2025 ICD-10-CM code Z02.2
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Factors influencing health status and contact with health services - Persons encountering health services for examinations (Z00-Z13) Factors influencing health status and contact with health services (Z00-Z99) Feed
Encounter for examination for admission to a residential institution.
Modifiers may be applicable depending on the circumstances of the examination and any procedures performed. For instance, if the examination was performed in a different location or under specific circumstances, appropriate modifiers would need to be added.
Medical necessity is established by demonstrating the patient requires a level of care beyond what can be provided in their current living situation.The examination ensures that the patient's needs align with the services provided by the residential institution and the assessment clarifies whether placement is appropriate and medically necessary.
The clinical responsibility lies with the physician or qualified healthcare professional conducting the examination.This includes reviewing the patient's medical history, performing a physical examination, and potentially ordering additional tests as deemed necessary to assess the patient's suitability for residential care.
- 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 when someone has a medical checkup to see if they can live in a residential care facility.
This ICD-10-CM code classifies an encounter for an examination conducted to determine eligibility for admission to a residential institution.It is used when a person undergoes a medical assessment specifically for the purpose of residential admission. This code should not be used for examinations related to admission to prison.
Example 1: A 70-year-old patient with dementia is referred for an assessment to determine their suitability for admission to an assisted living facility.The examination includes a physical, cognitive assessment, and review of their medical history., A 22-year-old individual with intellectual disability requires an evaluation for admittance to a group home. The examination focuses on their daily living skills, ability to follow instructions, and overall health., A 65-year-old patient recovering from a stroke needs to be evaluated to see if they are suitable to move into a rehabilitation center. The assessment includes evaluating their mobility, cognitive functioning, and any further requirements for recovery.
* Complete medical history of the patient.* Results of the physical examination.* Results of any additional tests ordered (e.g., laboratory tests, imaging studies).* Assessment of the patient's cognitive function, functional capacity, and overall health status.* Documentation detailing the reason for seeking admission to a residential institution.
** This code is often used in conjunction with other codes depending on the specific findings and services rendered during the examination.It's crucial to code accurately, adhering to established medical coding guidelines.
- Payment Status: Active
- Modifier TC rule: Not applicable to this ICD-10 code, as it's a diagnosis code, not a procedure code.Modifiers for technical components (TC) apply to procedure codes.
- Specialties:Geriatric medicine, internal medicine, neurology, psychiatry, intellectual disability services
- Place of Service:Office, Hospital, Assisted Living Facility, Skilled Nursing Facility