Wiki coding question

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B
Code: Z13.79
Encounter for other screening for genetic and chromosomal anomalies
Parent Code Notes: Z13.7
Excludes1: genetic testing for procreative management (Z31.4-)
Parent Code Notes: Z13
Excludes1: encounter for diagnostic examination-code to sign or symptom

Block Notes
Persons encountering health services for examinations (Z00-Z13)
Note: Nonspecific abnormal findings disclosed at the time of these examinations are classified to categories R70-R94.
Excludes 1: examinations related to pregnancy and reproduction (Z30-Z36, Z39.-)

Coding Guidelines
Factors influencing health status and contact with health services (Z00-Z99)
Note: Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
(a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
(b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.
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I want to know if you can use Z13.79 in screening a totally normal patient who is pregnant for fetal chromosome abnormalities.
 

Pam Brooks

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You can, particularly if there is a family history, or if the patient suspects a family or personal history of genetic anomalies. Documentation of that scenario will support medical necessity.
 
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