Z00-Z13

Non-Billable
ChapterZ00–Z99
Rankblock
Official Description

Persons encountering health services for examinations (Z00-Z13)

Metadata & Insights
  • Non-billable category (requires more specific sub-code).
  • Chapter 21: Factors Influencing Health Status and Contact with Health Services (Z00-Z99).

Instructional Notes

Excludes2(Not included here. Code separately if applicable.)
  • examinations related to pregnancy and reproduction (Z30-Z36, Z39.-)

Clinical Hierarchy

BillableHas subcodes
CH21Factors influencing health status and contact with health services (Z00-Z99)
Z00-Z13Persons encountering health services for examinations (Z00-Z13)Not billable
Z00Encounter for general examination without complaint, suspected or reported diagnosisSubcodes
Z01Encounter for other special examination without complaint, suspected or reported diagnosisSubcodes
Z02Encounter for administrative examinationSubcodes
Z03Encounter for medical observation for suspected diseases and conditions ruled outSubcodes
Z04Encounter for examination and observation for other reasonsSubcodes
Z05Encounter for observation and evaluation of newborn for suspected diseases and conditions ruled outSubcodes
Z08Encounter for follow-up examination after completed treatment for malignant neoplasmBillable
Z09Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasmBillable
Z11Encounter for screening for infectious and parasitic diseasesSubcodes
Z12Encounter for screening for malignant neoplasmsSubcodes
Z13Encounter for screening for other diseases and disordersSubcodes

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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