Z01.818 — Encounter for other preprocedural examination
Z01.818 is a billable, specific ICD-10-CM code for encounter for other preprocedural examination. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Encounter for preprocedural examination NOS
- Encounter for examinations prior to antineoplastic chemotherapy
Risk adjustment
Z01.818 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.
Medicare coverage
Z01.818 is named in 23 Medicare coverage policies — 22 listing it as supporting medical necessity, and 1 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A57497Billing and Coding: Chest X-Ray Policynot covered
- A52866Billing and Coding: Speech-Language Pathology
- A56494Billing and Coding: Cardiovascular Nuclear Medicine
- A56743Billing and Coding: Cardiovascular Nuclear Medicine
How Z01.818 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to Z01.818.
- Examination›pre-chemotherapy(antineoplastic)
- Examination›prior to chemotherapy(antineoplastic)
- Examination›pre-procedural›specified NEC
- Examination›medical›pre-procedural›specified NEC
Related codes at this level
Codes that share Z01.81. If Z01.818 is not quite right, the correct code is usually one of these.
Questions about Z01.818
- Is Z01.818 a billable ICD-10-CM code?
- Yes. Z01.818 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does Z01.818 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).