Z00.00
Encounter for general adult medical examination without abnormal findings
Factors influencing health status and contact with health services Billable
Quick Reference
Annual physical exam or wellness visit without abnormal findings
Clinical Information
When to Use This Code
Annual physical exam or wellness visit without abnormal findings
Common Clinical Scenarios
- Annual physical examination
- Preventive health screening
- Wellness visit without problems identified
- Medicare Annual Wellness Visit
Documentation Requirements
- Document comprehensive physical exam performed
- Record vital signs, BMI, review of systems
- Note preventive counseling provided
- List age-appropriate screening tests completed
- Use Z00.01 if abnormal findings discovered
Coding Guidelines
Inclusion Terms
These terms are included in this code:
Annual physicalHealth maintenance examPreventive visitCheck-up
Exclusion Terms
Do NOT use this code for:
- Exam with abnormal findings (Z00.01)
- Encounter for administrative purposes (Z02.-)
Coding Notes
Use Z00.01 when abnormalities found during exam
Cannot be used with problem-oriented E/M on same day
For Medicare AWV, use G0438 or G0439 instead
Related ICD-10 Codes
Consider these related codes based on patient presentation:
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Code
Z00.00
Category
Factors influencing health status and contact with health services
Billable Status
Billable
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