Ob-Gyn Coding Alert

Reader Question:

Patient's Employer Requesting Labs? Look to These Z Codes

Question: What diagnosis code would I use if the patient is requesting labs for work?

Virginia Subscriber

Answer: You should go one of the following codes for the visit:

  • Z00.00,  Encounter for general adult medical examination without abnormal findings
  • Z00.01, Encounter for general adult medical examination with abnormal findings
  • Z01.89, Encounter for other specified special examinations

But as the patient is also requesting lab tests required for her employment, and if you were screening for a particular disease, you’d use the screening code that applies. For instance, a nurse might need a screening test for tuberculosis prior to being hired and the code for this test would be Z11.1 (Encounter for screening for respiratory tuberculosis).  


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