Z00 — Encounter for general examination without complaint, suspected or reported diagnosis
Z00 is a non-billable header ICD-10-CM code for encounter for general examination without complaint, suspected or reported diagnosis. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- encounter for examination for administrative purposes (Z02.-)
Excludes2 — not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
Other codes that can never be billed with Z00
These codes carry an Excludes1 note pointing at Z00. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Z00 alone.
Risk adjustment
Z00 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead Z00
8 child codes. Green means billable.
- Z00.0Encounter for general adult medical examination
- Z00.1Encounter for newborn, infant and child health examinations
- Z00.2Encounter for examination for period of rapid growth in childhood
- Z00.3Encounter for examination for adolescent development state
- Z00.5Encounter for examination of potential donor of organ and tissue
- Z00.6Encounter for examination for normal comparison and control in clinical research program
- Z00.7Encounter for examination for period of delayed growth in childhood
- Z00.8Encounter for other general examination
Questions about Z00
- Is Z00 a billable ICD-10-CM code?
- No. Z00 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does Z00 sit in the tabular list?
- Factors influencing health status and contact with health services (Z00-Z99), in the block Persons encountering health services for examinations (Z00-Z13).
- What cannot be coded together with Z00?
- Z00 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.