) foreign body in eye ruled out
  • Encounter for observation for suspected inserted (injected) foreign body in orifice ruled out
  • Encounter for observation for suspected inserted (injected) foreign body in skin ruled out

Excludes 2

Official
  • confirmed foreign body ingestion or aspiration including:
  • foreign body in alimentary tract (T18)
  • foreign body in ear (T16)
  • foreign body on external eye (T15)
  • foreign body in respiratory tract (T17)

Related Child Codes

Official
Z03.821Encounter for observation for suspected ingested foreign body ruled out
Z03.822Encounter for observation for suspected aspirated (inhaled) foreign body ruled out

Includes

Official

ICD-10-CM does not list Includes notes for Z03.823 in this effective period.

Excludes 1

Official
  • retained foreign body (Z18.-)
  • retained foreign body in eyelid (H02.81)
  • residual foreign body in soft tissue (M79.5)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for Z03.823 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for Z03.823 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for Z03.823 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
This code applies to objects inserted through skin or body cavities, including injected foreign material
Document the suspected location and type of foreign body in the medical record

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Is Z03.823 an HCC code?

No. Z03.823 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

Z03.823 is the ICD-10-CM diagnosis code for encounter for observation for suspected inserted (injected) foreign body ruled out. A medical visit where a patient was evaluated for concern about a foreign object being inserted or injected into the body, but testing ruled out this condition. Z03.823 sits in the ICD-10-CM chapter for factors influencing health status and contact with health services (z00-z99), within the section covering persons encountering health services for examinations (z00-z13).

Z03.823 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.

This code applies to objects inserted through skin or body cavities, including injected foreign material.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for Z03.823 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • This code applies to objects inserted through skin or body cavities, including injected foreign material
  • Document the suspected location and type of foreign body in the medical record

Child Codes

Code Hierarchy

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