2020 ICD-10-CM Diagnosis Code Z00.01

Encounter for general adult medical examination with abnormal findings

    2016 2017 2018 2019 2020 Billable/Specific Code Adult Dx (15-124 years) POA Exempt
  • Z00.01 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • Short description: Encounter for general adult medical exam w abnormal findings
  • The 2020 edition of ICD-10-CM Z00.01 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of Z00.01 - other international versions of ICD-10 Z00.01 may differ.
ICD-10-CM Coding Rules
  • Z00.01 is applicable to adult patients aged 15 - 124 years inclusive.
Use Additional
Use Additional Help
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. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • code to identify abnormal findings
The following code(s) above Z00.01 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to Z00.01:
  • Z00-Z99
    2020 ICD-10-CM Range Z00-Z99

    Factors influencing health status and contact with health services

    Note
    • Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
    • (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
    • (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.
    Factors influencing health status and contact with health services
  • Z00-Z13
    2020 ICD-10-CM Range Z00-Z13

    Persons encountering health services for examinations

    Note
    • Nonspecific abnormal findings disclosed at the time of these examinations are classified to categories R70-R94.
    Type 1 Excludes
    • examinations related to pregnancy and reproduction (Z30-Z36, Z39.-)
    Persons encountering health services for examinations
  • Z00
    ICD-10-CM Diagnosis Code Z00

    Encounter for general examination without complaint, suspected or reported diagnosis

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • encounter for examination for administrative purposes (Z02.-)
    Type 2 Excludes
    • encounter for pre-procedural examinations (Z01.81-)
    • special screening examinations (Z11-Z13)
    Encounter for general examination without complaint, suspected or reported diagnosis
  • Z00.0
    ICD-10-CM Diagnosis Code Z00.0

    Encounter for general adult medical examination

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Applicable To
    • Encounter for adult periodic examination (annual) (physical) and any associated laboratory and radiologic examinations
    Type 1 Excludes
    • encounter for examination of sign or symptom- code to sign or symptom
    • general health check-up of infant or child (Z00.12.-)
    Encounter for general adult medical examination
Present On Admission
POA Help
"Present On Admission" is defined as present at the time the order for inpatient admission occurs — conditions that develop during an outpatient encounter, including emergency department, observation, or outpatient surgery, are considered POA.
  • Z00.01 is considered exempt from POA reporting.
ICD-10-CM Z00.01 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 951 Other factors influencing health status

Convert Z00.01 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change

Diagnosis Index entries containing back-references to Z00.01:
  • Admission (for) - see also Encounter (for)
    • examination at health care facility (adult) Z00.00
      - see also Examination
      ICD-10-CM Diagnosis Code Z00.00

      Encounter for general adult medical examination without abnormal findings

        2016 2017 2018 2019 2020 Billable/Specific Code Adult Dx (15-124 years) POA Exempt
      Applicable To
      • Encounter for adult health check-up NOS
      • with abnormal findings Z00.01
  • Encounter (with health service) (for) Z76.89
    ICD-10-CM Diagnosis Code Z76.89

    Persons encountering health services in other specified circumstances

      2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
    Applicable To
    • Persons encountering health services NOS
    • laboratory (as part of a general medical examination) Z00.00
      ICD-10-CM Diagnosis Code Z00.00

      Encounter for general adult medical examination without abnormal findings

        2016 2017 2018 2019 2020 Billable/Specific Code Adult Dx (15-124 years) POA Exempt
      Applicable To
      • Encounter for adult health check-up NOS
      • with abnormal findings Z00.01
    • radiological (as part of a general medical examination) Z00.00
      ICD-10-CM Diagnosis Code Z00.00

      Encounter for general adult medical examination without abnormal findings

        2016 2017 2018 2019 2020 Billable/Specific Code Adult Dx (15-124 years) POA Exempt
      Applicable To
      • Encounter for adult health check-up NOS
      • with abnormal findings Z00.01
    • X-ray of chest (as part of a general medical examination) Z00.00
      ICD-10-CM Diagnosis Code Z00.00

      Encounter for general adult medical examination without abnormal findings

        2016 2017 2018 2019 2020 Billable/Specific Code Adult Dx (15-124 years) POA Exempt
      Applicable To
      • Encounter for adult health check-up NOS
      • with abnormal findings Z00.01
  • Examination (for) (following) (general) (of) (routine) Z00.00
    ICD-10-CM Diagnosis Code Z00.00

    Encounter for general adult medical examination without abnormal findings

      2016 2017 2018 2019 2020 Billable/Specific Code Adult Dx (15-124 years) POA Exempt
    Applicable To
    • Encounter for adult health check-up NOS
    • annual (adult) (periodic) (physical) Z00.00
      ICD-10-CM Diagnosis Code Z00.00

      Encounter for general adult medical examination without abnormal findings

        2016 2017 2018 2019 2020 Billable/Specific Code Adult Dx (15-124 years) POA Exempt
      Applicable To
      • Encounter for adult health check-up NOS
      • with abnormal findings Z00.01
    • laboratory (as part of a general medical examination) Z00.00
      ICD-10-CM Diagnosis Code Z00.00

      Encounter for general adult medical examination without abnormal findings

        2016 2017 2018 2019 2020 Billable/Specific Code Adult Dx (15-124 years) POA Exempt
      Applicable To
      • Encounter for adult health check-up NOS
      • with abnormal findings Z00.01
    • medical (adult) (for) (of) Z00.00
      ICD-10-CM Diagnosis Code Z00.00

      Encounter for general adult medical examination without abnormal findings

        2016 2017 2018 2019 2020 Billable/Specific Code Adult Dx (15-124 years) POA Exempt
      Applicable To
      • Encounter for adult health check-up NOS
      • general (adult) Z00.00
        ICD-10-CM Diagnosis Code Z00.00

        Encounter for general adult medical examination without abnormal findings

          2016 2017 2018 2019 2020 Billable/Specific Code Adult Dx (15-124 years) POA Exempt
        Applicable To
        • Encounter for adult health check-up NOS
        • with abnormal findings Z00.01
      • with abnormal findings Z00.01
    • periodic (adult) (annual) (routine) Z00.00
      ICD-10-CM Diagnosis Code Z00.00

      Encounter for general adult medical examination without abnormal findings

        2016 2017 2018 2019 2020 Billable/Specific Code Adult Dx (15-124 years) POA Exempt
      Applicable To
      • Encounter for adult health check-up NOS
      • with abnormal findings Z00.01
    • radiological (as part of a general medical examination) Z00.00
      ICD-10-CM Diagnosis Code Z00.00

      Encounter for general adult medical examination without abnormal findings

        2016 2017 2018 2019 2020 Billable/Specific Code Adult Dx (15-124 years) POA Exempt
      Applicable To
      • Encounter for adult health check-up NOS
      • with abnormal findings Z00.01
    • with abnormal findings Z00.01
  • Test, tests, testing (for)
    • laboratory (as part of a general medical examination) Z00.00
      ICD-10-CM Diagnosis Code Z00.00

      Encounter for general adult medical examination without abnormal findings

        2016 2017 2018 2019 2020 Billable/Specific Code Adult Dx (15-124 years) POA Exempt
      Applicable To
      • Encounter for adult health check-up NOS
      • with abnormal finding Z00.01
  • X-ray (of)
    • chest
      • routine (as part of a general medical examination) Z00.00
        ICD-10-CM Diagnosis Code Z00.00

        Encounter for general adult medical examination without abnormal findings

          2016 2017 2018 2019 2020 Billable/Specific Code Adult Dx (15-124 years) POA Exempt
        Applicable To
        • Encounter for adult health check-up NOS
        • with abnormal findings Z00.01
    • routine (as part of a general medical examination) Z00.00
      ICD-10-CM Diagnosis Code Z00.00

      Encounter for general adult medical examination without abnormal findings

        2016 2017 2018 2019 2020 Billable/Specific Code Adult Dx (15-124 years) POA Exempt
      Applicable To
      • Encounter for adult health check-up NOS
      • with abnormal findings Z00.01

ICD-10-CM Codes Adjacent To Z00.01
Y95 Nosocomial condition
Y99 External cause status
Y99.0 Civilian activity done for income or pay
Y99.1 Military activity
Y99.2 Volunteer activity
Y99.8 Other external cause status
Y99.9 Unspecified external cause status
Z00 Encounter for general examination without complaint, suspected or reported diagnosis
Z00.0 Encounter for general adult medical examination
Z00.00 …… without abnormal findings
Z00.01 …… with abnormal findings
Z00.1 Encounter for newborn, infant and child health examinations
Z00.11 Newborn health examination
Z00.110 Health examination for newborn under 8 days old
Z00.111 Health examination for newborn 8 to 28 days old
Z00.12 Encounter for routine child health examination
Z00.121 …… with abnormal findings
Z00.129 …… without abnormal findings
Z00.2 Encounter for examination for period of rapid growth in childhood
Z00.3 Encounter for examination for adolescent development state
Z00.5 Encounter for examination of potential donor of organ and tissue

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.