Z02.7 vs Z02.9
Z02.7 and Z02.9 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.
Z02.7
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 (with health service) (for)
- Examination › medical › administrative purpose only (for) (following) (general) (of) (routine)
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