Z13.71 — Encounter for nonprocreative screening for genetic disease carrier status
Z13.71 is a billable, specific ICD-10-CM code for encounter for nonprocreative screening for genetic disease carrier status. It is valid for submission on a claim.
Risk adjustment
Z13.71 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
Z13.71 is named in 2 Medicare coverage policies — 0 listing it as supporting medical necessity, and 2 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56199Billing and Coding: Molecular Pathology Proceduresnot covered
- A60409Billing and Coding: Molecular Pathology Proceduresnot covered
How Z13.71 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 Z13.71.
- Screening›genetic - for procreative management›disease carrier status(nonprocreative)
Related codes at this level
Codes that share Z13.7. If Z13.71 is not quite right, the correct code is usually one of these.
Questions about Z13.71
- Is Z13.71 a billable ICD-10-CM code?
- Yes. Z13.71 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does Z13.71 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).