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Z53.31 ICD-10-CM Code: Laparoscopic surgical procedure converted to open procedure

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Inpatient Payment Groups (MS-DRG)

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0, Appendix B.

  • MS-DRG 951 — OTHER FACTORS INFLUENCING HEALTH STATUS (MDC 23)

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Official Registry Overview & Definition

Laparoscopic surgical procedure converted to open procedure is a billable ICD-10-CM diagnosis code (Z53.31).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for Z53.31 in the official ICD-10-CM tabular list.

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

Indexed Clinical Terms (1)

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.

  • Procedure (surgical), converted, laparoscopic to open

Frequently Compared Codes

The official Excludes notes on Z53.31 name these codes. Each comparison page covers when the two can — or must not — be reported together.

Change history

  • FY2017 — 2016-10-01
    Added to the code set
    Laparoscopic surgical procedure converted to open procedure
    FY2017 changes

Verify Before Coding

  • Principal-diagnosis restriction. The Medicare Code Editor lists this code as unacceptable as a principal diagnosis: it describes a circumstance influencing health status rather than a current illness or injury being treated. It is valid as a secondary diagnosis.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.

Relationships & Classification

Potential MS-DRG Relationships (FY2026)

Not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity.

Named in the grouper logic of 1 MS-DRG: DRG 951 (MDC 23).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Clinical classification (AHRQ CCSR):FAC025 — Other specified status (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Contextual Map

Every relationship of Z53.31 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Hierarchy

  • Z00-Z99 — Chapter 21: Factors Influencing Health Status and Contact with Health Services (Z00-Z99) (Z00-Z99) [Hierarchy]
  • Z40-Z53 — Encounters for other specific health care [Hierarchy]

Clinical classification (CCSR)

  • FAC025 — Other specified status [CCSR]

Potential MS-DRG

  • DRG 951 — OTHER FACTORS INFLUENCING HEALTH STATUS [MS-DRG]: “OTHER FACTORS INFLUENCING HEALTH STATUS (MDC 23)”

MDC crossing · procedures (1235)

  • MDC 23 — Factors Influencing Health Status and Other Contacts with Health Services [MDC crossing]: “Factors Influencing Health Status and Other Contacts with Health Services — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”
  • F003GKZ — Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Audiovisual Equipment [Same-MDC procedure]: “Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Audiovisual Equipment — grouped in MDC 23, the procedure side of this code's crossing.” · check together
  • F003GMZ — Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Augmentative / Alternative Communication Equipment [Same-MDC procedure]: “Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Augmentative / Alternative Communication Equipment — grouped in MDC 23, the procedure side of this code's crossing.” · check together
  • F003GPZ — Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Computer [Same-MDC procedure]: “Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Computer — grouped in MDC 23, the procedure side of this code's crossing.” · check together
  • F003GYZ — Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Other Equipment [Same-MDC procedure]: “Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Other Equipment — grouped in MDC 23, the procedure side of this code's crossing.” · check together
  • F003GZZ — Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body [Same-MDC procedure]: “Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body — grouped in MDC 23, the procedure side of this code's crossing.” · check together
  • and 1230 more

Index entries

  • Procedure (surgical), converted, laparoscopic to open[Index term]

Nearest codes (15)

  • Z53 — Persons encountering health services for specific procedures and treatment, not carried out [Sibling]
  • Z53.0 — Procedure and treatment not carried out because of contraindication [Sibling]
  • Z53.01 — Procedure and treatment not carried out due to patient smoking [Sibling]
  • Z53.09 — Procedure and treatment not carried out because of other contraindication [Sibling]
  • Z53.1 — Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure [Sibling]
  • Z53.2 — Procedure and treatment not carried out because of patient's decision for other and unspecified reasons [Sibling]
  • Z53.20 — Procedure and treatment not carried out because of patient's decision for unspecified reasons [Sibling]
  • Z53.21 — Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider [Sibling]
  • and 7 more

Change history

  • FY2017 — Added to the code set [Change history]

Nearest Codes in This Family

Official ICD-10-CM classifications closest to Z53.31 in its code family, with their registry titles.

  • Z53.2 — Procedure and treatment not carried out because of patient's decision for other and unspecified reasons
  • Z53.20 — Procedure and treatment not carried out because of patient's decision for unspecified reasons
  • Z53.21 — Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider
  • Z53.29 — Procedure and treatment not carried out because of patient's decision for other reasons
  • Z53.3 — Procedure converted to open procedure
  • Z53.32 — Thoracoscopic surgical procedure converted to open procedure
  • Z53.33 — Arthroscopic surgical procedure converted to open procedure
  • Z53.39 — Other specified procedure converted to open procedure
  • Z53.8 — Procedure and treatment not carried out for other reasons
  • Z53.9 — Procedure and treatment not carried out, unspecified reason

View all codes in the Z53 family