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v1.0.0
ICD-10 Guide
ICD-10 CodesZ14.1

Z14.1

Cystic fibrosis carrier

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

Code Description

ICD-10 Z14.1 is a billable code used to indicate a diagnosis of cystic fibrosis carrier.

Key Diagnostic Point:

Z14.1 is used to indicate that an individual is a carrier of the cystic fibrosis gene but does not exhibit symptoms of the disease. Carriers may not show any clinical signs but can pass the gene to their offspring, which is crucial for genetic counseling and family planning. Understanding the social determinants of health is vital, as factors such as socioeconomic status, access to healthcare, and education can influence a carrier's health management and decision-making regarding screening and preventive care. Preventive measures include genetic counseling and testing for family members, which can help in understanding the risks of cystic fibrosis in future pregnancies. Regular screenings and awareness of the condition can lead to better health outcomes for families affected by cystic fibrosis.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for accurate family history documentation
  • Understanding of genetic counseling implications
  • Potential for misclassification with symptomatic conditions
  • Variability in carrier screening practices

Audit Risk Factors

  • Inadequate documentation of carrier status
  • Failure to document genetic counseling discussions
  • Misuse of Z14.1 when a patient has active cystic fibrosis
  • Lack of follow-up documentation for preventive care

Specialty Focus

Medical Specialties

Primary Care

Documentation Requirements

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

Common Clinical Scenarios

Routine checkups where carrier status is discussed, screenings for family members, and aftercare follow-ups.

Billing Considerations

Consideration of social determinants such as access to genetic counseling and education on cystic fibrosis.

Public Health

Documentation Requirements

Documentation should focus on population-level data, carrier prevalence, and health education efforts.

Common Clinical Scenarios

Epidemiological studies, community health screenings, and preventive health campaigns.

Billing Considerations

Tracking health status and disparities in access to genetic counseling services.

Coding Guidelines

Inclusion Criteria

Use Z14.1 When
  • Z codes are used when a patient is not currently ill but requires attention for health status or preventive care
  • 1 should be sequenced appropriately, often as a secondary diagnosis when related to preventive services
  • Payer requirements may vary, so it's essential to check specific guidelines

Exclusion Criteria

Do NOT use Z14.1 When
No specific exclusions found.

Related CPT Codes

81220CPT Code

Cystic fibrosis carrier screening

Clinical Scenario

Used when a patient is screened for cystic fibrosis carrier status.

Documentation Requirements

Documentation of the reason for screening and results.

Specialty Considerations

Primary care providers should ensure discussions about the implications of results are documented.

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 carrier status and its implications for public health.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding genetic conditions, improving the ability to track carrier status and its implications for public health.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding genetic conditions, improving the ability to track carrier status and its implications for public health.

Resources

Clinical References

  • •
    Cystic Fibrosis Foundation - Genetic Counseling

Coding & Billing References

  • •
    Cystic Fibrosis Foundation - Genetic Counseling

Frequently Asked Questions

When should Z14.1 be used?

Z14.1 should be used when a patient is identified as a cystic fibrosis carrier without symptoms, particularly in the context of preventive care and genetic counseling.