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Home/Diagnosis/ICD-10 Coding for Establish Care

ICD-10 Coding for Establish Care

Z00.00
Z00.01

Complete ICD-10-CM coding and documentation guide for icd-10 coding for establish care includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Initial Visit
New Patient Visit
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Key Information: ICD-10 Coding for Establish Care

Essential facts and insights about ICD-10 Coding for Establish Care

Use ICD-10 code Z00.00 for encounter for general adult medical examination without abnormal findings, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Encounter for general adult medical examination without abnormal findings

Billable Code
Z00.00
Billable

Diagnostic Criteria

clinical_criteria:
  • No abnormal findings during the examination

Applicable To

  • • Routine adult health check-up

Important Notes

  • • Ensure documentation supports the absence of abnormal findings to use Z00.00.

Encounter for general adult medical examination with abnormal findings

Billable Code
Z00.01
Billable

Diagnostic Criteria

clinical_criteria:
  • Documented abnormal findings during examination

Applicable To

  • • Routine adult health check-up with findings

Important Notes

  • • Ensure all abnormal findings are documented and coded separately.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z76.89

Persons encountering health services in other specified circumstances

Use when additional counseling or services are provided during the visit.

Frequently Asked Questions

What is the ICD-10 code for establishing care?

The ICD-10 code for establishing care is typically Z00.00 for a general adult medical examination without abnormal findings.

When should Z00.00 be used?

Use Z00.00 when a patient is seen for a routine health check-up and no abnormal findings are documented.

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