Z42.8 ICD-10-CM Code: Encounter for other plastic and reconstructive surgery following medical procedure or healed injury

Z42.8 is the ICD-10-CM diagnosis code for encounter for other plastic and reconstructive surgery following medical procedure or healed injury. A visit for plastic or reconstructive surgery following a previous medical procedure or healed injury, such as scar revision or tissue reconstruction. Z42.8 sits in the ICD-10-CM chapter for factors influencing health status and contact with health services (z00-z99), within the section covering encounters for other specific health care (z40-z53).

Z42.8 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.

Use this code for reconstructive procedures that follow medical treatment or injury; document the original condition that necessitated reconstruction.