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ICD-10-CM 2027 diagnosis code

Z48.3Aftercare following surgery for neoplasm

✓ Billable / specificPOA exempt

Z48.3 is a valid, billable ICD-10-CM code for aftercare following surgery for neoplasm. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.

Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About Z48.3

Z48.3 is the ICD-10-CM diagnosis code for aftercare following surgery for neoplasm. It belongs to category Z48 (encounter for other postprocedural aftercare), block Z40-Z53 (Encounters for other specific health care) and chapter 21 (factors influencing health status and contact with health services). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within Z48 (encounter for other postprocedural aftercare), Z48.3 is specifically for aftercare following surgery for neoplasm. Related codes cover encounter for attention to dressings, sutures and drains (Z48.0), encounter for planned postprocedural wound closure (Z48.1), encounter for aftercare following organ transplant (Z48.2) and encounter for other specified postprocedural aftercare (Z48.8).

Use an additional code to identify the neoplasm.

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 949 (Aftercare with CC/MCC, relative weight 1.123) and DRG 950 (Aftercare without CC/MCC, relative weight 0.7664), in MDC 23 (Factors Influencing Health Status and Other Contacts with Health Services), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It is exempt from present-on-admission (POA) reporting, so no POA indicator is required.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as V58.42 (aftercare following surgery for neoplasm).

Coding notes

Use additional codeAdd a secondary code to fully describe the condition
  • code to identify the neoplasm

Notes that apply from higher levels

Instructions written at a parent level also apply to Z48.3.

› From Z48 Encounter for other postprocedural aftercare
Excludes1
  • encounter for follow-up examination after completed treatment (Z08-Z09)
  • encounter for aftercare following injury - code to Injury, by site, with appropriate 7th character for subsequent encounter
Excludes2
  • encounter for attention to artificial openings (Z43.-)
  • encounter for fitting and adjustment of prosthetic and other devices (Z44-Z46)

Broader instructions also apply from Z40-Z53 Encounters for other specific health care and Chapter 21: Factors influencing health status and contact with health services.

Alphabetic index entries

1 entries

Terms in the official ICD-10-CM index that lead to Z48.3.

Codes whose notes reference Z48.3

MS-DRG v44.0 grouping

All DRGs →

Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.

MDC 23 · Factors Influencing Health Status and Other Contacts with Health Services

ICD-9-CM equivalent

Converter →
  • V58.42Aftercare following surgery for neoplasmexact

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about Z48.3

Is Z48.3 billable?

Yes. Z48.3 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can Z48.3 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict Z48.3 as a principal diagnosis.

Is Z48.3 a CC or MCC?

No. Z48.3 is neither a CC nor an MCC under MS-DRG v44.0.

What DRG does Z48.3 group to?

Z48.3 is used in the MS-DRG v44.0 logic for MS-DRG 949 (Aftercare with CC/MCC) and MS-DRG 950 (Aftercare without CC/MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.

What is the ICD-9 code for Z48.3?

The CMS General Equivalence Mappings map Z48.3 to ICD-9-CM V58.42.