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Z48.810

Billable

Encounter for surgical aftercare following surgery on the sense organs

Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)

Is Z48.810 an HCC code?

No. Z48.810 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

Z48.810 is the ICD-10-CM diagnosis code for encounter for surgical aftercare following surgery on the sense organs. A follow-up visit for recovery and wound care after surgery on the eyes, ears, or other sensory organs. Z48.810 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).

Z48.810 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.

Specify which sense organ was operated on in the medical record for clarity.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for Z48.810 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Specify which sense organ was operated on in the medical record for clarity
  • Use for routine post-operative visits; code separately for any complications like infection or vision changes

Code Hierarchy

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