Complete ICD-10-CM coding and documentation guide for icd-10 coding for physical exam includes clinical validation requirements, medical necessity guidelines, and coding policies.
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Essential facts and insights about ICD-10 Coding for Physical Exam
Use ICD-10 code Z00.00 for encounter for general adult medical examination without abnormal findings, ensuring proper documentation in clinical notes.
The ICD-10 code for a routine physical exam without abnormal findings is Z00.00. If abnormal findings are present, use Z00.01.
Use Z00.01 when abnormal findings are documented during a routine physical exam. Z00.00 is for exams without abnormalities.