Z02.6 — Encounter for examination for insurance purposes
Z02.6 is a billable, specific ICD-10-CM code for encounter for examination for insurance purposes. It is valid for submission on a claim.
Other codes that can never be billed with Z02.6
These codes carry an Excludes1 note pointing at Z02.6. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Z02.6 alone.
- Z02.7Encounter for issue of medical certificate
Risk adjustment
Z02.6 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 Z02.6 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 Z02.6.
- Examination›medical›insurance purposes
- Encounter›administrative purpose only›examination for›insurance
Related codes at this level
Codes that share Z02. If Z02.6 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
- Z02.5Encounter for examination for participation in sport
- Z02.7Encounter for issue of medical certificate
- Z02.8Encounter for other administrative examinations
- Z02.9Encounter for administrative examinations, unspecified
Questions about Z02.6
- Is Z02.6 a billable ICD-10-CM code?
- Yes. Z02.6 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does Z02.6 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).