2025 ICD-10-CM code Z13
Encounter for screening for other diseases and disorders. Screening is the testing for disease or disease precursors in asymptomatic individuals so that early detection and treatment can be provided for those who test positive for the disease.
Medical necessity for screening is based on guidelines and recommendations from medical organizations and may consider factors such as age, family history, and risk factors. Specific payer policies may also apply.
The healthcare provider is responsible for performing the screening tests and counseling the patient on the results.
In simple words: This code is used when you visit a healthcare provider for a general health screening to check for any potential health problems, even if you don't have any symptoms. It does not include screenings related to pregnancy.
Encounter for screening for other diseases and disorders. This code is used when a person encounters health services for the specific purpose of screening for diseases or disorders other than those related to pregnancy and reproduction. Screening is the testing for disease or disease precursors in asymptomatic individuals so that early detection and treatment can be provided for those who test positive for the disease.
Example 1: A 45-year-old patient with no symptoms visits their doctor for an annual physical, which includes screening tests for various diseases like diabetes and high cholesterol., A patient participates in a community health fair where they are offered free screening tests for various cancers and other disorders., A patient with a family history of heart disease undergoes screening tests to assess their risk.
The documentation should include the reason for the screening, the specific tests performed, and the results of the tests.
** Excludes1: encounter for diagnostic examination-code to sign or symptom. This code should not be used if the patient has symptoms or a known diagnosis.
- Specialties:General practice, family medicine, internal medicine, preventive medicine, and various other specialties depending on the specific screening tests being performed.
- Place of Service:Office, Outpatient Hospital, Mobile Unit, Public Health Clinic, Community Mental Health Center, and other places of service depending on the context of the screening.