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Z042026

Non-billable

Encounter for examination and observation for other reasons

Clinical Notes

Frequently Asked Questions

Code Hierarchy
Z00-Z13
Persons encountering health services for examinations (Z00-Z13)
Z00
Encounter for general examination without complaint, suspected or reported diagnosis
Z01
Encounter for other special examination without complaint, suspected or reported diagnosis
Z02
Encounter for administrative examination
Z03
Encounter for medical observation for suspected diseases and conditions ruled out
Z04
Encounter for examination and observation for other reasons
Z04.1
...following transport accident
Z04.2
...following work accident
Z04.3
...following other accident
Z04.4
...following alleged rape
Z04.6
...general psychiatric examination, requested by authority
Z04.7
...following alleged physical abuse
Z04.8
...specified reasons
Z04.9
...unspecified reason
Z05
Encounter for observation and evaluation of newborn for suspected diseases and conditions ruled out
Z08
Encounter for follow-up examination after completed treatment for malignant neoplasm
Z09
Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm
Z11
Encounter for screening for infectious and parasitic diseases
Z12
Encounter for screening for malignant neoplasms
Z13
Encounter for screening for other diseases and disorders

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Related MS-DRGs
68,532 Medicare hospitalizations across 3 DRGs for codes in Z04

Top DRGs associated with codes in this category:

951OTHER FACTORS INFLUENCING HEALTH STATUS58,716
922OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC4,986
923OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC4,830
Official Guidelines
Chapter 21: Factors Influencing Health Status

Official coding guidelines for Z00-Z99

Encounter for examination and observation for other reasons - ICD-10 Code Z04 | FindICD10