Z00.12

Non-Billable
ChapterZ00–Z99
Ranksubcategory
Official Description

Encounter for routine child health examination

Metadata & Insights
  • •2026 ICD-10-CM Edition - Effective October 1, 2025.
  • •Non-billable category (requires more specific sub-code).
  • •Chapter 21: Factors Influencing Health Status and Contact with Health Services (Z00-Z99).

Instructional Notes

Includes
  • Health check (routine) for child over 28 days old
  • Immunizations appropriate for age
  • Routine developmental screening of infant or child
  • Routine vision and hearing testing
Excludes1(Not coded here)
  • health check for child under 29 days old (Z00.11-)
  • health supervision of foundling or other healthy infant or child (Z76.1-Z76.2)
  • newborn health examination (Z00.11-)
General instructions are available for the parent sections:
View Z00-Z13 NotesView Z00 Notes

Clinical Hierarchy

CH21Factors influencing health status and contact with health services (Z00-Z99)
Z00-Z13Persons encountering health services for examinations (Z00-Z13)
Z00Encounter for general examination without complaint, suspected or reported diagnosis
Z00.1Encounter for newborn, infant and child health examinations
Z00.12Encounter for routine child health examination
Z00.121Encounter for routine child health examination with abnormal findings
Z00.129Encounter for routine child health examination without abnormal findings

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to Z00.12:

categoryZ00
Encounter for general examination without complaint, suspected or reported diagnosis
View context instructions
blockZ00-Z13
Persons encountering health services for examinations (Z00-Z13)
View context instructions

Alphabetic Index Mentions

These are Diagnosis Index lookup paths that route to Z00.12. Use them as entry terms for search, then confirm final coding instructions in the Tabular List and notes above.

22 raw paths
Admission (for)6 unique routes
examination at health care facility (adult)(4 variants)
hearing(2 variants)
infant or child (over 28 days old)→Z00.12(2 variants)
with abnormal findings→Z00.12
vision(2 variants)
infant or child (over 28 days old)→Z00.12(2 variants)
with abnormal findings→Z00.12
vision examination(2 variants)
infant or child (over 28 days old)→Z00.12(2 variants)
with abnormal findings→Z00.12
Examination (for) (following) (general) (of) (routine)6 unique routes
child (over 28 days old)→Z00.12(2 variants)
with abnormal findings→Z00.12
hearing(2 variants)
infant or child (over 28 days old)→Z00.12(2 variants)
with abnormal findings→Z00.12
vision(2 variants)
infant or child (over 28 days old)→Z00.12(2 variants)
with abnormal findings→Z00.12
Hearing examination2 unique routes
infant or child (over 28 days old)→Z00.12(2 variants)
with abnormal findings→Z00.12
Immunization2 unique routes
appropriate for age(2 variants)
child (over 28 days old)→Z00.12(2 variants)
with abnormal findings→Z00.12
Screening (for)2 unique routes
infant or child (over 28 days old)→Z00.12(2 variants)
with abnormal findings→Z00.12
Test, tests, testing (for)4 unique routes
hearing(2 variants)
infant or child (over 28 days old)→Z00.12(2 variants)
with abnormal findings→Z00.12
vision(2 variants)
infant or child (over 28 days old)→Z00.12(2 variants)
with abnormal findings→Z00.12

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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