Z00.12 vs Z76.2
Z00.12 (Encounter for routine child health examination) compared with Z76.2 (Encounter for health supervision and care of other healthy infant and child), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. Z00.12 carries an Excludes1 note covering Z76.2: “health supervision of foundling or other healthy infant or child (Z76.1-Z76.2)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| Z00.12Encounter for routine child health examination | Z76.2Encounter for health supervision and care of other healthy infant and child | |
|---|---|---|
| Billing status | Non-billable header | Billable |
| Classification | Z00-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) |
| Definition | Encounter for routine child health examination is a non-billable ICD-10-CM category code (Z00.12). | Encounter for health supervision and care of other healthy infant and child is a billable ICD-10-CM diagnosis code (Z76.2). |
| Includes | 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 | Encounter for medical or nursing care or supervision of healthy infant under circumstances such as adverse socioeconomic conditions at home Encounter for medical or nursing care or supervision of healthy infant under circumstances such as awaiting foster or adoptive placement Encounter for medical or nursing care or supervision of healthy infant under circumstances such as maternal illness Encounter for medical or nursing care or supervision of healthy infant under circumstances such as number of children at home preventing or interfering with normal care |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources