Z00-Z13 — Persons encountering health services for examinations
ICD-10-CM codes Z00-Z13 cover persons encountering health services for examinations, within factors influencing health status and contact with health services. The block holds 206 codes across 11 categories, of which 156 are billable and 50 are header codes that cannot be submitted on a claim.
Excludes2 — not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
Notes
Additional guidance from the ICD-10-CM tabular list.
What else to watch in Z00-Z13
- 41 codes are named in Medicare coverage policies. An LCD or NCD lists them as supporting medical necessity, or explicitly as not supporting it. Which applies depends on the MAC for your state.
Categories in Z00-Z13
- Z00Encounter for general examination without complaint, suspected or reported diagnosis
- Z01Encounter for other special examination without complaint, suspected or reported diagnosis
- Z02Encounter for administrative examination
- Z03Encounter for medical observation for suspected diseases and conditions ruled out
- Z04Encounter for examination and observation for other reasons
- Z05Encounter for observation and evaluation of newborn for suspected diseases and conditions ruled out
- Z08Encounter for follow-up examination after completed treatment for malignant neoplasm
- Z09Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm
- Z11Encounter for screening for infectious and parasitic diseases
- Z12Encounter for screening for malignant neoplasms
- Z13Encounter for screening for other diseases and disorders