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Z00.12
Non-billable

Encounter for routine child health examination

Chapter 21: Factors influencing health status and contact with health services

Inclusion Terms

4 items
  • 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

Excludes1

3 items
  • 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-)

Coding Guidance

Z00.12 should not be used for reimbursement purposes as there are more specific codes below it that contain a greater level of detail. See Related Codes to drill down to more specific billable codes for appropriate reimbursement.

Additional Information from Parent Codes

The following information may apply to this code from its parent codes in the ICD-10 hierarchy. This information is important for proper coding and classification.

Excludes1

1 item

From Z00:

  • encounter for examination for administrative purposes (Z02.-)

Excludes2

2 items

From Z00:

  • encounter for pre-procedural examinations (Z01.81-)
  • special screening examinations (Z11-Z13)

Notes

3 items

From Z00-Z99:

  • 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.
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