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Home/Diagnosis/ICD-10 Coding for Medicare Wellness Exam

ICD-10 Coding for Medicare Wellness Exam

Z00.00
Z00.01

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

Also Known as:
Annual Wellness Visit
AWV
Medicare Preventive Visit
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Key Information: ICD-10 Coding for Medicare Wellness Exam

Essential facts and insights about ICD-10 Coding for Medicare Wellness Exam

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 abnormalities found during examination

Applicable To

  • • Routine adult health check-up

Important Notes

  • • Ensure no abnormal findings are documented when using Z00.00.

Encounter for general adult medical examination with abnormal findings

Billable Code
Z00.01
Billable

Applicable To

  • • Routine adult health check-up with findings

Important Notes

  • • Document all abnormal findings clearly.
Frequently Asked Questions

What is the ICD-10 code for a Medicare wellness exam?

The ICD-10 codes for a Medicare wellness exam are Z00.00 for exams without abnormal findings and Z00.01 for exams with abnormal findings.

Can I bill for a Medicare wellness exam and a problem-oriented visit on the same day?

Yes, you can bill for both by using modifier -25 on the problem-oriented visit code to indicate a separate and distinct service.

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