All ICD10 Codes

Z12

Non-Billable
ChapterZ00–Z99
Rankcategory
Official Description

Encounter for screening for malignant neoplasms

Use a more specific code (6 billable, 4 non-billable)
Z12.0Encounter for screening for malignant neoplasm of stomachZ12.1Encounter for screening for malignant neoplasm of intestinal tracthas subcodesZ12.2Encounter for screening for malignant neoplasm of respiratory organsZ12.3Encounter for screening for malignant neoplasm of breasthas subcodesZ12.4Encounter for screening for malignant neoplasm of cervixZ12.5Encounter for screening for malignant neoplasm of prostateZ12.6Encounter for screening for malignant neoplasm of bladderZ12.7Encounter for screening for malignant neoplasm of other genitourinary organshas subcodesZ12.8Encounter for screening for malignant neoplasm of other siteshas subcodesZ12.9Encounter for screening for malignant neoplasm, site unspecified
Metadata & Insights
  • •Non-billable category (requires more specific sub-code).
  • •Chapter 21: Factors Influencing Health Status and Contact with Health Services (Z00-Z99).

Z00-Z13 Parent Instructions

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

Instructional Notes

Includes
  • Screening is the testing for disease or disease precursors in asymptomatic individuals so that early detection and treatment can be provided for those who test positive for the disease.
Excludes1(Not coded here. Use a different code.)
  • encounter for diagnostic examination-code to sign or symptom
Use Additional Code
  • code to identify any family history of malignant neoplasm (Z80.-)

Clinical Hierarchy

BillableHas subcodes
CH21Factors influencing health status and contact with health services (Z00-Z99)
Z00-Z13Persons encountering health services for examinations (Z00-Z13)
Z12Encounter for screening for malignant neoplasmsNot billable
Z12.0Encounter for screening for malignant neoplasm of stomachBillable
Z12.1Encounter for screening for malignant neoplasm of intestinal tractSubcodes
Z12.2Encounter for screening for malignant neoplasm of respiratory organsBillable
Z12.3Encounter for screening for malignant neoplasm of breastSubcodes
Z12.4Encounter for screening for malignant neoplasm of cervixBillable
Z12.5Encounter for screening for malignant neoplasm of prostateBillable
Z12.6Encounter for screening for malignant neoplasm of bladderBillable
Z12.7Encounter for screening for malignant neoplasm of other genitourinary organsSubcodes
Z12.8Encounter for screening for malignant neoplasm of other sitesSubcodes
Z12.9Encounter for screening for malignant neoplasm, site unspecifiedBillable

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to Z12:

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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