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Z00 vs Z11

Z00 (Encounter for general examination without complaint, suspected or reported diagnosis) compared with Z11 (Encounter for screening for infectious and parasitic diseases), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Can these codes be reported together?

Yes, when both are documented. Z00 carries an Excludes2 note covering Z11: “special screening examinations (Z11-Z13)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

Z00Encounter for general examination without complaint, suspected or reported diagnosisZ11Encounter for screening for infectious and parasitic diseases
Billing statusNon-billable header

Report instead: Z00.00, Z00.01, Z00.110, Z00.111, Z00.121

Non-billable header

Report instead: Z11.0, Z11.1, Z11.2, Z11.3, Z11.4

ClassificationZ00-Z99 — Factors Influencing Health Status and Contact with Health Services (Z00-Z99)Z00-Z99 — Factors Influencing Health Status and Contact with Health Services (Z00-Z99)
DefinitionEncounter for general examination without complaint, suspected or reported diagnosis is a non-billable ICD-10-CM category code (Z00).Encounter for screening for infectious and parasitic diseases is a non-billable ICD-10-CM category code (Z11).
Includes
Screening is the testing for disease or disease precursors in asymptomatic individuals so that early detection and treatment can be provided for those who test positive for the disease.

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources