Z13.6 — Encounter for screening for cardiovascular disorders
Z13.6 is a billable, specific ICD-10-CM code for encounter for screening for cardiovascular disorders. It is valid for submission on a claim.
Risk adjustment
Z13.6 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.
Medicare coverage
Z13.6 is named in 6 Medicare coverage policies — 6 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56781Billing and Coding: Transthoracic Echocardiography (TTE)
- A56943Billing and Coding: MolDX: Biomarkers in Cardiovascular Risk Assessment
- A57037Billing and Coding: MolDX: Biomarkers in Cardiovascular Risk Assessment
- A57306Billing and Coding: Transthoracic Echocardiography (TTE)
How Z13.6 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 Z13.6.
- Screening›arterial hypertension
- Screening›cardiovascular disorder
- Screening›hypertension
- Screening›myocardial infarction(acute)
- Screening›disease or disorder›cardiovascular
- Screening›disease or disorder›heart
- Screening›disease or disorder›vascular
Related codes at this level
Codes that share Z13. If Z13.6 is not quite right, the correct code is usually one of these.
- Z13.0Encounter for screening for diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
- Z13.1Encounter for screening for diabetes mellitus
- Z13.2Encounter for screening for nutritional, metabolic and other endocrine disorders
- Z13.3Encounter for screening examination for mental health and behavioral disorders
- Z13.4Encounter for screening for certain developmental disorders in childhood
- Z13.5Encounter for screening for eye and ear disorders
- Z13.7Encounter for screening for genetic and chromosomal anomalies
- Z13.8Encounter for screening for other specified diseases and disorders
- Z13.9Encounter for screening, unspecified
Questions about Z13.6
- Is Z13.6 a billable ICD-10-CM code?
- Yes. Z13.6 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does Z13.6 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).