Z01.811

Z01.811: Encounter for preprocedural respiratory examination

Billable / specific codeICD-10-CMPOA exempt

Z01.811 is a billable, specific ICD-10-CM code for encounter for preprocedural respiratory examination. It is valid for submission on a claim.

Check Z01.811 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above Z01.811

A category’s note binds every code beneath it.

Written on Z01: Encounter for other special examination without complaint, suspected or reported diagnosis

encounter for examination for administrative purposes (Z02.-)
encounter for examination for suspected conditions, proven not to exist (Z03.-)
encounter for laboratory, radiologic and imaging examinations for sign(s) and symptom(s) - code to the sign(s) or symptom(s)

Excludes2 inherited from the categories above Z01.811

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

Written on Z01: Encounter for other special examination without complaint, suspected or reported diagnosis

encounter for laboratory and radiologic examinations as a component of general medical examinations (Z00.0-)
screening examinations (Z11-Z13)

Risk adjustment

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

Medicare coverage

Z01.811 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A57326Billing and Coding: Electrocardiograms

Alphabetic index entries that lead here

Examination›pre-procedural›respiratory
Examination›medical›pre-procedural›respiratory

Code history

Unchanged in every release from FY2024 to FY2027.