Z20.821 — Contact with and (suspected) exposure to Zika virus
Z20.821 is a billable, specific ICD-10-CM code for contact with and (suspected) exposure to zika virus. It is valid for submission on a claim.
Risk adjustment
Z20.821 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
Z20.821 is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A55326Billing and Coding: Zika Virus Testing by PCR and ELISA Methods
How Z20.821 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to Z20.821.
- Contact›Zika virus
- Exposure›Zika virus
- Contact›communicable disease›Zika virus
- Exposure›communicable disease›Zika virus
Related codes at this level
Codes that share Z20.82. If Z20.821 is not quite right, the correct code is usually one of these.
Questions about Z20.821
- Is Z20.821 a billable ICD-10-CM code?
- Yes. Z20.821 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does Z20.821 sit in the tabular list?
- Factors influencing health status and contact with health services (Z00-Z99), in the block Persons with potential health hazards related to communicable diseases (Z20-Z29).