Z00.6

Z00.6: Encounter for examination for normal comparison and control in clinical research program

Billable / specific codeICD-10-CMPOA exempt

Z00.6 is a billable, specific ICD-10-CM code for encounter for examination for normal comparison and control in clinical research program. It is valid for submission on a claim.

Check Z00.6 with the rest of the claim: free scrubber

Inclusion terms

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

Examination of participant or control in clinical research program

Excludes1 inherited from the categories above Z00.6

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 Z00.6

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)

Risk adjustment

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

Medicare coverage

Z00.6 is named in 3 Medicare coverage policies: 2 listing it as supporting medical necessity, and 1 listing it as NOT covered. Which one applies depends on your Medicare contractor.

A53784Billing and Coding: The Routine Costs of Investigational Chemotherapy Drugs Studied In a Qualifying Clinical Trialnot covered
A56391Billing and Coding: Implantable Automatic Defibrillators
A59892Billing and Coding: MolDX: Category B IDE Studies

Alphabetic index entries that lead here

Clinical research investigation(clinical trial) (control subject) (normal comparison) (participant)
Admission›clinical research investigation(control) (normal comparison) (participant)
Examination›clinical research control or normal comparison(control) (participant)
Investigation›clinical research subject(control) (normal comparison) (participant)
Person›admitted for clinical research, as a control subject(normal comparison) (participant)
Admission›examination at health care facility›clinical research investigation(control) (normal comparison) (participant)
Examination›medical›clinical research, normal subject(control) (participant)
Examination›medical›control subject in clinical research(normal comparison) (participant)

Code history

Unchanged in every release from FY2024 to FY2027.