ICD-10-CM Code Z00.01
Encounter for general adult medical examination with abnormal findings
Billable Code
Billable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis.POA Exempt Code
The Center for Medicare & Medicaid Services (CMS) requires medical coders to indicate whether or not a condition was present at the time of admission, in order to properly assign MS-DRG codes. This "Present On Admission" (POA) indicator is recorded on CMS form 4010A.Adult Only
Code is only used for patients 15 years old or older.Z00.01 is a billable ICD code used to specify a diagnosis of encounter for general adult medical examination with abnormal findings. A 'billable code' is detailed enough to be used to specify a medical diagnosis.
POA Indicators on CMS form 4010A are as follows:
| Indicator | Meaning | CMS Will Pay CC/MCC DRG Costs |
|---|---|---|
| Y | Diagnosis was present at time of inpatient admission | Yes |
| N | Diagnosis was not present at time of inpatient admission | No |
| U | Documentation insufficient to determine if the condition was present at the time of inpatient admission. | No |
| W | Clinically undetermined. Provider unable to clinically determine whether the condition was present at the time of inpatient admission. | Yes |
| 1 | Exempt from POA reporting | No |
Coding Notes for Z00.01 Info for medical coders on how to properly use this ICD-10 code
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Additional Code Note:
Use Additional Code
Use Additional Code note means a second code must be used in conjunction with this code. Codes with this note are Etiology codes and must be followed by a Manifestation code or codes. - Code to identify abnormal findings
MS-DRG Mapping
- DRG Group #951 - Other factors influencing health status.
ICD-10-CM Alphabetical Index References for 'Z00.01 - Encounter for general adult medical examination with abnormal findings'
The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code Z00.01. Click on any term below to browse the alphabetical index.
Equivalent ICD-9 Code GENERAL EQUIVALENCE MAPPINGS (GEM)
This is the official approximate match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that while there is no exact mapping between this ICD10 code Z00.01 and a single ICD9 code, V70.0 is an approximate match for comparison and conversion purposes.
Parent Code: Z00.0 - Encounter for general adult medical examination