2025 ICD-10-CM code Z01.84
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Factors influencing health status and contact with health services - Persons encountering health services for examinations Chapter 21: Factors influencing health status and contact with health services Feed
Encounter for antibody response examination; used when an antibody test is performed, but it's neither to confirm a current infection nor for follow-up of a known infection.
Modifiers are not applicable to ICD-10 codes.
Medical necessity for antibody testing varies depending on the specific antibody, the patient's risk factors, and the clinical context.Documentation should justify the need for the test based on established medical guidelines and the patient's unique circumstances.
The clinical responsibility lies with the physician or healthcare professional ordering and interpreting the antibody test. This includes ensuring the appropriate clinical indication for testing, obtaining informed consent, and properly interpreting the results to guide patient management.
- Chapter 21: Factors influencing health status and contact with health services
- Z00-Z13 (Persons encountering health services for examinations)
In simple words: This code is used when someone goes to the doctor for a blood test to check their antibody levels, but it's not because they're currently sick or recovering from a previous illness.The test is to see if they have antibodies to a specific disease.
This ICD-10-CM code (Z01.84) signifies an encounter for the purpose of conducting an antibody response examination.This code is applied when a patient undergoes antibody testing that is not intended to confirm an active infection or monitor a known prior infection. It's crucial to differentiate this from situations involving active or previously diagnosed infections, which necessitate alternative coding.
Example 1: A patient with no known exposure to measles undergoes an antibody test to determine prior immunity.Code Z01.84 is used.No other diagnoses are present., A healthcare worker undergoes routine antibody testing for various infectious diseases as part of their annual health assessment. Z01.84 is used to represent this examination., A patient presents for a routine check-up.As part of this examination, an antibody test for rubella is ordered.Z01.84 is reported along with a Z00 code for the general examination.
The medical record should clearly document the reason for ordering the antibody test. This should explicitly state that the test is not for confirming a current or past infection.The test results should also be documented.
** This code is primarily used for encounters solely for antibody testing where there is no suspicion or diagnosis of an active infection or a history of a specific infection.Always ensure the documentation supports the use of this code, and consider other more specific codes if applicable.
- Revenue Code: Revenue codes will vary depending on the specific services provided and the payer.
- RVU: RVUs are not directly associated with ICD-10 codes.Reimbursement is determined by the associated procedure codes and the payer's fee schedule.
- Global Days: Not applicable to ICD-10 codes.
- Payment Status: Active
- Modifier TC rule: Not applicable to ICD-10 codes.
- Fee Schedule: Not applicable to ICD-10 codes.
- Specialties:Many specialties may use this code, including family medicine, internal medicine, infectious disease, immunology, and occupational medicine.
- Place of Service:This code can be used in various settings, including physician offices, hospitals (inpatient or outpatient), and laboratories.