Is Z11.52 a billable ICD-10-CM code?

Yes. Z11.52 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does Z11.52 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 Z11.52?

Z11.52 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above Z11.52 (Z11) and apply to it just the same.

Z11.52

Z11.52 — Encounter for screening for COVID-19

Billable / specific codeICD-10-CMPOA exempt

Z11.52 is a billable, specific ICD-10-CM code for encounter for screening for covid-19. It is valid for submission on a claim.

Excludes1 inherited from the categories above Z11.52

These are not written on Z11.52, but they bind it: a note on a category applies to every code beneath it. Billing Z11.52 with anything listed here is a denial.

Written on Z11 — Encounter for screening for infectious and parasitic diseases

encounter for diagnostic examination-code to sign or symptom

Excludes2 inherited from the categories above Z11.52

Also inherited, and the opposite of Excludes1: these conditions are not part of Z11.52, but a patient can have both, so you may code both.

Written on Z11.5 — Encounter for screening for other viral diseases

encounter for screening for viral intestinal disease (Z11.0)

Risk adjustment

Z11.52 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 Z11.52 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 Z11.52.

COVID-19›screening
Screening›coronavirus 2019(disease) (novel)
Screening›COVID-19
Screening›SARS-CoV-2
Screening›disease or disorder›coronavirus 2019(novel)
Screening›disease or disorder›COVID-19
Screening›disease or disorder›viral NEC›coronavirus 2019(novel)
Screening›disease or disorder›viral NEC›COVID-19
Screening›disease or disorder›viral NEC›SARS-CoV-2

Code history

Z11.52 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share Z11.5. If Z11.52 is not quite right, the correct code is usually one of these.

Questions about Z11.52

Is Z11.52 a billable ICD-10-CM code?: Yes. Z11.52 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does Z11.52 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 Z11.52?: Z11.52 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above Z11.52 (Z11) and apply to it just the same.