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ICD-10/Z00.12

Z00.12 ICD-10-CM Code: Encounter for routine child health examination

Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.

Code Set: Valid FY2026 and FY2027. FY2026 took effect October 1, 2025.

Official Registry Overview & Definition

Encounter for routine child health examination is a non-billable ICD-10-CM category code (Z00.12). A more specific billable subcode must be selected for claims submission.

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for Z00.12 in the official ICD-10-CM tabular list.

Inclusion Terms

Alternative terms the tabular list files under this code.

  • 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

Excludes1 — Not Coded Here

Conditions that can never be reported with this code; the two are mutually exclusive.

  • health check for child under 29 days old (Z00.11-)
  • health supervision of foundling or other healthy infant or child (Z76.1-Z76.2)
  • newborn health examination (Z00.11-)
  • 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.-)

Frequently Asked Questions (FAQ) & Clinical Guidance

Can Z00.12 be billed directly?

No. Z00.12 (Encounter for routine child health examination) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to Z00.12 in its code family, with their registry titles.

  • Z00.01 — Encounter for general adult medical examination with 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
  • Z00.121 — Encounter for routine child health examination with abnormal findings
  • Z00.129 — Encounter for routine child health examination without abnormal findings
  • Z00.2 — Encounter for examination for period of rapid growth in childhood
  • Z00.3 — Encounter for examination for adolescent development state
  • Z00.5 — Encounter for examination of potential donor of organ and tissue

View all codes in the Z00 family