FY2027
MenuClose
Excludes1 pair

Z02.7- vs Z02.9

Z02.7 and Z02.9 are not coded together. ICD-10-CM declares them mutually exclusive with an Excludes1 note — the two conditions are not expected to occur together, so exactly one of them is normally correct for a given encounter. The Official Guidelines carve out one exception: if the two conditions are clearly unrelated to each other, both may be reported.

The official note, declared on Z02.7
encounter for general medical examination (Z00-Z01, Z02.0-Z02.6, Z02.8-Z02.9)
Z02.7

Encounter for issue of medical certificate

Not billable
Chapter 21
Factors influencing health status and contact with health services
Section
Z00-Z13
Z02.9

Encounter for administrative examinations, unspecified

BillableUnspecified
Chapter 21
Factors influencing health status and contact with health services
Section
Z00-Z13
Indexed under
  • Encounter › administrative purpose only
  • Examination › medical › administrative purpose only

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