Z42
⚠ Non-billable
Encounter for plastic and reconstructive surgery following medical procedure or healed injury
ICD-10-CM · FY2026 · Factors Influencing Health Status
Code
Z42
System
ICD-10-CM
Billable
No — use specific code
Effective
FY2026
Chapter
Factors Influencing Health Status
Source
CMS / CDC NCHS
⚠ Verify before billing. Confirm against the current CMS/NCHS ICD-10-CM files and your payer's rules before claims submission.
Official coding notes
From CMS's ICD-10-CM Tabular List.
Excludes1 — never code together
- encounter for cosmetic plastic surgery (Z41.1)
- encounter for plastic surgery for treatment of current injury - code to relevent injury
Frequently asked questions
What is ICD-10 code Z42?
ICD-10-CM code Z42 represents Encounter for plastic and reconstructive surgery following medical procedure or healed injury. It is a non-billable header code requiring a more specific subcategory in the Factors Influencing Health Status chapter, effective October 1, 2025 – September 30, 2026.
Is Z42 billable?
No. Z42 is a non-billable header. Select a more specific subcategory for claims submission.
What chapter is Z42 in?
Z42 belongs to the Factors Influencing Health Status chapter (Z00–Z99) of ICD-10-CM.
Related codes in the Z42 category
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