Unacceptable Principal Diagnosis Codes
ICD-10-CM codes identified as unacceptable when used as principal diagnosis by MCE edit logic.
- Z02.2Billable
Encounter for examination for admission to residential institution
- Z02.4Billable
Encounter for examination for driving license
- Z02.5Billable
Encounter for examination for participation in sport
- Z02.6Billable
Encounter for examination for insurance purposes
- Z02.71Billable
Encounter for disability determination
- Z02.79Billable
Encounter for issue of other medical certificate
- Z02.82Billable
Encounter for adoption services
- Z02.84Billable
Encounter for child welfare exam
- Z02.89Billable
Encounter for other administrative examinations
- Z02.9Billable
Encounter for administrative examinations, unspecified
- Z03.71Billable
Encounter for suspected problem with amniotic cavity and membrane ruled out
- Z03.72Billable
Encounter for suspected placental problem ruled out
- Z03.73Billable
Encounter for suspected fetal anomaly ruled out
- Z03.74Billable
Encounter for suspected problem with fetal growth ruled out
- Z03.75Billable
Encounter for suspected cervical shortening ruled out
- Z03.79Billable
Encounter for other suspected maternal and fetal conditions ruled out
- Z03.821Billable
Encounter for observation for suspected ingested foreign body ruled out
- Z03.822Billable
Encounter for observation for suspected aspirated (inhaled) foreign body ruled out
- Z03.823Billable
Encounter for observation for suspected inserted (injected) foreign body ruled out
- Z03.83Billable
Encounter for observation for suspected conditions related to home physiologic monitoring device ruled out
- Z04.9Billable
Encounter for examination and observation for unspecified reason
- Z08Billable
Encounter for follow-up examination after completed treatment for malignant neoplasm
- Z09Billable
Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm
- Z11.0Billable
Encounter for screening for intestinal infectious diseases
- Z11.1Billable
Encounter for screening for respiratory tuberculosis
- Z11.2Billable
Encounter for screening for other bacterial diseases
- Z11.3Billable
Encounter for screening for infections with a predominantly sexual mode of transmission
- Z11.4Billable
Encounter for screening for human immunodeficiency virus [HIV]
- Z11.51Billable
Encounter for screening for human papillomavirus (HPV)
- Z11.52Billable
Encounter for screening for COVID-19
- Z11.59Billable
Encounter for screening for other viral diseases
- Z11.6Billable
Encounter for screening for other protozoal diseases and helminthiases
- Z11.7Billable
Encounter for testing for latent tuberculosis infection
- Z11.8Billable
Encounter for screening for other infectious and parasitic diseases
- Z11.9Billable
Encounter for screening for infectious and parasitic diseases, unspecified
- Z12.0Billable
Encounter for screening for malignant neoplasm of stomach
- Z12.10Billable
Encounter for screening for malignant neoplasm of intestinal tract, unspecified
- Z12.11Billable
Encounter for screening for malignant neoplasm of colon
- Z12.12Billable
Encounter for screening for malignant neoplasm of rectum
- Z12.13Billable
Encounter for screening for malignant neoplasm of small intestine
- Z12.2Billable
Encounter for screening for malignant neoplasm of respiratory organs
- Z12.31Billable
Encounter for screening mammogram for malignant neoplasm of breast
- Z12.39Billable
Encounter for other screening for malignant neoplasm of breast
- Z12.4Billable
Encounter for screening for malignant neoplasm of cervix
- Z12.6Billable
Encounter for screening for malignant neoplasm of bladder
- Z12.71Billable
Encounter for screening for malignant neoplasm of testis
- Z12.72Billable
Encounter for screening for malignant neoplasm of vagina
- Z12.73Billable
Encounter for screening for malignant neoplasm of ovary
- Z12.79Billable
Encounter for screening for malignant neoplasm of other genitourinary organs
- Z12.81Billable
Encounter for screening for malignant neoplasm of oral cavity
- Z12.82Billable
Encounter for screening for malignant neoplasm of nervous system
- Z12.83Billable
Encounter for screening for malignant neoplasm of skin
- Z12.89Billable
Encounter for screening for malignant neoplasm of other sites
- Z12.9Billable
Encounter for screening for malignant neoplasm, site unspecified
- Z13.0Billable
Encounter for screening for diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
- Z13.1Billable
Encounter for screening for diabetes mellitus
- Z13.21Billable
Encounter for screening for nutritional disorder
- Z13.220Billable
Encounter for screening for lipoid disorders
- Z13.228Billable
Encounter for screening for other metabolic disorders
- Z13.29Billable
Encounter for screening for other suspected endocrine disorder
- Z13.30Billable
Encounter for screening examination for mental health and behavioral disorders, unspecified
- Z13.31Billable
Encounter for screening for depression
- Z13.32Billable
Encounter for screening for maternal depression
- Z13.39Billable
Encounter for screening examination for other mental health and behavioral disorders
- Z13.40Billable
Encounter for screening for unspecified developmental delays
- Z13.41Billable
Encounter for autism screening
- Z13.42Billable
Encounter for screening for global developmental delays (milestones)
- Z13.49Billable
Encounter for screening for other developmental delays
- Z13.5Billable
Encounter for screening for eye and ear disorders
- Z13.6Billable
Encounter for screening for cardiovascular disorders
- Z13.71Billable
Encounter for nonprocreative screening for genetic disease carrier status
- Z13.79Billable
Encounter for other screening for genetic and chromosomal anomalies
- Z13.810Billable
Encounter for screening for upper gastrointestinal disorder
- Z13.811Billable
Encounter for screening for lower gastrointestinal disorder
- Z13.818Billable
Encounter for screening for other digestive system disorders
- Z13.820Billable
Encounter for screening for osteoporosis
- Z13.828Billable
Encounter for screening for other musculoskeletal disorder
- Z13.83Billable
Encounter for screening for respiratory disorder NEC
- Z13.84Billable
Encounter for screening for dental disorders
- Z13.850Billable
Encounter for screening for traumatic brain injury
- Z13.858Billable
Encounter for screening for other nervous system disorders
- Z13.88Billable
Encounter for screening for disorder due to exposure to contaminants
- Z13.89Billable
Encounter for screening for other disorder
- Z13.9Billable
Encounter for screening, unspecified
- Z14.01Billable
Asymptomatic hemophilia A carrier
- Z14.02Billable
Symptomatic hemophilia A carrier
- Z14.1Billable
Cystic fibrosis carrier
- Z14.8Billable
Genetic carrier of other disease
- Z15.01Billable
Genetic susceptibility to malignant neoplasm of breast
- Z15.02Billable
Genetic susceptibility to malignant neoplasm of ovary
- Z15.03Billable
Genetic susceptibility to malignant neoplasm of prostate
- Z15.04Billable
Genetic susceptibility to malignant neoplasm of endometrium
- Z15.05Billable
Genetic susceptibility to malignant neoplasm of fallopian tube(s)
- Z15.060Billable
Genetic susceptibility to colorectal cancer
- Z15.068Billable
Genetic susceptibility to other malignant neoplasm of digestive system
- Z15.07Billable
Genetic susceptibility to malignant neoplasm of urinary tract
- Z15.09Billable
Genetic susceptibility to other malignant neoplasm
- Z15.1Billable
Genetic susceptibility to epilepsy and neurodevelopmental disorders
- Z15.2Billable
Genetic susceptibility to obesity
- Z15.3Billable
Genetic susceptibility to kidney disease
