2019 ICD-10-CM Diagnosis Code Z00.6

Encounter for examination for normal comparison and control in clinical research program

    2016 2017 2018 2019 Billable/Specific Code POA Exempt
  • Z00.6 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • Short description: Encntr for exam for nrml cmprsn and ctrl in clncl rsrch prog
  • The 2019 edition of ICD-10-CM Z00.6 became effective on October 1, 2018.
  • This is the American ICD-10-CM version of Z00.6 - other international versions of ICD-10 Z00.6 may differ.
Applicable To
  • Examination of participant or control in clinical research program
The following code(s) above Z00.6 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 Z00.6:
  • Z00-Z99
    2019 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
    2019 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 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
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.
  • Z00.6 is considered exempt from POA reporting.
ICD-10-CM Z00.6 is grouped within Diagnostic Related Group(s) (MS-DRG v36.0):
  • 951 Other factors influencing health status

Convert Z00.6 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

Diagnosis Index entries containing back-references to Z00.6:
  • 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
      • clinical research investigation Z00.6 (control) (normal comparison) (participant)
    • clinical research investigation Z00.6 (control) (normal comparison) (participant)
  • Clinical research investigation Z00.6 (clinical trial) (control subject) (normal comparison) (participant)
  • 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
    • 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 Billable/Specific Code Adult Dx (15-124 years) POA Exempt
      Applicable To
      • Encounter for adult health check-up NOS
      • clinical research, normal subject Z00.6 (control) (participant)
      • control subject in clinical research Z00.6 (normal comparison) (participant)
    • clinical research control or normal comparison Z00.6 (control) (participant)
  • Investigation Z04.9
    - see also Examination
    ICD-10-CM Diagnosis Code Z04.9

    Encounter for examination and observation for unspecified reason

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Encounter for observation NOS
    • clinical research subject Z00.6 (control) (normal comparison) (participant)
  • Person (with)
    • admitted for clinical research, as a control subject Z00.6 (normal comparison) (participant)

ICD-10-CM Codes Adjacent To Z00.6
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
Z01.0 Encounter for examination of eyes and vision
Z01.00 …… without abnormal findings
Z01.01 …… with abnormal findings
Z01.1 Encounter for examination of ears and hearing
Z01.10 …… without abnormal findings

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