• 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

    • abuse, physical (alleged)
      • adult Z04.71
        ICD-10-CM Diagnosis Code Z04.71

        Encounter for examination and observation following alleged adult physical abuse

          2016 2017 2018 2019 Billable/Specific Code Adult Dx (15-124 years)
        Applicable To
        • Suspected adult physical abuse, ruled out
        Type 1 Excludes
        • confirmed case of adult physical abuse (T74.-)
        • encounter for examination and observation following alleged adult sexual abuse (Z04.41)
        • suspected case of adult physical abuse, not ruled out (T76.-)
      • child Z04.72
        ICD-10-CM Diagnosis Code Z04.72

        Encounter for examination and observation following alleged child physical abuse

          2016 2017 2018 2019 Billable/Specific Code Pediatric Dx (0-17 years)
        Applicable To
        • Suspected child physical abuse, ruled out
        Type 1 Excludes
        • confirmed case of child physical abuse (T74.-)
        • encounter for examination and observation following alleged child sexual abuse (Z04.42)
        • suspected case of child physical abuse, not ruled out (T76.-)
    • adolescent Z00.3
      (development state)
      ICD-10-CM Diagnosis Code Z00.3

      Encounter for examination for adolescent development state

        2016 2017 2018 2019 Billable/Specific Code Pediatric Dx (0-17 years) POA Exempt
      Applicable To
      • Encounter for puberty development state
    • alleged rape or sexual assault (victim)
      • adult Z04.41
        ICD-10-CM Diagnosis Code Z04.41

        Encounter for examination and observation following alleged adult rape

          2016 2017 2018 2019 Billable/Specific Code Adult Dx (15-124 years)
        Applicable To
        • Suspected adult rape, ruled out
        • Suspected adult sexual abuse, ruled out
      • child Z04.42
        ICD-10-CM Diagnosis Code Z04.42

        Encounter for examination and observation following alleged child rape

          2016 2017 2018 2019 Billable/Specific Code Pediatric Dx (0-17 years)
        Applicable To
        • Suspected child rape, ruled out
        • Suspected child sexual abuse, ruled out
    • allergy Z01.82
      ICD-10-CM Diagnosis Code Z01.82

      Encounter for allergy testing

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
      Type 1 Excludes
      • encounter for antibody response examination (Z01.84)
    • 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 Billable/Specific Code Adult Dx (15-124 years) POA Exempt
      Applicable To
      • Encounter for adult health check-up NOS
      • gynecological Z01.419
        ICD-10-CM Diagnosis Code Z01.419

        Encounter for gynecological examination (general) (routine) without abnormal findings

          2016 2017 2018 2019 Billable/Specific Code Female Dx POA Exempt
        • with abnormal findings Z01.411
          ICD-10-CM Diagnosis Code Z01.411

          Encounter for gynecological examination (general) (routine) with abnormal findings

            2016 2017 2018 2019 Billable/Specific Code Female Dx POA Exempt
          Use Additional
          • code to identify abnormal findings
      • with abnormal findings Z00.01
        ICD-10-CM Diagnosis Code Z00.01

        Encounter for general adult medical examination with abnormal findings

          2016 2017 2018 2019 Billable/Specific Code Adult Dx (15-124 years) POA Exempt
        Use Additional
        • code to identify abnormal findings
    • antibody response Z01.84
      ICD-10-CM Diagnosis Code Z01.84

      Encounter for antibody response examination

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
      Applicable To
      • Encounter for immunity status testing
      Type 1 Excludes
      • encounter for allergy testing (Z01.82)
    • blood - see Examination, laboratory
    • blood pressure Z01.30
      ICD-10-CM Diagnosis Code Z01.30

      Encounter for examination of blood pressure without abnormal findings

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
      Applicable To
      • Encounter for examination of blood pressure NOS
      • with abnormal findings Z01.31
        ICD-10-CM Diagnosis Code Z01.31

        Encounter for examination of blood pressure with abnormal findings

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Use Additional
        • code to identify abnormal findings
    • cancer staging - see Neoplasm, malignant, by site
    • cervical Papanicolaou smear Z12.4
      ICD-10-CM Diagnosis Code Z12.4

      Encounter for screening for malignant neoplasm of cervix

        2016 2017 2018 2019 Billable/Specific Code Female Dx POA Exempt
      Applicable To
      • Encounter for screening pap smear for malignant neoplasm of cervix
      Type 1 Excludes
      • when screening is part of general gynecological examination (Z01.4-)
      Type 2 Excludes
      • encounter for screening for human papillomavirus (Z11.51)
      • as part of routine gynecological examination Z01.419
        ICD-10-CM Diagnosis Code Z01.419

        Encounter for gynecological examination (general) (routine) without abnormal findings

          2016 2017 2018 2019 Billable/Specific Code Female Dx POA Exempt
        • with abnormal findings Z01.411
          ICD-10-CM Diagnosis Code Z01.411

          Encounter for gynecological examination (general) (routine) with abnormal findings

            2016 2017 2018 2019 Billable/Specific Code Female Dx POA Exempt
          Use Additional
          • code to identify abnormal findings
    • 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
      • under 28 days old - see Newborn, examination
      • with abnormal findings Z00.121
        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
        Use Additional
        • code to identify abnormal findings
    • clinical research control or normal comparison Z00.6
      (control) (participant)
      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
      Applicable To
      • Examination of participant or control in clinical research program
    • contraceptive (drug) maintenance (routine) Z30.8
      ICD-10-CM Diagnosis Code Z30.8

      Encounter for other contraceptive management

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
      Applicable To
      • Encounter for postvasectomy sperm count
      • Encounter for routine examination for contraceptive maintenance
      Type 1 Excludes
      • sperm count following sterilization reversal (Z31.42)
      • sperm count for fertility testing (Z31.41)
      • device Z30.431
        (intrauterine)
        ICD-10-CM Diagnosis Code Z30.431

        Encounter for routine checking of intrauterine contraceptive device

          2016 2017 2018 2019 Billable/Specific Code Female Dx POA Exempt
    • dental Z01.20
      ICD-10-CM Diagnosis Code Z01.20

      Encounter for dental examination and cleaning without abnormal findings

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
      Applicable To
      • Encounter for dental examination and cleaning NOS
      • with abnormal findings Z01.21
        ICD-10-CM Diagnosis Code Z01.21

        Encounter for dental examination and cleaning with abnormal findings

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Use Additional
        • code to identify abnormal findings
    • developmental - see Examination, child
    • donor Z00.5
      (potential)
      ICD-10-CM Diagnosis Code Z00.5

      Encounter for examination of potential donor of organ and tissue

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
    • ear 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
      • with abnormal findings NEC Z01.118
        ICD-10-CM Diagnosis Code Z01.118

        Encounter for examination of ears and hearing with other abnormal findings

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Use Additional
        • code to identify abnormal findings
    • eye 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
      • with abnormal findings Z01.01
        ICD-10-CM Diagnosis Code Z01.01

        Encounter for examination of eyes and vision with abnormal findings

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Use Additional
        • code to identify abnormal findings
    • follow-up (routine) (following) Z09
      ICD-10-CM Diagnosis Code Z09

      Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
      Applicable To
      • Medical surveillance following completed treatment
      Type 1 Excludes
      • aftercare following medical care (Z43-Z49, Z51)
      • surveillance of contraception (Z30.4-)
      • surveillance of prosthetic and other medical devices (Z44-Z46)
      Use Additional
      • code to identify any applicable history of disease code (Z86.-. Z87.-)
      • chemotherapy NEC Z09
        ICD-10-CM Diagnosis Code Z09

        Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Medical surveillance following completed treatment
        Type 1 Excludes
        • aftercare following medical care (Z43-Z49, Z51)
        • surveillance of contraception (Z30.4-)
        • surveillance of prosthetic and other medical devices (Z44-Z46)
        Use Additional
        • code to identify any applicable history of disease code (Z86.-. Z87.-)
        • malignant neoplasm Z08
          ICD-10-CM Diagnosis Code Z08

          Encounter for follow-up examination after completed treatment for malignant neoplasm

            2016 2017 2018 2019 Billable/Specific Code POA Exempt
          Applicable To
          • Medical surveillance following completed treatment
          Type 1 Excludes
          • aftercare following medical care (Z43-Z49, Z51)
          Use Additional
          • code to identify any acquired absence of organs (Z90.-)
      • fracture Z09
        ICD-10-CM Diagnosis Code Z09

        Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Medical surveillance following completed treatment
        Type 1 Excludes
        • aftercare following medical care (Z43-Z49, Z51)
        • surveillance of contraception (Z30.4-)
        • surveillance of prosthetic and other medical devices (Z44-Z46)
        Use Additional
        • code to identify any applicable history of disease code (Z86.-. Z87.-)
      • malignant neoplasm Z08
        ICD-10-CM Diagnosis Code Z08

        Encounter for follow-up examination after completed treatment for malignant neoplasm

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Medical surveillance following completed treatment
        Type 1 Excludes
        • aftercare following medical care (Z43-Z49, Z51)
        Use Additional
        • code to identify any acquired absence of organs (Z90.-)
      • postpartum Z39.2
        ICD-10-CM Diagnosis Code Z39.2

        Encounter for routine postpartum follow-up

          2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx POA Exempt
      • psychotherapy Z09
        ICD-10-CM Diagnosis Code Z09

        Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Medical surveillance following completed treatment
        Type 1 Excludes
        • aftercare following medical care (Z43-Z49, Z51)
        • surveillance of contraception (Z30.4-)
        • surveillance of prosthetic and other medical devices (Z44-Z46)
        Use Additional
        • code to identify any applicable history of disease code (Z86.-. Z87.-)
      • radiotherapy NEC Z09
        ICD-10-CM Diagnosis Code Z09

        Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Medical surveillance following completed treatment
        Type 1 Excludes
        • aftercare following medical care (Z43-Z49, Z51)
        • surveillance of contraception (Z30.4-)
        • surveillance of prosthetic and other medical devices (Z44-Z46)
        Use Additional
        • code to identify any applicable history of disease code (Z86.-. Z87.-)
        • malignant neoplasm Z08
          ICD-10-CM Diagnosis Code Z08

          Encounter for follow-up examination after completed treatment for malignant neoplasm

            2016 2017 2018 2019 Billable/Specific Code POA Exempt
          Applicable To
          • Medical surveillance following completed treatment
          Type 1 Excludes
          • aftercare following medical care (Z43-Z49, Z51)
          Use Additional
          • code to identify any acquired absence of organs (Z90.-)
      • surgery NEC Z09
        ICD-10-CM Diagnosis Code Z09

        Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Medical surveillance following completed treatment
        Type 1 Excludes
        • aftercare following medical care (Z43-Z49, Z51)
        • surveillance of contraception (Z30.4-)
        • surveillance of prosthetic and other medical devices (Z44-Z46)
        Use Additional
        • code to identify any applicable history of disease code (Z86.-. Z87.-)
        • malignant neoplasm Z08
          ICD-10-CM Diagnosis Code Z08

          Encounter for follow-up examination after completed treatment for malignant neoplasm

            2016 2017 2018 2019 Billable/Specific Code POA Exempt
          Applicable To
          • Medical surveillance following completed treatment
          Type 1 Excludes
          • aftercare following medical care (Z43-Z49, Z51)
          Use Additional
          • code to identify any acquired absence of organs (Z90.-)
    • following
      • accident NEC Z04.3
        ICD-10-CM Diagnosis Code Z04.3

        Encounter for examination and observation following other accident

          2016 2017 2018 2019 Billable/Specific Code
        • transport Z04.1
          ICD-10-CM Diagnosis Code Z04.1

          Encounter for examination and observation following transport accident

            2016 2017 2018 2019 Billable/Specific Code
          Type 1 Excludes
          • encounter for examination and observation following work accident (Z04.2)
        • work Z04.2
          ICD-10-CM Diagnosis Code Z04.2

          Encounter for examination and observation following work accident

            2016 2017 2018 2019 Billable/Specific Code
      • assault, alleged, ruled out
        • adult Z04.71
          ICD-10-CM Diagnosis Code Z04.71

          Encounter for examination and observation following alleged adult physical abuse

            2016 2017 2018 2019 Billable/Specific Code Adult Dx (15-124 years)
          Applicable To
          • Suspected adult physical abuse, ruled out
          Type 1 Excludes
          • confirmed case of adult physical abuse (T74.-)
          • encounter for examination and observation following alleged adult sexual abuse (Z04.41)
          • suspected case of adult physical abuse, not ruled out (T76.-)
        • child Z04.72
          ICD-10-CM Diagnosis Code Z04.72

          Encounter for examination and observation following alleged child physical abuse

            2016 2017 2018 2019 Billable/Specific Code Pediatric Dx (0-17 years)
          Applicable To
          • Suspected child physical abuse, ruled out
          Type 1 Excludes
          • confirmed case of child physical abuse (T74.-)
          • encounter for examination and observation following alleged child sexual abuse (Z04.42)
          • suspected case of child physical abuse, not ruled out (T76.-)
      • motor vehicle accident Z04.1
        ICD-10-CM Diagnosis Code Z04.1

        Encounter for examination and observation following transport accident

          2016 2017 2018 2019 Billable/Specific Code
        Type 1 Excludes
        • encounter for examination and observation following work accident (Z04.2)
      • treatment (for) Z09
        ICD-10-CM Diagnosis Code Z09

        Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Medical surveillance following completed treatment
        Type 1 Excludes
        • aftercare following medical care (Z43-Z49, Z51)
        • surveillance of contraception (Z30.4-)
        • surveillance of prosthetic and other medical devices (Z44-Z46)
        Use Additional
        • code to identify any applicable history of disease code (Z86.-. Z87.-)
        • combined NEC Z09
          ICD-10-CM Diagnosis Code Z09

          Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm

            2016 2017 2018 2019 Billable/Specific Code POA Exempt
          Applicable To
          • Medical surveillance following completed treatment
          Type 1 Excludes
          • aftercare following medical care (Z43-Z49, Z51)
          • surveillance of contraception (Z30.4-)
          • surveillance of prosthetic and other medical devices (Z44-Z46)
          Use Additional
          • code to identify any applicable history of disease code (Z86.-. Z87.-)
          • fracture Z09
            ICD-10-CM Diagnosis Code Z09

            Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm

              2016 2017 2018 2019 Billable/Specific Code POA Exempt
            Applicable To
            • Medical surveillance following completed treatment
            Type 1 Excludes
            • aftercare following medical care (Z43-Z49, Z51)
            • surveillance of contraception (Z30.4-)
            • surveillance of prosthetic and other medical devices (Z44-Z46)
            Use Additional
            • code to identify any applicable history of disease code (Z86.-. Z87.-)
          • malignant neoplasm Z08
            ICD-10-CM Diagnosis Code Z08

            Encounter for follow-up examination after completed treatment for malignant neoplasm

              2016 2017 2018 2019 Billable/Specific Code POA Exempt
            Applicable To
            • Medical surveillance following completed treatment
            Type 1 Excludes
            • aftercare following medical care (Z43-Z49, Z51)
            Use Additional
            • code to identify any acquired absence of organs (Z90.-)
        • malignant neoplasm Z08
          ICD-10-CM Diagnosis Code Z08

          Encounter for follow-up examination after completed treatment for malignant neoplasm

            2016 2017 2018 2019 Billable/Specific Code POA Exempt
          Applicable To
          • Medical surveillance following completed treatment
          Type 1 Excludes
          • aftercare following medical care (Z43-Z49, Z51)
          Use Additional
          • code to identify any acquired absence of organs (Z90.-)
        • mental disorder Z09
          ICD-10-CM Diagnosis Code Z09

          Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm

            2016 2017 2018 2019 Billable/Specific Code POA Exempt
          Applicable To
          • Medical surveillance following completed treatment
          Type 1 Excludes
          • aftercare following medical care (Z43-Z49, Z51)
          • surveillance of contraception (Z30.4-)
          • surveillance of prosthetic and other medical devices (Z44-Z46)
          Use Additional
          • code to identify any applicable history of disease code (Z86.-. Z87.-)
        • specified condition NEC Z09
          ICD-10-CM Diagnosis Code Z09

          Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm

            2016 2017 2018 2019 Billable/Specific Code POA Exempt
          Applicable To
          • Medical surveillance following completed treatment
          Type 1 Excludes
          • aftercare following medical care (Z43-Z49, Z51)
          • surveillance of contraception (Z30.4-)
          • surveillance of prosthetic and other medical devices (Z44-Z46)
          Use Additional
          • code to identify any applicable history of disease code (Z86.-. Z87.-)
    • forced labor exploitation Z04.82
      ICD-10-CM Diagnosis Code Z04.82

      Encounter for examination and observation of victim following forced labor exploitation

        2019 - New Code Billable/Specific Code POA Exempt
    • forced sexual exploitation Z04.81
      ICD-10-CM Diagnosis Code Z04.81

      Encounter for examination and observation of victim following forced sexual exploitation

        2019 - New Code Billable/Specific Code POA Exempt
    • gynecological Z01.419
      ICD-10-CM Diagnosis Code Z01.419

      Encounter for gynecological examination (general) (routine) without abnormal findings

        2016 2017 2018 2019 Billable/Specific Code Female Dx POA Exempt
      • for contraceptive maintenance Z30.8
        ICD-10-CM Diagnosis Code Z30.8

        Encounter for other contraceptive management

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Encounter for postvasectomy sperm count
        • Encounter for routine examination for contraceptive maintenance
        Type 1 Excludes
        • sperm count following sterilization reversal (Z31.42)
        • sperm count for fertility testing (Z31.41)
      • with abnormal findings Z01.411
        ICD-10-CM Diagnosis Code Z01.411

        Encounter for gynecological examination (general) (routine) with abnormal findings

          2016 2017 2018 2019 Billable/Specific Code Female Dx POA Exempt
        Use Additional
        • code to identify abnormal findings
    • health - see Examination, medical
    • 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
      • following failed hearing screening Z01.110
        ICD-10-CM Diagnosis Code Z01.110

        Encounter for hearing examination following failed hearing screening

          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
          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
          Use Additional
          • code to identify abnormal findings
      • with abnormal findings NEC Z01.118
        ICD-10-CM Diagnosis Code Z01.118

        Encounter for examination of ears and hearing with other abnormal findings

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Use Additional
        • code to identify abnormal findings
    • immunity status testing Z01.84
      ICD-10-CM Diagnosis Code Z01.84

      Encounter for antibody response examination

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
      Applicable To
      • Encounter for immunity status testing
      Type 1 Excludes
      • encounter for allergy testing (Z01.82)
    • 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 Billable/Specific Code Adult Dx (15-124 years) POA Exempt
      Applicable To
      • Encounter for adult health check-up NOS
      • preprocedural Z01.812
        ICD-10-CM Diagnosis Code Z01.812

        Encounter for preprocedural laboratory examination

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Blood and urine tests prior to treatment or procedure
      • with abnormal findings Z00.01
        ICD-10-CM Diagnosis Code Z00.01

        Encounter for general adult medical examination with abnormal findings

          2016 2017 2018 2019 Billable/Specific Code Adult Dx (15-124 years) POA Exempt
        Use Additional
        • code to identify abnormal findings
    • lactating mother Z39.1
      ICD-10-CM Diagnosis Code Z39.1

      Encounter for care and examination of lactating mother

        2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx POA Exempt
      Applicable To
      • Encounter for supervision of lactation
      Type 1 Excludes
      • disorders of lactation (O92.-)
    • 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
      • administrative purpose only Z02.9
        ICD-10-CM Diagnosis Code Z02.9

        Encounter for administrative examinations, unspecified

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        • specified NEC Z02.89
          ICD-10-CM Diagnosis Code Z02.89

          Encounter for other administrative examinations

            2016 2017 2018 2019 Billable/Specific Code POA Exempt
          Applicable To
          • Encounter for examination for admission to prison
          • Encounter for examination for admission to summer camp
          • Encounter for immigration examination
          • Encounter for naturalization examination
          • Encounter for premarital examination
          Type 1 Excludes
          • health supervision of foundling or other healthy infant or child (Z76.1-Z76.2)
      • admission to
        • armed forces Z02.3
          ICD-10-CM Diagnosis Code Z02.3

          Encounter for examination for recruitment to armed forces

            2016 2017 2018 2019 Billable/Specific Code POA Exempt
        • old age home Z02.2
          ICD-10-CM Diagnosis Code Z02.2

          Encounter for examination for admission to residential institution

            2016 2017 2018 2019 Billable/Specific Code POA Exempt
          Type 1 Excludes
          • examination for admission to prison (Z02.89)
        • prison Z02.89
          ICD-10-CM Diagnosis Code Z02.89

          Encounter for other administrative examinations

            2016 2017 2018 2019 Billable/Specific Code POA Exempt
          Applicable To
          • Encounter for examination for admission to prison
          • Encounter for examination for admission to summer camp
          • Encounter for immigration examination
          • Encounter for naturalization examination
          • Encounter for premarital examination
          Type 1 Excludes
          • health supervision of foundling or other healthy infant or child (Z76.1-Z76.2)
        • residential institution Z02.2
          ICD-10-CM Diagnosis Code Z02.2

          Encounter for examination for admission to residential institution

            2016 2017 2018 2019 Billable/Specific Code POA Exempt
          Type 1 Excludes
          • examination for admission to prison (Z02.89)
        • school Z02.0
          ICD-10-CM Diagnosis Code Z02.0

          Encounter for examination for admission to educational institution

            2016 2017 2018 2019 Billable/Specific Code POA Exempt
          Applicable To
          • Encounter for examination for admission to preschool (education)
          • Encounter for examination for re-admission to school following illness or medical treatment
          • following illness or medical treatment Z02.0
            ICD-10-CM Diagnosis Code Z02.0

            Encounter for examination for admission to educational institution

              2016 2017 2018 2019 Billable/Specific Code POA Exempt
            Applicable To
            • Encounter for examination for admission to preschool (education)
            • Encounter for examination for re-admission to school following illness or medical treatment
        • summer camp Z02.89
          ICD-10-CM Diagnosis Code Z02.89

          Encounter for other administrative examinations

            2016 2017 2018 2019 Billable/Specific Code POA Exempt
          Applicable To
          • Encounter for examination for admission to prison
          • Encounter for examination for admission to summer camp
          • Encounter for immigration examination
          • Encounter for naturalization examination
          • Encounter for premarital examination
          Type 1 Excludes
          • health supervision of foundling or other healthy infant or child (Z76.1-Z76.2)
      • adoption Z02.82
        ICD-10-CM Diagnosis Code Z02.82

        Encounter for adoption services

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
      • blood alcohol or drug level Z02.83
        ICD-10-CM Diagnosis Code Z02.83

        Encounter for blood-alcohol and blood-drug test

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Use Additional
        • code for findings of alcohol or drugs in blood (R78.-)
      • camp Z02.89
        (summer)
        ICD-10-CM Diagnosis Code Z02.89

        Encounter for other administrative examinations

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Encounter for examination for admission to prison
        • Encounter for examination for admission to summer camp
        • Encounter for immigration examination
        • Encounter for naturalization examination
        • Encounter for premarital examination
        Type 1 Excludes
        • health supervision of foundling or other healthy infant or child (Z76.1-Z76.2)
      • clinical research, normal subject Z00.6
        (control) (participant)
        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
        Applicable To
        • Examination of participant or control in clinical research program
      • control subject in clinical research Z00.6
        (normal comparison) (participant)
        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
        Applicable To
        • Examination of participant or control in clinical research program
      • donor Z00.5
        (potential)
        ICD-10-CM Diagnosis Code Z00.5

        Encounter for examination of potential donor of organ and tissue

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
      • driving license Z02.4
        ICD-10-CM Diagnosis Code Z02.4

        Encounter for examination for driving license

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
      • general (adult) 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
        • with abnormal findings Z00.01
          ICD-10-CM Diagnosis Code Z00.01

          Encounter for general adult medical examination with abnormal findings

            2016 2017 2018 2019 Billable/Specific Code Adult Dx (15-124 years) POA Exempt
          Use Additional
          • code to identify abnormal findings
      • immigration Z02.89
        ICD-10-CM Diagnosis Code Z02.89

        Encounter for other administrative examinations

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Encounter for examination for admission to prison
        • Encounter for examination for admission to summer camp
        • Encounter for immigration examination
        • Encounter for naturalization examination
        • Encounter for premarital examination
        Type 1 Excludes
        • health supervision of foundling or other healthy infant or child (Z76.1-Z76.2)
      • insurance purposes Z02.6
        ICD-10-CM Diagnosis Code Z02.6

        Encounter for examination for insurance purposes

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
      • marriage Z02.89
        ICD-10-CM Diagnosis Code Z02.89

        Encounter for other administrative examinations

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Encounter for examination for admission to prison
        • Encounter for examination for admission to summer camp
        • Encounter for immigration examination
        • Encounter for naturalization examination
        • Encounter for premarital examination
        Type 1 Excludes
        • health supervision of foundling or other healthy infant or child (Z76.1-Z76.2)
      • medicolegal reasons NEC Z04.89
        ICD-10-CM Diagnosis Code Z04.89

        Encounter for examination and observation for other specified reasons

          2019 - New Code Billable/Specific Code POA Exempt
      • naturalization Z02.89
        ICD-10-CM Diagnosis Code Z02.89

        Encounter for other administrative examinations

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Encounter for examination for admission to prison
        • Encounter for examination for admission to summer camp
        • Encounter for immigration examination
        • Encounter for naturalization examination
        • Encounter for premarital examination
        Type 1 Excludes
        • health supervision of foundling or other healthy infant or child (Z76.1-Z76.2)
      • participation in sport Z02.5
        ICD-10-CM Diagnosis Code Z02.5

        Encounter for examination for participation in sport

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Type 1 Excludes
        • blood-alcohol and blood-drug test (Z02.83)
      • paternity testing Z02.81
        ICD-10-CM Diagnosis Code Z02.81

        Encounter for paternity testing

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
      • population survey Z00.8
        ICD-10-CM Diagnosis Code Z00.8

        Encounter for other general examination

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Encounter for health examination in population surveys
      • pre-employment Z02.1
        ICD-10-CM Diagnosis Code Z02.1

        Encounter for pre-employment examination

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
      • pre-operative - see Examination, pre-procedural
      • pre-procedural
        • cardiovascular Z01.810
          ICD-10-CM Diagnosis Code Z01.810

          Encounter for preprocedural cardiovascular examination

            2016 2017 2018 2019 Billable/Specific Code POA Exempt
        • respiratory Z01.811
          ICD-10-CM Diagnosis Code Z01.811

          Encounter for preprocedural respiratory examination

            2016 2017 2018 2019 Billable/Specific Code POA Exempt
        • specified NEC Z01.818
          ICD-10-CM Diagnosis Code Z01.818

          Encounter for other preprocedural examination

            2016 2017 2018 2019 Billable/Specific Code POA Exempt
          Applicable To
          • Encounter for preprocedural examination NOS
          • Encounter for examinations prior to antineoplastic chemotherapy
      • preschool children
        • for admission to school Z02.0
          ICD-10-CM Diagnosis Code Z02.0

          Encounter for examination for admission to educational institution

            2016 2017 2018 2019 Billable/Specific Code POA Exempt
          Applicable To
          • Encounter for examination for admission to preschool (education)
          • Encounter for examination for re-admission to school following illness or medical treatment
      • prisoners
        • for entrance into prison Z02.89
          ICD-10-CM Diagnosis Code Z02.89

          Encounter for other administrative examinations

            2016 2017 2018 2019 Billable/Specific Code POA Exempt
          Applicable To
          • Encounter for examination for admission to prison
          • Encounter for examination for admission to summer camp
          • Encounter for immigration examination
          • Encounter for naturalization examination
          • Encounter for premarital examination
          Type 1 Excludes
          • health supervision of foundling or other healthy infant or child (Z76.1-Z76.2)
      • recruitment for armed forces Z02.3
        ICD-10-CM Diagnosis Code Z02.3

        Encounter for examination for recruitment to armed forces

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
      • specified NEC Z00.8
        ICD-10-CM Diagnosis Code Z00.8

        Encounter for other general examination

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Encounter for health examination in population surveys
      • sport competition Z02.5
        ICD-10-CM Diagnosis Code Z02.5

        Encounter for examination for participation in sport

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Type 1 Excludes
        • blood-alcohol and blood-drug test (Z02.83)
      • with abnormal findings Z00.01
        ICD-10-CM Diagnosis Code Z00.01

        Encounter for general adult medical examination with abnormal findings

          2016 2017 2018 2019 Billable/Specific Code Adult Dx (15-124 years) POA Exempt
        Use Additional
        • code to identify abnormal findings
    • medicolegal reason NEC Z04.89
      ICD-10-CM Diagnosis Code Z04.89

      Encounter for examination and observation for other specified reasons

        2019 - New Code Billable/Specific Code POA Exempt
      • following
        • forced labor exploitation Z04.82
          ICD-10-CM Diagnosis Code Z04.82

          Encounter for examination and observation of victim following forced labor exploitation

            2019 - New Code Billable/Specific Code POA Exempt
        • forced sexual exploitation Z04.81
          ICD-10-CM Diagnosis Code Z04.81

          Encounter for examination and observation of victim following forced sexual exploitation

            2019 - New Code Billable/Specific Code POA Exempt
    • newborn - see Newborn, examination
    • pelvic (annual) (periodic) Z01.419
      ICD-10-CM Diagnosis Code Z01.419

      Encounter for gynecological examination (general) (routine) without abnormal findings

        2016 2017 2018 2019 Billable/Specific Code Female Dx POA Exempt
      • with abnormal findings Z01.411
        ICD-10-CM Diagnosis Code Z01.411

        Encounter for gynecological examination (general) (routine) with abnormal findings

          2016 2017 2018 2019 Billable/Specific Code Female Dx POA Exempt
        Use Additional
        • code to identify abnormal findings
    • period of rapid growth in childhood Z00.2
      ICD-10-CM Diagnosis Code Z00.2

      Encounter for examination for period of rapid growth in childhood

        2016 2017 2018 2019 Billable/Specific Code Pediatric Dx (0-17 years) POA Exempt
    • 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 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 Diagnosis Code Z00.01

        Encounter for general adult medical examination with abnormal findings

          2016 2017 2018 2019 Billable/Specific Code Adult Dx (15-124 years) POA Exempt
        Use Additional
        • code to identify abnormal findings
    • physical (adult) - see also Examination, medical Z00.00
      • sports Z02.5
        ICD-10-CM Diagnosis Code Z02.5

        Encounter for examination for participation in sport

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Type 1 Excludes
        • blood-alcohol and blood-drug test (Z02.83)
    • postpartum
      • immediately after delivery Z39.0
        ICD-10-CM Diagnosis Code Z39.0

        Encounter for care and examination of mother immediately after delivery

          2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx POA Exempt
        Applicable To
        • Care and observation in uncomplicated cases when the delivery occurs outside a healthcare facility
        Type 1 Excludes
        • care for postpartum complication- see Alphabetic index
      • routine follow-up Z39.2
        ICD-10-CM Diagnosis Code Z39.2

        Encounter for routine postpartum follow-up

          2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx POA Exempt
    • pre-chemotherapy Z01.818
      (antineoplastic)
      ICD-10-CM Diagnosis Code Z01.818

      Encounter for other preprocedural examination

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
      Applicable To
      • Encounter for preprocedural examination NOS
      • Encounter for examinations prior to antineoplastic chemotherapy
    • pre-procedural (pre-operative)
      • cardiovascular Z01.810
        ICD-10-CM Diagnosis Code Z01.810

        Encounter for preprocedural cardiovascular examination

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
      • laboratory Z01.812
        ICD-10-CM Diagnosis Code Z01.812

        Encounter for preprocedural laboratory examination

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Blood and urine tests prior to treatment or procedure
      • respiratory Z01.811
        ICD-10-CM Diagnosis Code Z01.811

        Encounter for preprocedural respiratory examination

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
      • specified NEC Z01.818
        ICD-10-CM Diagnosis Code Z01.818

        Encounter for other preprocedural examination

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Encounter for preprocedural examination NOS
        • Encounter for examinations prior to antineoplastic chemotherapy
    • prenatal Z34.9-
      (normal pregnancy) - see also Pregnancy, normal
      ICD-10-CM Diagnosis Code Z34.9-

      Encounter for supervision of normal pregnancy, unspecified

        2016 2017 2018 2019 Non-Billable/Non-Specific Code
    • prior to chemotherapy Z01.818
      (antineoplastic)
      ICD-10-CM Diagnosis Code Z01.818

      Encounter for other preprocedural examination

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
      Applicable To
      • Encounter for preprocedural examination NOS
      • Encounter for examinations prior to antineoplastic chemotherapy
    • psychiatric NEC Z00.8
      ICD-10-CM Diagnosis Code Z00.8

      Encounter for other general examination

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
      Applicable To
      • Encounter for health examination in population surveys
      • follow-up not needing further care Z09
        ICD-10-CM Diagnosis Code Z09

        Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Medical surveillance following completed treatment
        Type 1 Excludes
        • aftercare following medical care (Z43-Z49, Z51)
        • surveillance of contraception (Z30.4-)
        • surveillance of prosthetic and other medical devices (Z44-Z46)
        Use Additional
        • code to identify any applicable history of disease code (Z86.-. Z87.-)
      • requested by authority Z04.6
        ICD-10-CM Diagnosis Code Z04.6

        Encounter for general psychiatric examination, requested by authority

          2016 2017 2018 2019 Billable/Specific Code
    • 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 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 Diagnosis Code Z00.01

        Encounter for general adult medical examination with abnormal findings

          2016 2017 2018 2019 Billable/Specific Code Adult Dx (15-124 years) POA Exempt
        Use Additional
        • code to identify abnormal findings
    • repeat cervical smear to confirm findings of recent normal smear following initial abnormal smear Z01.42
      ICD-10-CM Diagnosis Code Z01.42

      Encounter for cervical smear to confirm findings of recent normal smear following initial abnormal smear

        2016 2017 2018 2019 Billable/Specific Code Female Dx POA Exempt
    • skin Z01.82
      (hypersensitivity)
      ICD-10-CM Diagnosis Code Z01.82

      Encounter for allergy testing

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
      Type 1 Excludes
      • encounter for antibody response examination (Z01.84)
    • special Z01.89
      - see also Examination, by type
      ICD-10-CM Diagnosis Code Z01.89

      Encounter for other specified special examinations

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
      • specified type NEC Z01.89
        ICD-10-CM Diagnosis Code Z01.89

        Encounter for other specified special examinations

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
    • specified type or reason NEC Z04.89
      ICD-10-CM Diagnosis Code Z04.89

      Encounter for examination and observation for other specified reasons

        2019 - New Code Billable/Specific Code POA Exempt
    • teeth Z01.20
      ICD-10-CM Diagnosis Code Z01.20

      Encounter for dental examination and cleaning without abnormal findings

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
      Applicable To
      • Encounter for dental examination and cleaning NOS
      • with abnormal findings Z01.21
        ICD-10-CM Diagnosis Code Z01.21

        Encounter for dental examination and cleaning with abnormal findings

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Use Additional
        • code to identify abnormal findings
    • urine - see Examination, laboratory
    • 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 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
          Use Additional
          • code to identify abnormal findings
      • with abnormal findings Z01.01
        ICD-10-CM Diagnosis Code Z01.01

        Encounter for examination of eyes and vision with abnormal findings

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Use Additional
        • code to identify abnormal findings
    • with abnormal findings Z00.01
      ICD-10-CM Diagnosis Code Z00.01

      Encounter for general adult medical examination with abnormal findings

        2016 2017 2018 2019 Billable/Specific Code Adult Dx (15-124 years) POA Exempt
      Use Additional
      • code to identify abnormal findings