2025 ICD-10-CM code Z02.8
(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 other administrative examinations.
Modifiers may be applicable depending on the circumstances of the encounter and the services rendered. Consult the appropriate modifier guidelines for clarification.
Medical necessity for Z02.8 codes is determined by the administrative requirements of the requesting entity.The extent of the examination should be appropriate to fulfill those requirements, avoiding excessive or unnecessary tests.Documentation must clearly link the examination to the specific administrative need.
The clinical responsibility lies with the physician or healthcare provider conducting the examination. This involves reviewing the patient's medical history, performing a physical examination (if necessary), and completing the required documentation for the administrative purpose.The physician needs to ensure the examination is comprehensive enough to meet the specific requirements of the administrative body.
- Factors influencing health status and contact with health services (Z00-Z99)
- Z02 - Encounter for administrative examination
In simple words: This code is used when someone goes to the doctor or other healthcare provider for a checkup that's needed for administrative reasons, like getting a certificate for a job, going to a certain type of camp, or for immigration purposes.It's for checkups not specifically covered by other codes.
This ICD-10-CM code signifies an encounter with healthcare services for administrative purposes beyond those specified by other Z02 codes.It encompasses various administrative examinations not otherwise categorized, such as examinations for admission to specific institutions (excluding educational, residential, or military), immigration, adoption, or other administrative processes requiring medical clearance.
Example 1: A patient undergoes a medical examination for immigration purposes, requiring assessment of overall health and infectious disease screening. Code Z02.8 is applied., An individual needs a medical certificate for adoption, leading to a medical evaluation focusing on health and capacity to care for a child. Code Z02.8 is used., A person requires a medical evaluation to obtain a specific work permit which requires assessment of physical abilities and health status. Code Z02.8 is assigned.
Documentation should include the reason for the examination (e.g., immigration, adoption, employment), the date of the examination, a detailed medical history, results of any physical examination, relevant laboratory test results, and the completed medical certificate or report.
** Always ensure that the documentation clearly supports the reason for the administrative examination.The appropriate level of examination must correlate with the administrative requirements to ensure accurate coding.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:This code can be used across multiple medical specialties depending on the specific needs of the administrative examination, such as family medicine, internal medicine, occupational medicine, and others.
- Place of Service:Office, clinic, hospital outpatient department, telehealth.