2025 ICD-10-CM code Z02.7
(Active) Effective Date: N/A Revision Date: N/A Administrative Examinations - Encounter for administrative examination Factors influencing health status and contact with health services Feed
Encounter for the issuance of a medical certificate.
The medical necessity for this code is determined by the reason for the medical certificate and its legitimate requirements. It's critical that the certificate's purpose is documented clearly and that the examination or assessment performed is directly relevant to this purpose.
The clinical responsibility lies with the physician or healthcare professional who conducts the examination and issues the medical certificate. This may involve a review of the patient's medical history, a physical examination (if necessary), and the determination of fitness or other relevant information required by the certificate.
- Factors influencing health status and contact with health services
- Z02 (Encounter for administrative examination)
In simple words: This code means a visit to the doctor to get a medical certificate.The certificate might be for work, disability, or something else.
This code is used to classify an encounter with health services for the primary purpose of issuing a medical certificate.This certificate may be for various reasons, such as fitness for work, disability determination, or other specific requirements.A procedure code should accompany this code if a procedure was performed during the encounter.This excludes encounters for general medical examinations.
Example 1: A patient visits their physician to obtain a medical certificate to return to work following a period of illness., A patient needs a medical certificate to document their disability status for social security benefits., A patient requires a medical certificate for insurance purposes to support a claim.
* Patient demographics and identifying information.* Reason for the medical certificate request.* Documentation of the examination or assessment performed.* Physician's assessment and determination of fitness or eligibility (as appropriate).* Issuance of medical certificate with appropriate details.
** This code should be used only when the primary reason for the encounter is to issue a medical certificate. If a medical examination is performed solely for this purpose, Z codes should be employed.If the encounter involves additional services beyond the certificate issuance, those services should be coded appropriately.
- Payment Status: Active
- Specialties:Various specialties may be involved, depending on the reason for the certificate.This might include family medicine, occupational medicine, or specialists relevant to the patient's condition.
- Place of Service:Office, Clinic, Hospital