Z00.01 ICD-10-CM Code: Encounter for general adult medical examination with abnormal findings
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Inpatient Payment Groups (MS-DRG)
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0 (FY2026), Appendix B.
- MS-DRG 951 — OTHER FACTORS INFLUENCING HEALTH STATUS (MDC 23)
A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.
Code Set: Valid FY2026 and FY2027. FY2026 took effect October 1, 2025.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for Z00.01 in the official ICD-10-CM tabular list.
Excludes1 — Not Coded Here
Conditions that can never be reported with this code; the two are mutually exclusive.
- encounter for examination of sign or symptom- code to sign or symptom
- general health check-up of infant or child (Z00.12.-)
- encounter for examination for administrative purposes (Z02.-)
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- encounter for pre-procedural examinations (Z01.81-)
- special screening examinations (Z11-Z13)
- examinations related to pregnancy and reproduction (Z30-Z36, Z39.-)
Use Additional Code
Supplementary codes the tabular list directs you to add.
- Use additional code to identify abnormal findings
Nearest Codes in This Family
Official ICD-10-CM classifications closest to Z00.01 in its code family, with their registry titles.
- Z00 — Encounter for general examination without complaint, suspected or reported diagnosis
- Z00.0 — Encounter for general adult medical examination
- Z00.00 — Encounter for general adult medical examination without abnormal findings
- Z00.1 — Encounter for newborn, infant and child health examinations
- Z00.11 — Newborn health examination
- Z00.110 — Health examination for newborn under 8 days old
- Z00.111 — Health examination for newborn 8 to 28 days old
- Z00.12 — Encounter for routine child health examination
- Z00.121 — Encounter for routine child health examination with abnormal findings
- Z00.129 — Encounter for routine child health examination without abnormal findings
Indexed Clinical Terms (14)
Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.
- Admission (for), examination at health care facility (adult), with abnormal findings
- Encounter (with health service) (for), laboratory (as part of a general medical examination), with abnormal findings
- Encounter (with health service) (for), radiological (as part of a general medical examination), with abnormal findings
- Encounter (with health service) (for), X-ray of chest (as part of a general medical examination), with abnormal findings
- Examination (for) (following) (general) (of) (routine), annual (adult) (periodic) (physical), with abnormal findings
- Examination (for) (following) (general) (of) (routine), laboratory (as part of a general medical examination), with abnormal findings
- Examination (for) (following) (general) (of) (routine), medical (adult) (for) (of), general (adult), with abnormal findings
- Examination (for) (following) (general) (of) (routine), medical (adult) (for) (of), with abnormal findings
- Examination (for) (following) (general) (of) (routine), periodic (adult) (annual) (routine), with abnormal findings
- Examination (for) (following) (general) (of) (routine), radiological (as part of a general medical examination), with abnormal findings
- Examination (for) (following) (general) (of) (routine), with abnormal findings
- Test, tests, testing (for), laboratory (as part of a general medical examination), with abnormal finding
- X-ray (of), chest, routine (as part of a general medical examination), with abnormal findings
- X-ray (of), routine (as part of a general medical examination), with abnormal findings