Wiki ICD10 Physical codes z00.00 and z00.01

[Deneenh]

Hi this is my first time asking a question.
But I'm wondering if someone could make the guidelines clear for me on when to use the Z00.01 Physical with abnormal findings. Is this code for when the physician finds a new problem at time of visit?

Thanks for your help.

 

[stephanie7480]

ICD 10 Phys codes Z00.00 and Z00.01

Hi this is my first time asking a question.

But I'm wondering if someone could make the guidelines clear for me on when to use the Z00.01 Physical with abnormal findings. Is this code for when the physician finds a new problem at time of visit?

Thanks for your help.

Per Optum
https://www.optum360coding.com/CodeThis/?id=337
"The index main term ?Examination (general)? refers the user to Z00.00, which is confirmed in the tabular list. It is important to note that this code specifically indicates that no abnormal findings were detected. If there were an abnormality, code Z00.01 Encounter for general adult medical examination with abnormal findings, would be reported in lieu of Z00.00. Note that if Z00.01 is listed, additional codes identifying the abnormal findings are also reported, according to the guideline below this code and official guideline 1.C.21.c.13. This code is used for the general exam portion of the patient encounter. "

Per AHIMA (Example)
http://library.ahima.org/xpedio/groups/public/documents/ahima/bok1_049298.hcsp?dDocName=bok1_049298
Physician Office?Routine Exam Scenario
45-year-old established patient presented to her physician's office for a routine physical exam. During the examination the physician identified an enlarged thyroid. The physician ordered a laboratory test and requested to see the patient in two weeks.
First-Listed Diagnosis Z00.01 Encounter for general adult medical examination with abnormal findings
Additional Diagnosis E04.9 Nontoxic goiter, unspecified


Hope this helps clarify.