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Compare/Z02 vs Z36

Z02 vs Z36

Z02 (Encounter for administrative examination) compared with Z36 (Encounter for antenatal screening of mother), 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. Z02 carries an Excludes2 note covering Z36: “examinations related to pregnancy and reproduction (Z30-Z36, Z39.-)”

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

Side by side

Z02Encounter for administrative examinationZ36Encounter for antenatal screening of mother
Billing statusNon-billable header

Report instead: Z02.0, Z02.1, Z02.2, Z02.3, Z02.4

Non-billable header

Report instead: Z36.0, Z36.1, Z36.2, Z36.3, Z36.4

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 administrative examination is a non-billable ICD-10-CM category code (Z02).Encounter for antenatal screening of mother is a non-billable ICD-10-CM category code (Z36).
Includes
Encounter for placental sample (taken vaginally)
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