2025 ICD-10-CM code Z00.0
(Active) Effective Date: N/A Revision Date: N/A General Examination - Persons encountering health services for examinations (Z00-Z13) Factors influencing health status and contact with health services (Z00-Z99) Feed
Encounter for a general adult medical examination.
Modifiers may be applicable to any procedural codes used in conjunction with Z00.0, depending on the circumstances of the services provided. Consult the appropriate modifier guidelines for relevant procedural codes.
Medical necessity for Z00.0 would typically be established based on guidelines for preventive care recommended by the patient's age, gender, risk factors, and family history.The frequency of such preventative visits is determined by individual needs and professional guidelines.Documentation supporting medical necessity should reflect adherence to these standards.
The clinical responsibility for this code lies with the physician performing the general medical examination and interpreting any associated laboratory and radiological results.This includes obtaining a thorough history, performing a complete physical examination, ordering and reviewing appropriate tests, and providing appropriate counseling and preventative care recommendations based on the findings.
In simple words: This code means a person went to the doctor for a general checkup.This could include things like a physical exam, blood tests, and X-rays.
This code is used to classify an encounter for a general adult medical examination.It includes a routine physical examination, as well as any associated laboratory and radiologic examinations.This code is for use when no specific abnormal findings are disclosed at the time of examination.If there are specific findings, they should be coded separately.This code does not include examinations related to pregnancy or reproduction.
Example 1: A 45-year-old male presents for his annual physical exam, which includes a complete history and physical, blood work (CBC, CMP), and urinalysis. No abnormalities are detected., A 60-year-old female with a history of hypertension presents for a routine check-up. Her blood pressure is well-controlled.Her physician orders a lipid panel, and results are within normal limits. No further intervention is necessary., A 22-year-old asymptomatic college student visits the student health center for a general health check-up before the start of the semester. The examination is unremarkable.
Complete history and physical examination documentation, including vital signs, results of any ordered lab tests (e.g., blood work, urinalysis), imaging studies (e.g., X-rays), and physician's assessment and plan of care.Documentation should clearly state that no significant abnormal findings were present.
** Z00.0 is a diagnosis code used for encounters primarily focused on preventive health maintenance.While it may be used in various settings, it’s crucial to ensure proper documentation and correct pairing with any procedural codes to reflect the services rendered.
- Payment Status: Active
- Modifier TC rule: Not applicable to Z00.0 itself, but applicable to any procedural codes billed with Z00.0.Check the individual procedural code for TC modifier guidelines.
- Specialties:Family Medicine, Internal Medicine, General Practice
- Place of Service:Office, Outpatient Hospital, Clinic