2025 ICD-10-CM code Z02.9
Encounter for administrative examinations, unspecified.
Medical necessity for this code is established by the requirement of the administrative examination by a third party, such as an employer or insurer.
The clinician is responsible for conducting the administrative examination and completing the necessary documentation related to the purpose of the visit.
- Chapter 21: Factors influencing health status and contact with health services (Z00-Z99)
- Persons encountering health services for examinations (Z00-Z13)
In simple words: This code is used for visits related to administrative purposes, like insurance or employment paperwork, where no specific exam is done.
This code is used when a patient encounters health services for administrative examinations, such as for insurance or employment purposes, where no specific examination type is documented.
Example 1: A patient presents for a required physical examination for a life insurance application., A patient requires a health assessment for a new job., A patient needs a medical clearance form completed for participation in a sporting event.
Documentation should clearly specify the administrative purpose for the examination.If any specific tests or procedures are performed during the encounter, those should also be documented and coded separately.
** It is crucial to differentiate Z02.9 from codes describing specific examinations.Z02.9 is used solely for administrative purposes when a more specific examination code is not applicable. If the examination reveals any abnormal findings, these should be coded separately.
- Payment Status: Active
- Specialties:General practice, occupational medicine, and any specialty conducting administrative examinations.
- Place of Service:Office, Independent Clinic, or other applicable outpatient setting.