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ICD-10-CM Codes
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Z00-Z99
Factors influencing health status and contact with health services
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Z00-Z13
Persons encountering health services for examinations
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Z00-
Encounter for general examination without complaint, suspected or reported diagnosis
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2019 ICD-10-CM Diagnosis Code Z00.121
Encounter for routine child health examination with abnormal findings
2016 2017 2018 2019 Billable/Specific Code Pediatric Dx (0-17 years) POA Exempt
- Z00.121 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
- Short description: Encounter for routine child health exam w abnormal findings
- The 2019 edition of ICD-10-CM Z00.121 became effective on October 1, 2018.
- This is the American ICD-10-CM version of Z00.121 - other international versions of ICD-10 Z00.121 may differ.
ICD-10-CM Coding Rules
- Z00.121 is applicable to pediatric patients aged 0 - 17 years inclusive.
Use AdditionalUse 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
Z00.121 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
Z00.121:
- Z00-Z99
2019 ICD-10-CM Range Z00-Z99
Factors influencing health status and contact with health servicesNote- 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.
- Z00-Z13
2019 ICD-10-CM Range Z00-Z13
Persons encountering health services for examinationsNote- 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.-)
- Z00
ICD-10-CM Diagnosis Code Z00
Encounter for general examination without complaint, suspected or reported diagnosis
2016 2017 2018 2019 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)
- Z00.12
ICD-10-CM Diagnosis Code Z00.12
Encounter for routine child health examination
2016 2017 2018 2019 Non-Billable/Non-Specific Code
Applicable To- Health check (routine) for child over 28 days old
- Immunizations appropriate for age
- Routine developmental screening of infant or child
- Routine vision and hearing testing
Type 1 Excludes- health check for child under 29 days old (Z00.11-)
- health supervision of foundling or other healthy infant or child (Z76.1-Z76.2)
- newborn health examination (Z00.11-)
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.
- Z00.121 is considered exempt from POA reporting.
ICD-10-CM Z00.121 is grouped within Diagnostic Related Group(s) (MS-DRG v36.0):
- 795 Normal newborn
- 951 Other factors influencing health status
Convert Z00.121 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
- 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 Billable/Specific Code Adult Dx (15-124 years) POA Exempt
Applicable To- Encounter for adult health check-up NOS
- hearing Z01.10
ICD-10-CM Diagnosis Code Z01.10
Encounter for examination of ears and hearing without abnormal findings
2016 2017 2018 2019 Billable/Specific Code POA Exempt
Applicable To- Encounter for examination of ears and hearing NOS
- infant or child (over 28 days old) Z00.129
ICD-10-CM Diagnosis Code Z00.129
Encounter for routine child health examination without abnormal findings
2016 2017 2018 2019 Billable/Specific Code Pediatric Dx (0-17 years) POA Exempt
Applicable To- Encounter for routine child health examination NOS
- with abnormal findings Z00.121
- vision Z01.00
ICD-10-CM Diagnosis Code Z01.00
Encounter for examination of eyes and vision without abnormal findings
2016 2017 2018 2019 Billable/Specific Code POA Exempt
Applicable To- Encounter for examination of eyes and vision NOS
- infant or child (over 28 days old) Z00.129
ICD-10-CM Diagnosis Code Z00.129
Encounter for routine child health examination without abnormal findings
2016 2017 2018 2019 Billable/Specific Code Pediatric Dx (0-17 years) POA Exempt
Applicable To- Encounter for routine child health examination NOS
- with abnormal findings Z00.121
- vision examination Z01.00
ICD-10-CM Diagnosis Code Z01.00
Encounter for examination of eyes and vision without abnormal findings
2016 2017 2018 2019 Billable/Specific Code POA Exempt
Applicable To- Encounter for examination of eyes and vision NOS
- infant or child (over 28 days old) Z00.129
ICD-10-CM Diagnosis Code Z00.129
Encounter for routine child health examination without abnormal findings
2016 2017 2018 2019 Billable/Specific Code Pediatric Dx (0-17 years) POA Exempt
Applicable To- Encounter for routine child health examination NOS
- with abnormal findings Z00.121
- 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 Billable/Specific Code Adult Dx (15-124 years) POA Exempt
Applicable To- Encounter for adult health check-up NOS
- child (over 28 days old) Z00.129
ICD-10-CM Diagnosis Code Z00.129
Encounter for routine child health examination without abnormal findings
2016 2017 2018 2019 Billable/Specific Code Pediatric Dx (0-17 years) POA Exempt
Applicable To- Encounter for routine child health examination NOS
- with abnormal findings Z00.121
- hearing Z01.10
ICD-10-CM Diagnosis Code Z01.10
Encounter for examination of ears and hearing without abnormal findings
2016 2017 2018 2019 Billable/Specific Code POA Exempt
Applicable To- Encounter for examination of ears and hearing NOS
- infant or child (over 28 days old) Z00.129
ICD-10-CM Diagnosis Code Z00.129
Encounter for routine child health examination without abnormal findings
2016 2017 2018 2019 Billable/Specific Code Pediatric Dx (0-17 years) POA Exempt
Applicable To- Encounter for routine child health examination NOS
- with abnormal findings Z00.121
- vision Z01.00
ICD-10-CM Diagnosis Code Z01.00
Encounter for examination of eyes and vision without abnormal findings
2016 2017 2018 2019 Billable/Specific Code POA Exempt
Applicable To- Encounter for examination of eyes and vision NOS
- infant or child (over 28 days old) Z00.129
ICD-10-CM Diagnosis Code Z00.129
Encounter for routine child health examination without abnormal findings
2016 2017 2018 2019 Billable/Specific Code Pediatric Dx (0-17 years) POA Exempt
Applicable To- Encounter for routine child health examination NOS
- with abnormal findings Z00.121
- Hearing examination Z01.10
ICD-10-CM Diagnosis Code Z01.10
Encounter for examination of ears and hearing without abnormal findings
2016 2017 2018 2019 Billable/Specific Code POA Exempt
Applicable To- Encounter for examination of ears and hearing NOS
- infant or child (over 28 days old) Z00.129
ICD-10-CM Diagnosis Code Z00.129
Encounter for routine child health examination without abnormal findings
2016 2017 2018 2019 Billable/Specific Code Pediatric Dx (0-17 years) POA Exempt
Applicable To- Encounter for routine child health examination NOS
- with abnormal findings Z00.121
- Immunization - see also Vaccination
- appropriate for age
- child (over 28 days old) Z00.129
ICD-10-CM Diagnosis Code Z00.129
Encounter for routine child health examination without abnormal findings
2016 2017 2018 2019 Billable/Specific Code Pediatric Dx (0-17 years) POA Exempt
Applicable To- Encounter for routine child health examination NOS
- with abnormal findings Z00.121
- Screening (for) Z13.9
ICD-10-CM Diagnosis Code Z13.9
Encounter for screening, unspecified
2016 2017 2018 2019 Billable/Specific Code POA Exempt
- infant or child (over 28 days old) Z00.129
ICD-10-CM Diagnosis Code Z00.129
Encounter for routine child health examination without abnormal findings
2016 2017 2018 2019 Billable/Specific Code Pediatric Dx (0-17 years) POA Exempt
Applicable To- Encounter for routine child health examination NOS
- with abnormal findings Z00.121
- Test, tests, testing (for)
- hearing Z01.10
ICD-10-CM Diagnosis Code Z01.10
Encounter for examination of ears and hearing without abnormal findings
2016 2017 2018 2019 Billable/Specific Code POA Exempt
Applicable To- Encounter for examination of ears and hearing NOS
- infant or child (over 28 days old) Z00.129
ICD-10-CM Diagnosis Code Z00.129
Encounter for routine child health examination without abnormal findings
2016 2017 2018 2019 Billable/Specific Code Pediatric Dx (0-17 years) POA Exempt
Applicable To- Encounter for routine child health examination NOS
- with abnormal findings Z00.121
- vision Z01.00
ICD-10-CM Diagnosis Code Z01.00
Encounter for examination of eyes and vision without abnormal findings
2016 2017 2018 2019 Billable/Specific Code POA Exempt
Applicable To- Encounter for examination of eyes and vision NOS
- infant or child (over 28 days old) Z00.129
ICD-10-CM Diagnosis Code Z00.129
Encounter for routine child health examination without abnormal findings
2016 2017 2018 2019 Billable/Specific Code Pediatric Dx (0-17 years) POA Exempt
Applicable To- Encounter for routine child health examination NOS
- with abnormal findings Z00.121
ICD-10-CM Codes Adjacent To Z00.121
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
Z00.6 Encounter for examination for normal comparison and control in clinical research program
Z00.7 Encounter for examination for period of delayed growth in childhood
Z00.70 …… without abnormal findings
Z00.71 …… with abnormal findings
Z00.8 Encounter for other general examination
Z01 Encounter for other special examination without complaint, suspected or reported diagnosis
Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.
