2025 ICD-10-CM code Z02.79
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Administrative Examinations - Encounter for administrative examination Factors influencing health status and contact with health services (Z00-Z99) Feed
Encounter for the issuance of a medical certificate for reasons other than those specified in other Z02.7 codes.
Modifiers are generally not used with ICD-10 codes like Z02.79. Modifiers are typically used with procedure codes.
Medical necessity for code Z02.79 is established by the patient's need for a medical certificate for a specific purpose, as documented in the medical record.The documentation must clearly show why the patient requires the certificate and how this contributes to their overall health and well-being or a legitimate administrative requirement.
The clinical responsibility is primarily focused on the accurate and appropriate completion of the medical certificate requested by the patient, ensuring it contains all necessary information and adheres to relevant legal and ethical guidelines.Any additional services rendered during the encounter require separate documentation and coding.
- Factors influencing health status and contact with health services (Z00-Z99)
- Z02.7 Encounter for issue of medical certificate
In simple words: This code is used when someone visits a doctor's office or clinic mainly to get a medical certificate for a reason not already covered by other similar codes.The certificate might be needed for work, school, or something else. If the doctor does anything else besides giving the certificate, an extra code is needed to describe those services.
This ICD-10-CM code signifies a patient encounter primarily focused on issuing a medical certificate not categorized under other Z02.7 codes (e.g., disability determination).The certificate's purpose could relate to various administrative needs not explicitly covered by more specific codes within the Z02.7 category. This code is used when the primary reason for the encounter is the issuance of this certificate, regardless of any other services provided.It is crucial to note that if a procedure is performed during this encounter, a corresponding procedure code must also be reported.
Example 1: A patient needs a medical certificate to prove their fitness for a specific job that requires a detailed medical evaluation beyond standard employment physicals.This would include a thorough review of their health history, physical examination, and potentially additional diagnostic testing., A patient requires a certificate for travel insurance purposes, stating their current health status and fitness to travel internationally.The physician would need to thoroughly document the patient's current health condition and assess any potential risks associated with international travel., A patient requires a medical certificate for immigration or visa application purposes. The certificate will need to include specific details about their health conditions and would require a detailed medical review by a physician qualified to perform such assessments.
* Detailed patient history relevant to the reason for the medical certificate.* Complete physical examination findings.* Results of any diagnostic tests performed.* The physician's assessment of the patient's fitness for the purpose stated on the certificate.* The completed medical certificate itself.
** Accurate documentation supporting the medical necessity and justification for the issuance of the medical certificate is crucial for proper reimbursement and compliance.Note that the code itself does not inherently reflect the complexity or extensiveness of the services provided. Any additional services require separate codes.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:All specialties may utilize this code, depending on the reason for the medical certificate and the patient's needs.
- Place of Service:Office, Clinic, Hospital (Inpatient or Outpatient), Other