Complete ICD-10-CM coding and documentation guide for icd-10 coding for medical clearance includes clinical validation requirements, medical necessity guidelines, and coding policies.
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Essential facts and insights about ICD-10 Coding for Medical Clearance
Use ICD-10 code Z01.818 for encounter for other preprocedural examination, ensuring proper documentation in clinical notes.
Additional codes that may be used with this diagnosis
Essential (primary) hypertension
Use to document hypertension as a comorbidity affecting clearance.
Atherosclerotic heart disease of native coronary artery without angina pectoris
Use to document coronary artery disease as a comorbidity.
The ICD-10 code for general pre-op clearance is Z01.818, used when multiple systems are evaluated before surgery.
Document medical clearance by including detailed patient history, specific test results, and a clear statement of clearance for surgery.