Z02.84 vs Z04.42
Z02.84 (Encounter for child welfare exam) compared with Z04.42 (Encounter for examination and observation following alleged child rape), 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. Z02.84 carries an Excludes2 note covering Z04.42: “encounter for examination and observation for alleged child rape (Z04.42)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| Z02.84Encounter for child welfare exam | Z04.42Encounter for examination and observation following alleged child rape | |
|---|---|---|
| Billing status | Billable | 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 child welfare exam is a billable ICD-10-CM diagnosis code (Z02.84). | Encounter for examination and observation following alleged child rape is a billable ICD-10-CM diagnosis code (Z04.42). |
| Includes | Encounter for child welfare screening exam | encounter for examination for medicolegal reasons This category is to be used when a person without a diagnosis is suspected of having an abnormal condition, without signs or symptoms, which requires study, but after examination and observation, is ruled-out. This category is also for use for administrative and legal observation status. Suspected child rape, ruled out Suspected child sexual abuse, ruled out |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources