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2025 ICD-10-CM code Z76.2

Encounter for health supervision and care of other healthy infant and child.

A corresponding procedure code must accompany a Z code if a procedure is performed. Z codes are used when circumstances other than a disease, injury, or external cause are recorded as the reason for the encounter.

Medical necessity for this code is established when a healthy infant requires supervision or care due to specific circumstances that impact their well-being, as outlined in the code description.

The healthcare provider is responsible for assessing the infant's health status, providing necessary care or supervision, and addressing any specific concerns related to the circumstances documented.

In simple words: This code is used when a healthy baby visits a doctor or other healthcare provider for a check-up or care due to special circumstances, like a difficult home situation, waiting for adoption, the mother being sick, or having many siblings.

This code is used for encounters with a healthy infant for supervision and care in circumstances such as adverse socioeconomic conditions at home, awaiting foster or adoptive placement, maternal illness, or when the number of children at home prevents or interferes with normal care.

Example 1: A 2-month-old infant is brought to the clinic for a check-up. The mother is suffering from postpartum depression and is unable to provide adequate care. The infant is healthy but requires additional supervision due to the mother's condition. Z76.2 is used., A healthy newborn is awaiting placement in foster care and is seen by a pediatrician for a health check before placement. Z76.2 is used., A 6-month-old infant from a low-income family is brought to the clinic for a well-child visit. The family struggles to provide basic necessities, and the infant requires ongoing monitoring and support. Z76.2 is used.

Documentation should clearly specify the reason for the encounter and the circumstances necessitating the supervision or care of the healthy infant. Details about the infant's health status and any interventions provided should also be documented.

** This code is specifically for healthy infants who require extra care or supervision due to circumstances beyond a typical well-child visit. If the infant has any underlying medical condition, the appropriate diagnosis code for the condition should be used as the primary code, and Z76.2 may be used as a secondary code if applicable.

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