Z13.7

Z13.7: Encounter for screening for genetic and chromosomal anomalies

Non-billable headerICD-10-CM

Z13.7 is a non-billable header ICD-10-CM code for encounter for screening for genetic and chromosomal anomalies. 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.

genetic testing for procreative management (Z31.4-)

Excludes1 inherited from the categories above Z13.7

A category’s note binds every code beneath it.

Written on Z13: Encounter for screening for other diseases and disorders

encounter for diagnostic examination-code to sign or symptom

Other codes that can never be billed with Z13.7

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

Z31.43Encounter for genetic testing of female for procreative management
Z31.44Encounter for genetic testing of male for procreative management

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 Z13.7

2 child codes. Green means billable.