R Lobectomy

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Acquired absence of lung [part of]

VATS lobectomies are performed on patients with clinical stage I lung cancer assessed by computed tomography (CT) and positron emission tomography (PET). The procedure is usually performed for tumors less than 4 cm in maximum diameter, but we have resected tumors as large as 6.5 cm. If you’ve had a lobectomy, the most common form of lung cancer surgery, your body is getting used to functioning with less lung tissue. That’s a major operation, and healing will take time. Just how much time will depend on the extent of the surgery, whether it’s performed minimally invasively, and your age and overall fitness. Thoracoscopic lobectomy is designed to achieve the same oncologic result as conventional lobectomy: complete hilar dissection and individual vessel control. The recognized advantages of thoracoscopic anatomic resection include less short-term postoperative pain, shorter hospital stay, and preserved pulmonary function. BACKGROUND: Lobectomy is the current standard operation for localized lung cancer. Patients who undergo lobectomy have a 1% to 2% chance per year of developing a second lung cancer. The risks of repeat lung resection have not been well quantified or analyzed.

    201620172018201920202021Billable/Specific CodePOA Exempt
  • Z90.2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2021 edition of ICD-10-CM Z90.2 became effective on October 1, 2020.
  • This is the American ICD-10-CM version of Z90.2 - other international versions of ICD-10 Z90.2 may differ.
The following code(s) above Z90.2 contain annotation back-references
Annotation Back-References

R Nephrectomy

In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to Z90.2:
  • Z00-Z99
    2021 ICD-10-CM Range Z00-Z99

    Factors influencing health status and contact with health services

    Note
    • 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.
    Factors influencing health status and contact with health services
  • Z77-Z99
    2021 ICD-10-CM Range Z77-Z99

    Persons with potential health hazards related to family and personal history and certain conditions influencing health status

    Persons with potential health hazards related to family and personal history and certain conditions influencing health status
  • Z90

    Acquired absence of organs, not elsewhere classified

      201620172018201920202021Non-Billable/Non-Specific Code
    Includes
    • postprocedural or post-traumatic loss of body part NEC
    Type 1 Excludes
    • congenital absence - see Alphabetical Index
    Type 2 Excludes
    • postprocedural absence of endocrine glands (E89.-)
    Acquired absence of organs, not elsewhere classified
Approximate Synonyms
  • H/o: pneumonectomy
  • History of lung lobectomy
  • History of of lung lobectomy
  • History of pneumonectomy (removal of lung)
Present On Admission
POA Help

Left Upper Lobectomy

'Present On Admission' is defined as present at the time the order for inpatient admission occurs — conditions that develop during an outpatient encounter, including emergency department, observation, or outpatient surgery, are considered POA.
  • Z90.2 is considered exempt from POA reporting.
ICD-10-CM Z90.2 is grouped within Diagnostic Related Group(s) (MS-DRG v38.0):
  • 205 Other respiratory system diagnoses with mcc
  • 206 Other respiratory system diagnoses without mcc

Convert Z90.2 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
Diagnosis Index entries containing back-references to Z90.2:

What To Expect After Lobectomy

  • Absence (of) (organ or part) (complete or partial)
    • lung (fissure) (lobe) (bilateral) (unilateral) (congenital) Q33.3
      ICD-10-CM Diagnosis Code Q33.3

      Agenesis of lung

        201620172018201920202021Billable/Specific CodePOA Exempt
      • acquired Z90.2 (any part)
  • Status (post) - see also Presence (of)
    • pneumonectomy Z90.2 (complete) (partial)
ICD-10-CM Codes Adjacent To Z90.2
Z90 Acquired absence of organs, not elsewhere classified
Z90.01 Acquired absence of eye
Z90.09 Acquired absence of other part of head and neck
Z90.10 Acquired absence of unspecified breast and nipple
Z90.11 Acquired absence of right breast and nipple
Z90.12 Acquired absence of left breast and nipple
Z90.13 Acquired absence of bilateral breasts and nipples
Z90.3 Acquired absence of stomach [part of]
R thyroid lobectomy
Z90.4 Acquired absence of other specified parts of digestive tract
Z90.410 Acquired total absence of pancreas
Z90.49 Acquired absence of other specified parts of digestive tract
Z90.6 Acquired absence of other parts of urinary tract
Z90.71 Acquired absence of cervix and uterus

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.