Z01.812

Z01.812: Encounter for preprocedural laboratory examination

Billable / specific codeICD-10-CMPOA exempt

Z01.812 is a billable, specific ICD-10-CM code for encounter for preprocedural laboratory examination. It is valid for submission on a claim.

Check Z01.812 with the rest of the claim: free scrubber

Inclusion terms

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

Blood and urine tests prior to treatment or procedure

Excludes1 inherited from the categories above Z01.812

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 Z01.812

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

Z01.812 is named in 2 Medicare coverage policies: 1 listing it as supporting medical necessity, and 1 listing it as NOT covered. Which one applies depends on your Medicare contractor.

A52379Billing and Coding: CPT Code 87641 (Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique)not covered
A57326Billing and Coding: Electrocardiograms