2025 ICD-10-CM code Z02.0
Encounter for examination for admission to an educational institution.
Modifiers may be applicable depending on the circumstances of the encounter (e.g., place of service, provider type). Consult current modifier guidelines.
Medical necessity is established by the requirement of the educational institution for a pre-admission medical examination. The examination helps ensure the student's health and safety within the educational environment.
The clinical responsibility lies with the physician conducting the examination.They are responsible for determining the individual's fitness for the educational institution based on medical findings.
In simple words: This code means a doctor checked someone's health to see if they are well enough to go to school.
This code is used to classify an encounter for a medical examination conducted for the purpose of admission to an educational institution.The examination may assess the individual's physical or mental health to determine fitness for enrollment.A procedure code should accompany this code if any procedures were performed during the examination.
Example 1: A 5-year-old child undergoes a physical examination prior to starting kindergarten. The examination includes height and weight measurements, vision and hearing tests, and a general assessment of the child's overall health., A 16-year-old student requires a sports physical for participation in high school athletics. The physical examination includes cardiovascular assessment, musculoskeletal examination, and a review of the student's medical history., An 18-year-old applying to a college requires a medical check-up that includes a review of immunizations and evaluation for infectious disease. No specific tests or procedures were done during the examination.
* Patient's demographic information* Reason for the examination (e.g., school admission)* Date and time of the examination* Detailed record of the physical examination findings* Any diagnostic tests performed (e.g., vision and hearing tests)* Results of the diagnostic tests* Physician's assessment of fitness for school* Documentation of any immunizations administered
** This code should only be used when the primary reason for the visit is a medical examination for the purpose of admission to an educational institution.If the visit is for other reasons, such as treatment of an illness, a different diagnosis code should be used.
- Payment Status: Active
- Modifier TC rule: Not applicable
- Specialties:Pediatrics, Family Medicine, School Medicine
- Place of Service:Office, School, Clinic