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ICD-10 Guide
ICD-10 CodesZ14.01

Z14.01

Asymptomatic hemophilia A carrier

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

Code Description

ICD-10 Z14.01 is a billable code used to indicate a diagnosis of asymptomatic hemophilia a carrier.

Key Diagnostic Point:

Z14.01 is used to identify individuals who are carriers of hemophilia A but do not exhibit any symptoms of the condition. Carriers may have a family history of hemophilia, which can influence their health status and necessitate contact with health services for genetic counseling and preventive care. Understanding the implications of being a carrier is crucial for family planning and managing potential health risks in future generations. Preventive care may include regular screenings for bleeding disorders, education on the condition, and psychological support to address any concerns regarding the genetic implications. Social determinants such as access to healthcare, socioeconomic status, and education level can significantly impact the management and understanding of this condition. It is essential for healthcare providers to document the carrier status accurately to ensure appropriate care and support.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for accurate family history documentation
  • Potential for genetic counseling referrals
  • Understanding of implications for offspring
  • Variability in patient awareness and education

Audit Risk Factors

  • Inadequate documentation of carrier status
  • Failure to document family history
  • Lack of referrals to genetic counseling
  • Misuse of Z code in symptomatic patients

Specialty Focus

Medical Specialties

Primary Care

Documentation Requirements

Document family history, patient education on hemophilia, and any referrals made.

Common Clinical Scenarios

Routine checkups where carrier status is discussed, screenings for potential bleeding disorders.

Billing Considerations

Consider social determinants such as access to genetic counseling and education on hemophilia.

Public Health

Documentation Requirements

Collect data on carrier prevalence, document community education efforts.

Common Clinical Scenarios

Epidemiological studies, community health screenings, and educational outreach programs.

Billing Considerations

Focus on tracking health status and access to care in diverse populations.

Coding Guidelines

Inclusion Criteria

Use Z14.01 When
  • Z codes are used when a patient is not currently ill but requires care or services related to their health status
  • 01 should be sequenced appropriately, often as a secondary diagnosis when a primary condition is present
  • Payer requirements may vary, so it is essential to check specific guidelines

Exclusion Criteria

Do NOT use Z14.01 When
No specific exclusions found.

Related CPT Codes

81291CPT Code

Genetic testing for hemophilia A

Clinical Scenario

Used when a patient is identified as a carrier and genetic testing is warranted.

Documentation Requirements

Document the reason for testing and any counseling provided.

Specialty Considerations

Primary care providers should ensure they understand the implications of test results.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding genetic conditions, improving the ability to track and manage asymptomatic carriers like those with Z14.01.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding genetic conditions, improving the ability to track and manage asymptomatic carriers like those with Z14.01.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding genetic conditions, improving the ability to track and manage asymptomatic carriers like those with Z14.01.

Resources

Clinical References

  • •
    Genetic Counseling Guidelines

Coding & Billing References

  • •
    Genetic Counseling Guidelines

Frequently Asked Questions

What should be documented when coding Z14.01?

Document the patient's family history, any discussions about the implications of being a carrier, and referrals to genetic counseling. This ensures accurate coding and appropriate care planning.