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v1.0.0
ICD-10 Guide
ICD-10 CodesZ14.0

Z14.0

Hemophilia A carrier

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/12/2025

Code Description

ICD-10 Z14.0 is a billable code used to indicate a diagnosis of hemophilia a carrier.

Key Diagnostic Point:

Z14.0 is used to identify individuals who are carriers of Hemophilia A, a genetic disorder that affects the blood's ability to clot. Carriers typically do not exhibit symptoms but can pass the gene to their offspring. Understanding the implications of being a carrier is crucial for preventive care, as it can influence family planning and the health of future generations. Social determinants of health, such as access to genetic counseling and education about the condition, play a significant role in managing the health status of carriers. Preventive care may include regular screenings for potential bleeding disorders in offspring and education on lifestyle modifications to minimize injury risk. Carriers may also require aftercare services to monitor their health status and that of their children, ensuring they receive appropriate interventions if necessary.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of genetic implications and family history
  • Documentation of carrier status and its impact on family planning
  • Need for coordination with genetic counseling services
  • Potential for varying clinical presentations in family members

Audit Risk Factors

  • Inadequate documentation of carrier status
  • Failure to link Z code to appropriate preventive services
  • Lack of family history documentation
  • Misuse of Z code as a primary diagnosis

Specialty Focus

Medical Specialties

Primary Care

Documentation Requirements

Documentation should include family history, genetic counseling referrals, and any preventive measures taken.

Common Clinical Scenarios

Routine checkups for carriers, discussions about family planning, and referrals for genetic testing.

Billing Considerations

Consideration of social determinants such as education level and access to genetic counseling services.

Public Health

Documentation Requirements

Documentation should include population-level data on carriers and their health outcomes.

Common Clinical Scenarios

Epidemiological studies on hemophilia prevalence and preventive health initiatives.

Billing Considerations

Focus on tracking health status and outcomes in communities with high carrier rates.

Coding Guidelines

Inclusion Criteria

Use Z14.0 When
  • Z codes are used to indicate factors influencing health status and contact with health services
  • 0 should be sequenced appropriately, often as a secondary code to indicate the carrier status alongside any related health conditions
  • Payer requirements may vary, so it's essential to verify coverage for genetic counseling and preventive services

Exclusion Criteria

Do NOT use Z14.0 When
No specific exclusions found.

Related CPT Codes

81291CPT Code

Genetic testing for hemophilia A

Clinical Scenario

Used when a patient is tested for hemophilia A carrier status.

Documentation Requirements

Documentation of the reason for testing and family history.

Specialty Considerations

Primary care providers should coordinate with genetic counselors.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding genetic carrier statuses, improving the ability to track and manage health outcomes for carriers of hemophilia.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding genetic carrier statuses, improving the ability to track and manage health outcomes for carriers of hemophilia.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding genetic carrier statuses, improving the ability to track and manage health outcomes for carriers of hemophilia.

Resources

Clinical References

  • •
    Genetic Counseling Guidelines

Coding & Billing References

  • •
    Genetic Counseling Guidelines

Frequently Asked Questions

What documentation is required for Z14.0?

Documentation should include the patient's family history, any genetic counseling received, and discussions about the implications of carrier status for family planning.