2025 ICD-10-CM code Z00.11
Newborn health examination. Health check for child under 29 days old.
Medical necessity for this code is established by the standard of care for newborn infants, which recommends regular checkups to assess their health, monitor growth and development, and provide preventive care.
The clinician is responsible for performing a comprehensive newborn examination, which includes checking vital signs, physical features, reflexes, and overall well-being of the infant.Any abnormal findings should be documented and may require further investigation.
- 21, Factors Influencing Health Status and Contact with Health Services (Z00-Z99)
- Z00-Z13: Persons encountering health services for examinations
In simple words: This code is used for a routine checkup of a baby less than 29 days old. If any problems are found during the exam, another code will be used to describe them.
This code is used for encounters for newborn health examinations.It is specifically for children under 29 days old.Use an additional code to identify any abnormal findings.
Example 1: A 5-day-old infant is brought to the pediatrician's office for a routine newborn checkup. The baby is healthy and has no apparent issues. The pediatrician performs a complete examination and provides anticipatory guidance to the parents.Code Z00.11 is used., A 2-week-old infant presents to the clinic with jaundice. The pediatrician examines the baby, diagnoses neonatal jaundice, and orders bilirubin levels. Code Z00.11 is used for the encounter, along with a code for the neonatal jaundice., A 3-week old infant is brought to the emergency department by their parents due to poor feeding. The clinician examines the patient, performs diagnostic tests, and determines the baby has a viral infection. Code Z00.11, along with a code for the viral infection, are used.
Documentation should include the date of the examination, the infant's age, a detailed record of the examination findings (including vital signs, physical examination, and developmental assessment), and any diagnoses or problems identified.If any procedures are performed, the corresponding procedure code should be documented.
** This code is not to be used for examinations related to pregnancy and reproduction (Z30-Z36, Z39.-), examinations for administrative purposes (Z02.-), or pre-procedural examinations (Z01.81-).Special screening examinations should be coded using Z11-Z13.
- Specialties:Pediatrics, Family Medicine, Neonatology
- Place of Service:Office, Outpatient Hospital, Home