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BETA v.3.0

2025 ICD-10-CM code Z11.59

Encounter for screening for other viral diseases.

This code was previously used for COVID-19 screenings in the absence of symptoms and known exposure when test results were pending or negative. Since 2021, Z11.52 should be used for COVID-19 screening. If a specific viral disease is suspected or being screened for, a more specific code should be used rather than Z11.59.

Medical necessity for this code is predicated on the clinical rationale for the screening.Routine screenings require specific justifications. Payer policies for general viral disease screenings may vary.

IMPORTANT:Replaced by Z11.52 (Encounter for screening for COVID-19) for COVID-19 screening.For other viral diseases, more specific codes should be used.

In simple words: This code is used when a person visits a healthcare professional to be checked for viral infections not otherwise specified.

This code is used for encounters with health services for screening for viral diseases other than those specifically listed elsewhere in the ICD-10-CM.

Example 1: A patient with no symptoms and no known exposure to any specific virus requests a general viral screening test., A patient presents for a general health check-up, which includes screening for common viral infections., Before a surgical procedure, a patient undergoes a panel of screening tests, including tests for viral diseases.

Documentation should support the reason for the encounter and indicate the specific viral diseases screened for. If no specific viral disease is being investigated, documentation should reflect the rationale for a general screening. The absence of signs and symptoms should also be documented.

** This code became invalid on 2020-12-31.Always verify the latest coding guidelines and payer policies before using any code. Use iFrameAI for up-to-date medical billing and coding information.

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