{"code":"Z00.12","type":"code","title":"Encounter for routine child health examination","codeAlso":[],"includes":[],"modern_v":"official26","codeFirst":[],"excludes1":["health check for child under 29 days old (Z00.11-)","health supervision of foundling or other healthy infant or child (Z76.1-Z76.2)","newborn health examination (Z00.11-)","encounter for examination for administrative purposes (Z02.-)"],"excludes2":["encounter for pre-procedural examinations (Z01.81-)","special screening examinations (Z11-Z13)","examinations related to pregnancy and reproduction (Z30-Z36, Z39.-)"],"isBillable":false,"fyEffectivity":{"fy2026":true,"fy2027":true,"billableFy2026":false,"billableFy2027":false},"sibling_codes":["Z00.121","Z00.129"],"inclusionTerms":["Health check (routine) for child over 28 days old","Immunizations appropriate for age","Routine developmental screening of infant or child","Routine vision and hearing testing"],"sibling_titles":{"code":"Z00.129","title":"Encounter for routine child health examination without abnormal findings","isBillable":true},"useAdditionalCode":[],"clinicalDefinition":"Encounter for routine child health examination is a non-billable ICD-10-CM category code (Z00.12). A more specific billable subcode must be selected for claims submission. Inclusion terms: Health check (routine) for child over 28 days old; Immunizations appropriate for age; Routine developmental screening of infant or child; Routine vision and hearing testing. Excludes1 (not coded here): health check for child under 29 days old (Z00.","officialDefinition":"Encounter for routine child health examination is a non-billable ICD-10-CM category code (Z00.12). A more specific billable subcode must be selected for claims submission. Inclusion terms: Health check (routine) for child over 28 days old; Immunizations appropriate for age; Routine developmental screening of infant or child; Routine vision and hearing testing. Excludes1 (not coded here): health check for child under 29 days old (Z00.11-); health supervision of foundling or other healthy infant or child (Z76.1-Z76.2); newborn health examination (Z00.11-); encounter for examination for administrative purposes (Z02.-). Excludes2 (not included here): encounter for pre-procedural examinations (Z01.81-); special screening examinations (Z11-Z13); examinations related to pregnancy and reproduction (Z30-Z36, Z39.-).","seventhCharacterInstructions":[],"workflowProtocols":[],"guidelines":{"whenToUse":[],"whenNotToUse":[],"commonBillingMistakes":[],"codeComparisons":[],"documentationChecklist":[]},"domainLandscape":{"summary":"Primary diagnostic domain and clinical landscape evaluation.","keyCategories":[],"diagnosticContinuum":"Progression continuum from acute presentation to resolution."},"children":[],"hierarchy":[],"relatedCodes":[],"relevantCPTCodes":[],"documentationTips":[],"caseStudies":[],"description":"","overview":"","noteProvenance":{"encounter for examination for administrative purposes (Z02.-)":"Z00","encounter for pre-procedural examinations (Z01.81-)":"Z00","special screening examinations (Z11-Z13)":"Z00","examinations related to pregnancy and reproduction (Z30-Z36, Z39.-)":"Z00"},"hcc":{"mapped":false,"model":"CMS-HCC V28","paymentYear":"2026","categories":[],"otherModels":[]}}