Is Z04.7 a billable ICD-10-CM code?

No. Z04.7 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does Z04.7 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).

Z04.7

Z04.7 — Encounter for examination and observation following alleged physical abuse

Non-billable headerICD-10-CM

Z04.7 is a non-billable header ICD-10-CM code for encounter for examination and observation following alleged physical abuse. It cannot be billed on its own: choose one of the more specific child codes below.

Other codes that can never be billed with Z04.7

These codes carry an Excludes1 note pointing at Z04.7. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Z04.7 alone.

T76.2Sexual abuse, suspected
T76Adult and child abuse, neglect and other maltreatment, suspected

Risk adjustment

Z04.7 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.

Code to one of these instead Z04.7

2 child codes. Green means billable.

Related codes at this level

Codes that share Z04. If Z04.7 is not quite right, the correct code is usually one of these.

Questions about Z04.7

Is Z04.7 a billable ICD-10-CM code?: No. Z04.7 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does Z04.7 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).