Z47



ICD-10 Diagnosis Code Z47.1

Aftercare following joint replacement surgery

Diagnosis Code Z47.1

ICD-10: Z47.1
Short Description: Aftercare following joint replacement surgery
Long Description: Aftercare following joint replacement surgery
This is the 2019 version of the ICD-10-CM diagnosis code Z47.1

Valid for Submission
The code Z47.1 is valid for submission for HIPAA-covered transactions.

Code Classification

• Factors influencing health status and contact with health services (Z00–Z99)
  • Encounters for other specific health care (Z40-Z53)
    • Orthopedic aftercare (Z47)

Information for Medical Professionals

Diagnostic Related Groups
The diagnosis code Z47.1 is grouped in the following Diagnostic Related Group(s) (MS-DRG V35.0)

• 559 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC
• 560 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC
• 561 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC

Convert to ICD-9

• V54.81 — Aftercare joint replace

Present on Admission (POA)
The code Z47.1 is exempt from POA reporting.

Index to Diseases and Injuries
References found for the code Z47.1 in the Index to Diseases and Injuries:

• — Aftercare — See Also: Care; — Z51.89
  • — following surgery (for) (on)
    • — joint replacement — Z47.1

Tabular List of Diseases and Injuries
References found for the code Z47.1 in the Tabular List of Diseases and Injuries:

Information for Patients

Also called: Hip arthroplasty, Hip prosthesis

Hip replacement is surgery for people with severe hip damage. The most common cause of damage is osteoarthritis. Osteoarthritis causes pain, swelling, and reduced motion in your joints. It can interfere with your daily activities. If other treatments such as physical therapy, pain medicines, and exercise haven’t helped, hip replacement surgery might be an option for you.

During a hip replacement operation, the surgeon removes damaged cartilage and bone from your hip joint and replaces them with new, man-made parts.

A hip replacement can

• Relieve pain
• Help your hip joint work better
• Improve walking and other movements

The most common problem after surgery is hip dislocation. Because a man-made hip is smaller than the original joint, the ball can come out of its socket. The surgery can also cause blood clots and infections. With a hip replacement, you might need to avoid certain activities, such as jogging and high-impact sports.

NIH: National Institute of Arthritis and Musculoskeletal and Skin Diseases

• Deciding to have knee or hip replacement (Medical Encyclopedia)
• Getting your home ready — knee or hip surgery (Medical Encyclopedia)
• Hip arthroscopy (Medical Encyclopedia)
• Hip joint replacement (Medical Encyclopedia)
• Hip or knee replacement — after — what to ask your doctor (Medical Encyclopedia)
• Hip replacement — discharge (Medical Encyclopedia)
• Hip replacement — precautions (Medical Encyclopedia)
• Minimally invasive hip replacement (Medical Encyclopedia)

[Read More]

A joint is where two or more bones come together, like the knee, hip, elbow, or shoulder. Joints can be damaged by many types of injuries or diseases, including

• Arthritis — inflammation of a joint. It causes pain, stiffness, and swelling. Over time, the joint can become severely damaged.
• Bursitis — inflammation of a fluid-filled sac that cushions the joint
• Dislocations — injuries that force the ends of the bones out of position

Treatment of joint problems depends on the cause. If you have a sports injury, treatment often begins with the RICE (Rest, Ice, Compression, and Elevation) method to relieve pain, reduce swelling, and speed healing. Other possible treatments include pain relievers, keeping the injured area from moving, rehabilitation, and sometimes surgery. For arthritis, injuries, or other diseases, you may need joint replacement surgery to remove the damaged joint and put in a new one.

NIH: National Institute of Arthritis and Musculoskeletal and Skin Diseases

• Hypermobile joints (Medical Encyclopedia)
• Joint pain (Medical Encyclopedia)
• Joint swelling (Medical Encyclopedia)
• Joint x-ray (Medical Encyclopedia)
• Limited range of motion (Medical Encyclopedia)
• Steroid injections — tendon, bursa, joint (Medical Encyclopedia)

[Read More]

Also called: Knee arthroplasty

Knee replacement is surgery for people with severe knee damage. Knee replacement can relieve pain and allow you to be more active. Your doctor may recommend it if you have knee pain and medicine and other treatments are not helping you anymore.

When you have a total knee replacement, the surgeon removes damaged cartilage and bone from the surface of your knee joint and replaces them with a man-made surface of metal and plastic. In a partial knee replacement, the surgeon only replaces one part of your knee joint. The surgery can cause scarring, blood clots, and, rarely, infections. After a knee replacement, you will no longer be able to do certain activities, such as jogging and high-impact sports.

• Deciding to have knee or hip replacement (Medical Encyclopedia)
• Getting your home ready — knee or hip surgery (Medical Encyclopedia)
• Hip or knee replacement — after — what to ask your doctor (Medical Encyclopedia)
• Knee joint replacement (Medical Encyclopedia)
• Knee joint replacement — discharge (Medical Encyclopedia)
• Partial knee replacement (Medical Encyclopedia)

[Read More]

ICD-10 Footnotes

General Equivalence Map Definitions
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

• Approximate Flag — The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
• No Map Flag — The no map flag indicates that a code in the source system is not linked to any code in the target system.
• Combination Flag — The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.

Index of Diseases and Injuries Definitions

• And — The word «and» should be interpreted to mean either «and» or «or» when it appears in a title.
• Code also note — A «code also» note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction.
• Code first — Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists, there is a «use additional code» note at the etiology code, and a «code first» note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.
• Type 1 Excludes Notes — A type 1 Excludes note is a pure excludes note. It means «NOT CODED HERE!» An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
• Type 2 Excludes Notes — A type 2 Excludes note represents «Not included here». An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
• Includes Notes — This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
• Inclusion terms — List of terms is included under some codes. These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of «other specified» codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
• NEC «Not elsewhere classifiable» — This abbreviation in the Alphabetic Index represents «other specified». When a specific code is not available for a condition, the Alphabetic Index directs the coder to the «other specified” code in the Tabular List.
• NOS «Not otherwise specified» — This abbreviation is the equivalent of unspecified.
• See — The «see» instruction following a main term in the Alphabetic Index indicates that another term should be referenced. It is necessary to go to the main term referenced with the «see» note to locate the correct code.
• See Also — A «see also» instruction following a main term in the Alphabetic Index instructs that there is another main term that may also be referenced that may provide additional Alphabetic Index entries that may be useful. It is not necessary to follow the «see also» note when the original main term provides the necessary code.
• 7th Characters — Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
• With — The word «with» should be interpreted to mean «associated with» or «due to» when it appears in a code title, the Alphabetic Index, or an instructional note in the Tabular List. The word «with» in the Alphabetic Index is sequenced immediately following the main term, not in alphabetical order.

Present on Admission
The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement.

VILLAPARK

Tel: +36 70 668-7289

* A weboldalon látott képek illusztrációk, a tényleges megvalósítás eltérhet a látványtervektől!

MINŐSÉG ÉS HARMÓNIA

IGÉNYES OTTHONOK
TÁGAS ÉS NAPFÉNYES TERASZOKKAL

Már 111,47 m2-től

Z47 Villapark: Lakások kiscsaládosoknak, nagycsaládosoknak egyaránt.

Székesfehérvár kertvárosi övezetében épülő kínáljuk Önnek és családjának az új építésű ikerházainkat, amelyeket 10 lakásos lakóparkban építünk meg. A környéknek egyaránt előnye a belváros közelsége és a kertváros nyugalma.

Fontos szempont volt számunkra a telekfelosztásnál, hogy minden tulajdonos élvezhesse a privát életteret.

A családoknak önálló kertrész biztosítja a harmóniát, az épületek külső és belső megjelenése a minőséget tükrözi.

ÖN MEGÁLMODTA, MI MEGÉPÍTJÜK!

Lakásaink, melyeket Önnek és családjának kínálunk!

Válasszon mielőbb, hogy részt vehessen álmai otthonának kialakításában!

Építkezzünk a Z47 Villaparkban együtt!

A LAKÁS TÍPUS

A1 lakás: 111,41 m2 | Erkély + terasz: 35,17 m2

Modern, fiatalos, jó tájolással és beosztással.

Kiváló fiatal házasoknak.

3+1/2 szoba, nappali, 2 fürdő

A2 lakás: 124,95 m2 | Erkély + terasz: 22,98 m2

Nagycsaládosnak. Kiváló beosztásával igaz harmóniát áraszt.

4 szoba, nappali, gardrób, 2 fürdő, garázs

B LAKÁS TÍPUS

B1 lakás: 126,11 m2 | Erkély + terasz: 54,67 m2

Ha már gyerekek is szaladgálnak a családban, akkor ez a típus kiváló Önnek.

4 szobájával mindenkinek biztosítja a nyugalmat.

4 szoba, nappali, gardrób, 2 fürdő, garázs

B2 lakás: 131,25 m2 | Erkély 3 terasz: 33,82 m2

Kiváló beosztásával igaz harmóniát áraszt.

4 szoba, nappali, gardrób, 2 fürdő, garázs

C LAKÁS TÍPUS

Igazi kényelmet kínál. Ha nagycsaládos vagy gyermekei már kamaszok, esetleg szereti barátait vendégül látni, akkor ebben az esetben ez a típus az ideális választás az Ön számára.

A 3 szoba biztosítja a békés családi harmóniát és luxust.

C1 lakás: 135,63 m2 | Erkély + terasz: 36,65 m2

4 szoba, nappali, gardrób, 3 fürdő, 2 garázs

C2 lakás: 136,47 m2 | Erkély + terasz: 43,41 m2

Z47 odbicie lustrzane

Porozmawiaj z architektem, który projektował ten dom

pon. — pt.: 8:00 — 19:00

Parter 61,8 m²

Piętro 59,5 m²

Pliki do pobrania:

Powierzchnia i wymiary

Technologia i konstrukcja

Projekt konstrukcji wykonany został przy założeniach:

• III strefa wiatrowa dla H = 300m n.p.m. obciążenia wiatrem (300 N/m 2 )
• III strefa śniegowa dla H = 300m n.p.m. obciążenia śniegiem (1200 N/m 2 )
• głębokość przemarzania gruntu hz = 1,2m
• budynek zaliczono do I-ej kategorii geotechnicznej
• obliczeniowy graniczny opór podłoża gruntowego założono: mxQf = 150kPa

Termoizolacyjność

Projekt zgodny z aktualnymi warunkami technicznymi.

W projekcie sposób ogrzewania jest dostosowany do możliwości pomieszczenia. Jeśli nie ma możliwości zastosowania grzejnika/-ów wówczas stosujemy ogrzewanie podłogowe.

KALKULACJA SZACUNKOWA Z47

Kalkulacje szacunkowe w Z500 sporządzane są dla etapu tzw. «Stanu Deweloperskiego», dlatego kwoty mogą się różnić od cen podawanych na innych stronach.

• bezpośredni kontakt z architektem konsultacje z projektantem
• najszybsza bezpłatna wysyłka oszczędzasz 20 zł
• zgoda autorska na zmiany w projekcie
• wygodna teczka na dokumenty
• gratis do każdego projektu zestawy projektów dodatkowych

Z47 to piętrowy dom o współczesnym charakterze. Zwartą, prostą bryłę przekrytą dwuspadowym dachem urozmaicają duże przeszklenia połączone z ciepłym drewnem. Taras przysłaniają efektowne drewniane pergole.

Dom przeznaczony jest do ekspozycji bocznej. Przejrzyste i funkcjonalne wnętrze podzielone jest na strefy. Część dzienna to przestronny salon z kominkiem i wyjściem na ażurowo zadaszony taras. Kuchnia w kompozycji otwartej z oknem od frontu również posiada wyjście na taras. Na parterze znajduje się wc połączone z pomieszczeniem gospodarczym. Na piętrze zaplanowano trzy komfortowe sypialnie oraz dwie łazienki. W zależności od potrzeb można je połączyć i urządzić salon kąpielowy. We wszystkich pokojach pomyślano o miejscu na szafy wnękowe. W jednej sypialni zamiast tradycyjnych okien zaprojektowano ciekawe przeszklenia od podłogi do sufitu.

Ogromną zaletą projektu Z47 jest niewielka powierzchnia zabudowy, co pozwoli zmieścić budynek na niewielkiej działce.

Ten projekt występuje na rynku również pod nazwą:

ArchiCAD — wyspecjalizowany program graficzny CAD

Czy wiesz, że Twój projekt wykonaliśmy w najlepszym i najnowszym programie projektowym? Zobacz jakie korzyści niesie to dla Twojej dokumentacji:

• Dokładny i bezbłędny projekt – architekt projektując Twój dom może dokładnie obejrzeć budynek z każdej strony dzięki wirtualnej bryle 3D. Takie rozwiązanie pozwala na proste sprawdzenie projektowanego domu i wykrycie niedoskonałości już na początkowym etapie projektowania.
• Ustawne i przemyślane pomieszczenia – dzięki wirtualnemu widokowi 3D architekt podczas projektowania może „wejść” do planowanego budynku i na własne oczy sprawdzić komfort pomieszczeń.
• Optymalne koszty budowy — nasze budynki tworzone są w modelu BIM co pozwala na lepsze kontrolowanie kosztów budowy, wydajności energetycznej budynku a nawet akustyki budynku.
• Detale projektowe ułatwiające budowę – newralgiczne miejsca domu oraz niektóre detale przedstawione są na dokumentacji w formie rysunku 3D. Dzięki temu dokumentacja jest bardziej czytelna a wykonawca rozumie jak prawidłowo wybudować dom.

ICD-10 Diagnosis Code Z47.89

Encounter for other orthopedic aftercare

Diagnosis Code Z47.89

ICD-10: Z47.89
Short Description: Encounter for other orthopedic aftercare
Long Description: Encounter for other orthopedic aftercare
This is the 2019 version of the ICD-10-CM diagnosis code Z47.89

Valid for Submission
The code Z47.89 is valid for submission for HIPAA-covered transactions.

Code Classification

• Factors influencing health status and contact with health services (Z00–Z99)
  • Encounters for other specific health care (Z40-Z53)
    • Orthopedic aftercare (Z47)

Information for Medical Professionals

Diagnostic Related Groups
The diagnosis code Z47.89 is grouped in the following Diagnostic Related Group(s) (MS-DRG V35.0)

• 559 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC
• 560 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC
• 561 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC

Convert to ICD-9

• V54.89 — Orthopedic aftercare NEC (Approximate Flag)

Present on Admission (POA)
The code Z47.89 is exempt from POA reporting.

Index to Diseases and Injuries
References found for the code Z47.89 in the Index to Diseases and Injuries:

ICD-10 Footnotes

General Equivalence Map Definitions
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

• Approximate Flag — The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
• No Map Flag — The no map flag indicates that a code in the source system is not linked to any code in the target system.
• Combination Flag — The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.

Present on Admission
The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement.

All contents of this website are provided on an «as is» and «as available» basis without warranty of any kind for general information purposes only. The contents of the ICD List website are for informational purposes only. Reliance on any information provided by the ICD List website or other visitors to this website is solely at your own risk. If you think you may have a medical emergency, please call your doctor or 911 immediately.

Type 1936C destroyer

The Type 1936C destroyer was a planned class of destroyer for the Kriegsmarine. The class was intended to consist of five ships, Z46, Z47, Z48, Z49 and Z50. They were designed to be an improvement of Type 1936A and B destroyers. Only two of the five ships, Z46 and Z47, were ever laid down, and work was halted for a year between 1942 and 1943. Construction was constantly interrupted by numerous problems, dominantly due to air raids, material supply delays and a shortage of copper. The two ships that were laid down, Z46 and Z47, were blown up by Allied troops in 1945.

• 2,636 t (2,594 long tons) (standard load)
• 3,071 t (3,022 long tons) (design load)
• 3,683 t (3,625 long tons) (full load)

• 121.5 m (399 ft) (waterline)
• 126.2 m (414 ft) (overall)

• 3.62 m (11.9 ft) (standard load)
• 3.88 m (12.7 ft) (design load)
• 4.45 m (14.6 ft) (full load)

• 70,000 shp (52,000 kW)
• 6 × Wagner steam boilers

• 2 × propeller shafts
• 2 × steam turbines

• 37.5 knots (69.5 km/h; 43.2 mph) (top speed)
• 19 knots (35 km/h; 22 mph) (cruising speed)

• 6 × 12.8 cm (5.0 in) Quick-firing guns
• 6 × 3.7 cm (1.5 in) AA guns
• 8–14 × 2 cm (0.8 in) AA guns
• 2 × quadruple 53.3 cm (21.0 in) torpedo tubes
• 60 × Mines
• 4 × Depth-charge launchers

Contents

The Type 1936C destroyers were to be 121.5 metres (399 ft) long at waterline, and 126.2 metres (414 ft) long overall. They were to have a breadth of 12.2 metres (40 ft), [1] and a depth of 6.65 metres (21.8 ft). [2] They were to have a draught of 3.62 metres (11.9 ft) at standard load, 3.88 metres (12.7 ft) at design load, and 4.45 metres (14.6 ft) at full load. They were to displace 2,636 tonnes (2,594 long tons; 2,906 short tons) at standard load, 3,071 tonnes (3,022 long tons; 3,385 short tons) at design load, and 3,683 tonnes (3,625 long tons; 4,060 short tons) at full load. [1] They were to have a complement of 320, and carry one motor pinnace, one motor yawl, one torpedo cutter and one dinghy. [2] [3]

The Type 1936C destroyers were to be armed with six 12.8-centimetre (5.0 in) quick firing guns with 720 rounds of ammunition, which had a range of 19 kilometres (12 mi), to be placed in three LC.41 twin turrets, one forward and two aft. An advanced radar-controllable fire control system was placed upon the two aft turrets; six 3.7-centimetre (1.5 in) anti-aircraft guns with 12,000 rounds of ammunition, placed in three LM/42 twin mountings, one forward and two aft; eight to 14 2-centimetre (0.8 in) anti-aircraft guns with 16,000–28,000 rounds of ammunition, placed in LM/44 mountings; two quadruple 53.3-centimetre (21.0 in) torpedo tubes (8–12 rounds); and 60 mines with four depth charge launchers. [2] [4]

Their propulsion systems were to consist of six Wagner boilers feeding high-pressure superheated steam (at 70 atm (1,029 psi; 7,093 kPa) and 450 °C (842 °F)) to two sets of Wagner geared steam turbines, which were 3.35 metres (11.0 ft) in diameter. They were to have one electricity plant with one 200 kilowatts (270 hp) turbo-generator and four 80 kilowatts (110 hp) diesel generators, for a total output of 520 kilowatts (700 hp) at 220 electronvolts (35 aJ). [2] They were to have 70,000 shaft horsepower (52,000 kW) at 390 revs per minute, giving them a top speed of 37.5 knots (69.5 km/h; 43.2 mph). They were to carry 822 tonnes (809 long tons; 906 short tons) of oil, giving them a range of 2,500 nautical miles (4,600 km; 2,900 mi) at 19 knots (35 km/h; 22 mph). [1]

The Type 1936C was intended as an improvement of both the Type 1936A and B destroyers. [2] The Type 1936C was very similar in basic hull and identical in machinery to the Type 1936A, with the major difference between the two being the Type 1936C’s use of turbines originally intended for use by the Spähkreuzers, and their heavier firepower. [5]

The first two ships of the class, Z46 and Z47, were ordered on 8 October 1941, and laid down at a later date. Construction was halted in 1942 due to lack of material, but was restarted again in 1943. The construction of the two ships was constantly delayed due to damage from aircraft raids, material supply delays and shortages of copper, among other problems, resulting in very slow progress. The two ships were blown up in 1945 by Allied troops. The other three ships: Z48, Z49, and Z50 were ordered on 12 June 1943, but never laid down. [6] [7]