Complete ICD-10-CM coding and documentation guide for icd-10 coding for wellness visit includes clinical validation requirements, medical necessity guidelines, and coding policies.
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Essential facts and insights about ICD-10 Coding for Wellness Visit
Use ICD-10 code Z00.00 for encounter for general adult medical examination without abnormal findings, ensuring proper documentation in clinical notes.
Additional codes that may be used with this diagnosis
Body mass index (BMI)
Use to document BMI if obesity or other weight-related issues are noted.
The ICD-10 code for a wellness visit without abnormal findings is Z00.00, and with abnormal findings is Z00.01.
Document an annual wellness visit by including a Health Risk Assessment, preventive services provided, and a plan of care.