Coding and coverage · ICD-10-CM
Instructional notes
Chapter 21
Notes
- Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 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'. This can arise in two main ways:
- (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
- (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.
Z18
Excludes1Not coded here: never report with this code, except when the two conditions are unrelated.
- artificial joint prosthesis status (Z96.6-)
- foreign body accidentally left during a procedure (T81.5-)
- foreign body entering through orifice (T15-T19)
- in situ cardiac device (Z95.-)
- organ or tissue replaced by means other than transplant (Z96.-, Z97.-)
- organ or tissue replaced by transplant (Z94.-)
- personal history of retained foreign body fully removed Z87.821
- superficial foreign body (non-embedded splinter) - code to superficial foreign body, by site
Includes
- embedded fragment (status)
- embedded splinter (status)
- retained foreign body status
This code
Inclusion terms
- Retained concrete or cement fragments
Chapter 21: Factors influencing health status and contact with health services · Z18 Retained foreign body fragments (Z18)
Source: ICD-10-CM FY 2027 code descriptions and tabular list (CMS and CDC National Center for Health Statistics), effective 2026-10-01 through 2027-09-30 · CMS ICD-10 files. HCC mapping: CMS-HCC V28, payment year 2027. As of 2026-11-04.
Coverage and payment depend on the claim details; confirm with the Medicare Administrative Contractor.