DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

Category · FY2027

Z47 Orthopedic aftercare

  • Header · not billable

Z47 is not billable. The category heads 8 billable codes in FY2027, grouped under 4 subdivisions.

Index → code

  • Aftercareorthopedic NEC → Z47.89
  • Aftercarefollowing surgery (for) (on)spinal → Z47.89
  • Aftercarefollowing surgery (for) (on)scoliosis → Z47.82

Where it sits

  1. Chapter 21 Factors influencing health status and contact with health services (Z00-Z99)
  2. Z40-Z53 Encounters for other specific health care (Z40-Z53)
  3. Z47 Orthopedic aftercare
Billable codes
8
Subdivisions
4
CC / MCC codes
0 / 0
HCC V28 codes
0
New FY2027
0
Index entries
14

Codes in Z47

  1. Z47.1
    Aftercare following joint replacement surgery
    BillableExempt
    Use additional code 1

    Use additional code

    • code to identify the joint (Z96.6-) Z96.6
  2. Z47.2
    Encounter for removal of internal fixation device
    BillableExempt
    Excludes1 4

    Excludes1

    • encounter for adjustment of internal fixation device for fracture treatment- code to fracture with appropriate 7th character
    • encounter for removal of external fixation device- code to fracture with 7th character D
    • infection or inflammatory reaction to internal fixation device (T84.6-) T84.6
    • mechanical complication of internal fixation device (T84.1-) T84.1
  3. Z47.3
    Aftercare following explantation of joint prosthesis
    Header
    Inclusion terms 2

    Inclusion terms

    • Aftercare following explantation of joint prosthesis, staged procedure
    • Encounter for joint prosthesis insertion following prior explantation of joint prosthesis
  4. Z47.31
    Aftercare following explantation of shoulder joint prosthesis
    BillableExempt
    Excludes1 2

    Excludes1

    • acquired absence of shoulder joint following prior explantation of shoulder joint prosthesis (Z89.23-) Z89.23
    • shoulder joint prosthesis explantation status (Z89.23-) Z89.23
  5. Z47.32
    Aftercare following explantation of hip joint prosthesis
    BillableExempt
    Excludes1 2

    Excludes1

    • acquired absence of hip joint following prior explantation of hip joint prosthesis (Z89.62-) Z89.62
    • hip joint prosthesis explantation status (Z89.62-) Z89.62
  6. Z47.33
    Aftercare following explantation of knee joint prosthesis
    BillableExempt
    Excludes1 2

    Excludes1

    • acquired absence of knee joint following prior explantation of knee prosthesis (Z89.52- Z89.52
    • knee joint prosthesis explantation status (Z89.52-) Z89.52
  7. Z47.8
    Encounter for other orthopedic aftercare
    Header
  8. Z47.81
    Encounter for orthopedic aftercare following surgical amputation
    BillableExempt
    Use additional code 1

    Use additional code

    • code to identify the limb amputated (Z89.-) Z89
  9. Z47.82
    Encounter for orthopedic aftercare following scoliosis surgery
    BillableExempt
  10. Z47.89
    Encounter for other orthopedic aftercare
    BillableExempt

Sources of each column.

Instructions

At Z47

Excludes1

  • aftercare for healing fracture-code to fracture with 7th character D

Notes that also apply

Block Z40-Z53 instructions (Inclusion terms 1, Excludes2 1): printed on the block page.

Chapter 21 instructions (Notes 3): printed on the chapter 21 page.

Index entries

  • Aftercareorthopedic NEC → Z47.89
  • Aftercarefollowing surgery (for) (on)joint replacement → Z47.1
  • Aftercarefollowing surgery (for) (on)removal of internal fixation device → Z47.2
  • Encounter (with health service) (for)removal (of)internal fixation device → Z47.2
  • Encounter (with health service) (for)joint prosthesis insertion following prior explantation of joint prosthesis (staged procedure)shoulder → Z47.31
  • Encounter (with health service) (for)joint prosthesis insertion following prior explantation of joint prosthesis (staged procedure)hip → Z47.32
  • Encounter (with health service) (for)joint prosthesis insertion following prior explantation of joint prosthesis (staged procedure)knee → Z47.33
  • Aftercarefollowing surgery (for) (on)amputation → Z47.81
  • Aftercarefollowing surgery (for) (on)scoliosis → Z47.82
  • Aftercarefollowing surgery (for) (on)orthopedic NEC → Z47.89
  • Aftercarefollowing surgery (for) (on)spinal → Z47.89
  • Aftercarefollowing surgery (for) (on)explantation of joint prosthesis (staged procedure)shoulder → Z47.31
  • Aftercarefollowing surgery (for) (on)explantation of joint prosthesis (staged procedure)hip → Z47.32
  • Aftercarefollowing surgery (for) (on)explantation of joint prosthesis (staged procedure)knee → Z47.33

NCHS Alphabetic Index. Index first, then the Tabular List.

Hierarchy