Z12

Z12: Encounter for screening for malignant neoplasms

Non-billable headerICD-10-CM

Z12 is a non-billable header ICD-10-CM code for encounter for screening for malignant neoplasms. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

encounter for diagnostic examination-code to sign or symptom

Use additional code

Add a secondary code to capture the detail described below.

code to identify any family history of malignant neoplasm (Z80.-)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Screening is the testing for disease or disease precursors in asymptomatic individuals so that early detection and treatment can be provided for those who test positive for the disease.

Other codes that can never be billed with Z12

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

Z01.41Encounter for routine gynecological examination

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 Z12

10 child codes. Green means billable.