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Z01
Non-billable

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

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

Includes

1 item
  • routine examination of specific system

Excludes1

4 items
  • 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)

Excludes2

1 item
  • screening examinations (Z11-Z13)

Notes

1 item
  • Codes from category Z01 represent the reason for the encounter. A separate procedure code is required to identify any examinations or procedures performed

Coding Guidance

Z01 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.

Parent Codes Referenced:

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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