Z03.79

Z03.79: Encounter for other suspected maternal and fetal conditions ruled out

Billable / specific codeICD-10-CMPOA exempt

Z03.79 is a billable, specific ICD-10-CM code for encounter for other suspected maternal and fetal conditions ruled out. It is valid for submission on a claim.

Check Z03.79 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above Z03.79

A category’s note binds every code beneath it.

Written on Z03.7: Encounter for suspected maternal and fetal conditions ruled out

known or suspected fetal anomalies affecting management of mother, not ruled out (O26.-, O35.-, O36.-, O40.-, O41.-)

Written on Z03: Encounter for medical observation for suspected diseases and conditions ruled out

contact with and (suspected) exposures hazardous to health (Z77.-)
encounter for observation and evaluation of newborn for suspected diseases and conditions ruled out (Z05.-)
person with feared complaint in whom no diagnosis is made (Z71.1)
signs or symptoms under study- code to signs or symptoms

Other codes that can never be billed with Z03.79

Their own Excludes1 notes name this code, so the conflict is not listed above.

Z01Encounter for other special examination without complaint, suspected or reported diagnosis
Z71.1Person with feared health complaint in whom no diagnosis is made

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

Z03.79 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A55326Billing and Coding: Zika Virus Testing by PCR and ELISA Methods

Alphabetic index entries that lead here

Suspected condition, ruled out›maternal and fetal conditions NEC
Encounter›suspected condition, ruled out›maternal and fetal conditions NEC

Code history

Unchanged in every release from FY2024 to FY2027.