Z05
Z05: Encounter for observation and evaluation of newborn for suspected diseases and conditions ruled out
Non-billable headerICD-10-CM
Z05 is a non-billable header ICD-10-CM code for encounter for observation and evaluation of newborn for suspected diseases and conditions ruled out. It cannot be billed on its own: choose one of the more specific child codes below.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- This category is to be used for newborns, within the neonatal period (the first 28 days of life), who are suspected of having an abnormal condition, but without signs or symptoms, and which, after examination and observation, is ruled out.
Other codes that can never be billed with Z05
Their own Excludes1 notes name this code, so the conflict is not listed above.
- Z03Encounter for medical observation for suspected diseases and conditions ruled out
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead Z05
10 child codes. Green means billable.
- Z05.0Observation and evaluation of newborn for suspected cardiac condition ruled out
- Z05.1Observation and evaluation of newborn for suspected infectious condition ruled out
- Z05.2Observation and evaluation of newborn for suspected neurological condition ruled out
- Z05.3Observation and evaluation of newborn for suspected respiratory condition ruled out
- Z05.4Observation and evaluation of newborn for suspected genetic, metabolic or immunologic condition ruled out
- Z05.5Observation and evaluation of newborn for suspected gastrointestinal condition ruled out
- Z05.6Observation and evaluation of newborn for suspected genitourinary condition ruled out
- Z05.7Observation and evaluation of newborn for suspected skin, subcutaneous, musculoskeletal and connective tissue condition ruled out
- Z05.8Observation and evaluation of newborn for other specified suspected condition ruled out
- Z05.9Observation and evaluation of newborn for unspecified suspected condition ruled out