In simple words: This code is used when someone visits a healthcare provider for an administrative exam, such as for a pre-employment physical, insurance purposes, or other reasons not related to a current illness or injury.

This code is used for encounters with health services for administrative examinations not otherwise specified, such as for prison or summer camp admission, immigration, naturalization, or premarital examinations. It excludes health supervision of foundlings or other healthy infants and children (Z76.1-Z76.2).

Example 1: A patient needs a premarital exam, which involves blood tests and a physical examination, as required by their state., An individual applying for an immigration visa undergoes a medical examination to assess their health status., A person applying for a job that requires a physical examination undergoes a pre-employment screening.

Documentation should include the reason for the examination, the specific requirements of the requesting entity (if applicable), the examination findings, and any certificates or reports generated.

** This code is for administrative examinations only and should not be used if the encounter is related to the treatment or diagnosis of an illness or symptom. If abnormal findings are discovered during the examination, they should be coded separately.