Z01.818

Z01.818: Encounter for other preprocedural examination

Billable / specific codeICD-10-CMPOA exempt

Z01.818 is a billable, specific ICD-10-CM code for encounter for other preprocedural examination. It is valid for submission on a claim.

Check Z01.818 with the rest of the claim: free scrubber

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

Excludes1 inherited from the categories above Z01.818

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 Z01.818

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

Z01.818 is named in 21 Medicare coverage policies: 20 listing it as supporting medical necessity, and 1 listing it as NOT covered. Which one applies depends on your Medicare contractor.

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

Alphabetic index entries that lead here

Examination›pre-chemotherapy(antineoplastic)
Examination›prior to chemotherapy(antineoplastic)
Examination›pre-procedural›specified NEC
Examination›medical›pre-procedural›specified NEC

Code history

Unchanged in every release from FY2024 to FY2027.