2025 ICD-10-CM code Z02.1
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Administrative Examinations - Persons encountering health services for examinations Chapter 21: Factors influencing health status and contact with health services Feed
Encounter for pre-employment examination.
Modifiers are not typically applicable to Z02.1; however, any associated procedural codes might require modifiers depending on the circumstances.
Medical necessity is generally not applicable for pre-employment examinations, as these are typically driven by employer requirements, not by a diagnosed illness or injury. However, any medical findings during the exam would need separate justification if further treatment or intervention were deemed necessary.
The clinical responsibility involves conducting a comprehensive physical examination tailored to the specific job requirements. This may include review of medical history, physical assessment, potentially laboratory tests, and other assessments deemed necessary.
- Chapter 21: Factors influencing health status and contact with health services
- Z00-Z13 (Persons encountering health services for examinations)
In simple words: This code means the person went to the doctor for a checkup to get a job.It's not for a sickness; it's just to make sure they are healthy enough for work.
This code is used to classify an encounter with healthcare services specifically for a pre-employment physical examination.It indicates that the patient is seeking medical evaluation for the purpose of meeting employment requirements, not for the treatment of an illness or injury.The examination may include various assessments depending on the job requirements, such as a physical exam, drug screening, or other tests.This code is used in conjunction with other codes when applicable such as procedure codes if performed.
Example 1: A construction worker undergoes a pre-employment physical, including a drug screening and a physical capacity evaluation, to determine their fitness for the job., A teacher candidate receives a pre-employment medical assessment focusing on infectious disease screenings and general health suitable for a school environment., An applicant for a position requiring frequent international travel is examined, with attention to vaccination history and any pre-existing conditions affecting international travel suitability.
Comprehensive documentation should include the patient's medical history, the reason for the examination (pre-employment), detailed results of the physical examination, any laboratory or imaging reports, and the physician's assessment of the applicant's fitness for the job.
** Reimbursement for pre-employment examinations is often determined by employer contracts or state regulations, and may not be covered by standard medical insurance.
- Payment Status: Generally not covered by insurance unless mandated by law or employer.
- Modifier TC rule: Not applicable.
- Specialties:Occupational Medicine
- Place of Service:Office, Occupational Health Clinic