Z02.5
Z02.5 — Encounter for examination for participation in sport
Billable / specific codeICD-10-CMPOA exempt
Z02.5 is a billable, specific ICD-10-CM code for encounter for examination for participation in sport. It is valid for submission on a claim.
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- blood-alcohol and blood-drug test (Z02.83)
Risk adjustment
Z02.5 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.
How Z02.5 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 Z02.5.
- Examination›medical›participation in sport
- Examination›medical›sport competition
- Examination›physical›sports
- Encounter›administrative purpose only›examination for›sports
Related codes at this level
Codes that share Z02. If Z02.5 is not quite right, the correct code is usually one of these.
- Z02.0Encounter for examination for admission to educational institution
- Z02.1Encounter for pre-employment examination
- Z02.2Encounter for examination for admission to residential institution
- Z02.3Encounter for examination for recruitment to armed forces
- Z02.4Encounter for examination for driving license
- Z02.6Encounter for examination for insurance purposes
- Z02.7Encounter for issue of medical certificate
- Z02.8Encounter for other administrative examinations
- Z02.9Encounter for administrative examinations, unspecified
Questions about Z02.5
- Is Z02.5 a billable ICD-10-CM code?
- Yes. Z02.5 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does Z02.5 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).
- What cannot be coded together with Z02.5?
- Z02.5 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.