Z02.6 vs Z02.7
Z02.6 and Z02.7 can never be reported together. ICD-10-CM declares them mutually exclusive with an Excludes1 note, meaning the two conditions cannot occur in the same patient — so exactly one of them is correct for any given encounter.
Z02.6
Encounter for examination for insurance purposes
Billable
- Chapter 21
- Factors influencing health status and contact with health services
- Section
- Z00-Z13
Indexed under
- Examination › medical › insurance purposes (for) (following) (general) (of) (routine)
- Encounter › administrative purpose only › examination for › insurance (with health service) (for)
Z02.7
Encounter for issue of medical certificate
Not billable
- Chapter 21
- Factors influencing health status and contact with health services
- Section
- Z00-Z13
Excludes1 is not always absolute: where two conditions covered by the note are genuinely unrelated, CMS guidance permits reporting both. Document the reasoning rather than assuming it. More on Excludes1 vs Excludes2 · FY2027