Z00.12

Z00.12: Encounter for routine child health examination

Non-billable headerICD-10-CM

Z00.12 is a non-billable header ICD-10-CM code for encounter for routine child health examination. 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.

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-)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

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 inherited from the categories above Z00.12

A category’s note binds every code beneath it.

Written on Z00: Encounter for general examination without complaint, suspected or reported diagnosis

encounter for examination for administrative purposes (Z02.-)

Excludes2 inherited from the categories above Z00.12

Not part of this code, but both may be coded when both are present.

Written on Z00: Encounter for general examination without complaint, suspected or reported diagnosis

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

Other codes that can never be billed with Z00.12

Their own Excludes1 notes name this code, so the conflict is not listed above.

Z00.0Encounter for general adult medical examination
Z00.11Newborn health examination

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead Z00.12

2 child codes. Green means billable.

Other codes under Z00.1

Z00.11Newborn health examination