Wiki ICD10 Physical codes z00.00 and z00.01

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G
Code: Z00.00

Code Name: ICD-10 Code for Encounter for general adult medical examination without abnormal findings

Block: 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.-)

Details: Encounter for general adult medical examination without abnormal findings

Encounter for adult health check-up NOS
Z00.0

Excludes1: encounter for examination of sign or symptom- code to sign or symptom
general health check-up of infant or child (Z00.12.-)

Z00

Excludes1: encounter for examination for administrative purposes (Z02.-)

Excludes2: encounter for pre-procedural examinations (Z01.81-)
special screening examinations (Z11-Z13)

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-Y99 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.

For more details on Z00.00, ICD-10 Code for Encounter for general adult medical examination without abnormal findings , visit: https://coder.aapc.com/icd-10-codes/

Deneenh

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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

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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.
 
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