2018

  1. ICD-10-CM Codes
    2. ›
  2. Z00-Z99 Factors influencing health status and contact with health services
    3. ›
  3. Z00-Z13 Persons encountering health services for examinations
    4. ›
  4. Z01- Encounter for other special examination without complaint, suspected or reported diagnosis
    5. ›

2018 ICD-10-CM Diagnosis Code Z01

Encounter for other special examination without complaint, suspected or reported diagnosis

Note
  • Codes from category
    ICD-10-CM Diagnosis Code Z01

    Encounter for other special examination without complaint, suspected or reported diagnosis

      2016 2017 2018 Non-Billable/Non-Specific Code
    Includes
    • routine examination of specific system
    Note
    • Codes from category Z01 represent the reason for the encounter. A separate procedure code is required to identify any examinations or procedures performed
    Type 1 Excludes
    • encounter for examination for administrative purposes (Z02.-)
    • encounter for examination for suspected conditions, proven not to exist (Z03.-)
    • encounter for laboratory and radiologic examinations as a component of general medical examinations (Z00.0-)
    • encounter for laboratory, radiologic and imaging examinations for sign(s) and symptom(s) - code to the sign(s) or symptom(s)
    Type 2 Excludes
    • screening examinations (Z11-Z13)
    Z01
    represent the reason for the encounter. A separate procedure code is required to identify any examinations or procedures performed
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as Z01. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • encounter for examination for administrative purposes (
    ICD-10-CM Diagnosis Code Z02
    • Z02 Encounter for administrative examination
      • Z02.0 Encounter for examination for admission to ed...
      • Z02.1 Encounter for pre-employment examination
      • Z02.2 Encounter for examination for admission to re...
      • Z02.3 Encounter for examination for recruitment to ...
      • Z02.4 Encounter for examination for driving license...
      • Z02.5 Encounter for examination for participation i...
      • Z02.6 Encounter for examination for insurance purpo...
      • Z02.7 Encounter for issue of medical certificate
        • Z02.71 Encounter for disability determination
        • Z02.79 Encounter for issue of other medical certific...
      • Z02.8 Encounter for other administrative examinatio...
        • Z02.81 Encounter for paternity testing
        • Z02.82 Encounter for adoption services
        • Z02.83 Encounter for blood-alcohol and blood-drug te...
        • Z02.89 Encounter for other administrative examinatio...
      • Z02.9 Encounter for administrative examinations, un...
    Z02.-
    )
  • encounter for examination for suspected conditions, proven not to exist (
    ICD-10-CM Diagnosis Code Z03
    • Z03 Encounter for medical observation for suspect...
      • Z03.6 Encounter for observation for suspected toxic...
      • Z03.7 Encounter for suspected maternal and fetal co...
        • Z03.71 Encounter for suspected problem with amniotic...
        • Z03.72 Encounter for suspected placental problem rul...
        • Z03.73 Encounter for suspected fetal anomaly ruled o...
        • Z03.74 Encounter for suspected problem with fetal gr...
        • Z03.75 Encounter for suspected cervical shortening r...
        • Z03.79 Encounter for other suspected maternal and fe...
      • Z03.8 Encounter for observation for other suspected...
        • Z03.81 Encounter for observation for suspected expos...
          • Z03.810 Encounter for observation for suspected expos...
          • Z03.818 Encounter for observation for suspected expos...
        • Z03.89 Encounter for observation for other suspected...
    Z03.-
    )
  • encounter for laboratory and radiologic examinations as a component of general medical examinations (
    ICD-10-CM Diagnosis Code Z00.0

    Encounter for general adult medical examination

      2016 2017 2018 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.-)
    Z00.0-
    )
  • encounter for laboratory, radiologic and imaging examinations for sign(s) and symptom(s) - code to the sign(s) or symptom(s)
Type 2 Excludes
Type 2 Excludes Help
A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (Z01) and the excluded code together.
  • screening examinations (
    ICD-10-CM Diagnosis Code Z11

    Encounter for screening for infectious and parasitic diseases

      2016 2017 2018 Non-Billable/Non-Specific Code
    Applicable To
    • Screening is the testing for disease or disease precursors in asymptomatic individuals so that early detection and treatment can be provided for those who test positive for the disease.
    Type 1 Excludes
    • encounter for diagnostic examination-code to sign or symptom
    Z11
    -
    ICD-10-CM Diagnosis Code Z13

    Encounter for screening for other diseases and disorders

      2016 2017 2018 Non-Billable/Non-Specific Code
    Applicable To
    • Screening is the testing for disease or disease precursors in asymptomatic individuals so that early detection and treatment can be provided for those who test positive for the disease.
    Type 1 Excludes
    • encounter for diagnostic examination-code to sign or symptom
    Z13
    )
Includes
Includes Help
"Includes" further defines, or give examples of, the content of the code or category.
  • routine examination of specific system
The following code(s) above Z01 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 Z01:
  • Z00-Z99
    2018 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
    2018 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
Code History
Code annotations containing back-references to Z01:
ICD-10-CM Codes Adjacent To Z01
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
Z01.11 Encounter for examination of ears and hearing with abnormal findings
Z01.110 Encounter for hearing examination following failed hearing screening
Z01.118 Encounter for examination of ears and hearing with other abnormal findings
Z01.12 Encounter for hearing conservation and treatment
Z01.2 Encounter for dental examination and cleaning

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