Z13Not billable, use a more specific code below

Encounter for screening for other diseases and disorders

In Persons encountering health services for examinations (Z00-Z13), chapter 21: Factors Influencing Health Status and Contact with Health Services

30 billable codes under Z13: none are a CC or MCC; none map to an HCC.

Advertisements

Instructional notes

Includes: conditions that are coded here

  • 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

Also applies, from Persons encountering health services for examinations (Z00-Z13)

These notes sit on Z00-Z13 and apply to every code under it, including Z13.

Excludes2: not included here, code separately if applicable

  • examinations related to pregnancy and reproduction (Z30-Z36, Z39.-)

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

Covers when and how to use Z codes (Z00-Z99) for encounters and supplementary information, including contact, status, history, screening, aftercare, exams, and social determinants of health.

Read Section I.C.21 (page 92)

All codes under Z13

Z13 can't be used on a claim. Pick a billable code below; grey headings group them.

Z13 MS-DRGs

As the principal diagnosis, the billable codes under Z13 group to MS-DRG 951 or 795 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

Other codes that refer to Z13

Notes on these codes point to Z13.

  • Z00 Excludes2: special screening examinations (Z11-Z13)
  • Z01 Excludes2: screening examinations (Z11-Z13)

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.