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ICD-10 Guide
ICD-10 CodesZ29.14

Z29.14

Encounter for prophylactic rabies immune globin

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

Code Description

ICD-10 Z29.14 is a billable code used to indicate a diagnosis of encounter for prophylactic rabies immune globin.

Key Diagnostic Point:

Z29.14 is used to document encounters for the administration of prophylactic rabies immune globulin, typically following potential exposure to rabies through animal bites or scratches. This preventive measure is crucial in mitigating the risk of rabies, a viral disease that is almost universally fatal once symptoms appear. Factors influencing health status include the patient's exposure history, vaccination status, and the type of animal involved. Social determinants such as access to healthcare, education about rabies prevention, and community awareness of rabies risks play a significant role in the timely administration of this treatment. Preventive care is emphasized in high-risk populations, including those in endemic areas or those working with animals. Screening for potential rabies exposure is essential, and aftercare may involve monitoring for adverse reactions to the immune globulin. Accurate coding ensures proper reimbursement and highlights the importance of preventive health measures in public health initiatives.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for accurate documentation of exposure history
  • Understanding of rabies prophylaxis protocols
  • Differentiation from other Z codes related to preventive care
  • Potential for varying payer requirements

Audit Risk Factors

  • Inadequate documentation of exposure details
  • Failure to document the rationale for prophylaxis
  • Incorrect sequencing of codes related to rabies exposure
  • Lack of follow-up documentation for aftercare

Specialty Focus

Medical Specialties

Primary Care

Documentation Requirements

Documentation must include details of the exposure incident, patient history, and administration of immune globulin.

Common Clinical Scenarios

Routine visits for animal bites, follow-up visits for rabies prophylaxis, and patient education on rabies prevention.

Billing Considerations

Consideration of social determinants such as patient access to care and education on rabies risks.

Public Health

Documentation Requirements

Documentation should include population-level data on rabies exposure incidents and vaccination rates.

Common Clinical Scenarios

Community health initiatives focusing on rabies prevention and tracking of rabies exposure cases.

Billing Considerations

Emphasis on surveillance and reporting to monitor rabies incidence in the community.

Coding Guidelines

Inclusion Criteria

Use Z29.14 When
  • Z codes are used to indicate encounters for circumstances other than a disease or injury
  • When coding Z29
  • 14, it should be sequenced after any relevant diagnosis codes related to the exposure
  • Payer requirements may vary, so it is essential to verify coverage for preventive services

Exclusion Criteria

Do NOT use Z29.14 When
No specific exclusions found.

Related CPT Codes

90375CPT Code

Rabies immune globulin administration

Clinical Scenario

Used in conjunction with Z29.14 for patients receiving rabies immune globulin after exposure.

Documentation Requirements

Documentation must include the administration details and patient consent.

Specialty Considerations

Primary care providers should ensure proper follow-up care is documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding encounters for rabies prophylaxis, improving the ability to track and manage preventive care measures.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding encounters for rabies prophylaxis, improving the ability to track and manage preventive care measures.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding encounters for rabies prophylaxis, improving the ability to track and manage preventive care measures.

Resources

Clinical References

  • •
    CDC Rabies Prevention Guidelines

Coding & Billing References

  • •
    CDC Rabies Prevention Guidelines

Frequently Asked Questions

When should Z29.14 be used?

Z29.14 should be used when a patient receives prophylactic rabies immune globulin following potential exposure to rabies, such as through an animal bite. Proper documentation of the exposure and clinical rationale is essential.