Z00.0

Non-Billable
ChapterZ00–Z99
Ranksubcategory
Official Description

Encounter for general adult medical examination

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

Includes
  • Encounter for adult periodic examination (annual) (physical) and any associated laboratory and radiologic examinations
Excludes1(Not coded here. Use a different code.)
  • encounter for examination of sign or symptom- code to sign or symptom
  • general health check-up of infant or child (Z00.12.-)
General instructions are available for the parent sections:

Clinical Hierarchy

BillableHas subcodes
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
Z00.0Encounter for general adult medical examinationNot billable
Z00.00Encounter for general adult medical examination without abnormal findingsBillable
Z00.01Encounter for general adult medical examination with abnormal findingsBillable

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to Z00.0:

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

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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