MCMCB Pro
Z00

Z00Encounter for general examination without complaint, suspected or reported diagnosis

Non-billable headerICD-10-CM

Z00 is a non-billable header ICD-10-CM code for encounter for general examination without complaint, suspected or reported diagnosis. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

  • encounter for examination for administrative purposes (Z02.-)

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.

  • encounter for pre-procedural examinations (Z01.81-)
  • special screening examinations (Z11-Z13)

Other codes that can never be billed with Z00

These codes carry an Excludes1 note pointing at Z00. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Z00 alone.

  • Z52Donors of organs and tissues
  • Z00.0Encounter for general adult medical examination
  • Z00.11Newborn health examination
  • Z00.12Encounter for routine child health examination
  • Z02.7Encounter for issue of medical certificate

Risk adjustment

Z00 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead Z00

8 child codes. Green means billable.

Questions about Z00

Is Z00 a billable ICD-10-CM code?
No. Z00 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does Z00 sit in the tabular list?
Factors influencing health status and contact with health services (Z00-Z99), in the block Persons encountering health services for examinations (Z00-Z13).
What cannot be coded together with Z00?
Z00 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.