ICDcodes.org
FY2027

Z02.0 — Encounter for examination for admission to educational institution

Billable

Is Z02.0 billable?

Yes — Z02.0 is billable for FY2027. Z02.0 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. Z02.0 may be submitted for encounters from October 1, 2026 through September 30, 2027.

Z02.0 at a glance

CodeZ02.0
DescriptionEncounter for examination for admission to educational institution
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

What Medicare edits apply to Z02.0?

The Medicare Code Editor screens inpatient claims before they are grouped. These edits name Z02.0 directly.

Cannot be a principal diagnosis — MCE edit 9

CMS will reject this code as the principal diagnosis on an inpatient claim. It describes something other than the condition chiefly responsible for the admission.

Which MS-DRGs does Z02.0 group to?

Z02.0 sits in MDC 23 and helps define the logic of 1 MS-DRG (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 951Other Factors Influencing Health Statusmedical

How is Z02.0 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to Z02.0. They show the wording a clinician may have documented, which often differs from the Tabular description.

  • Encounter › administrative purpose only › examination for › school admission (with health service) (for)
  • Examination › medical › admission to › school (for) (following) (general) (of) (routine)
  • Examination › medical › preschool children › for admission to school (for) (following) (general) (of) (routine)
  • Examination › medical › admission to › school › following illness or medical treatment (for) (following) (general) (of) (routine)

Inclusion terms

Alternative wording in documentation that is classified to Z02.0.

  • Encounter for examination for admission to preschool (education)
  • Encounter for examination for re-admission to school following illness or medical treatment

Excludes2 — not included here — inherited from Z00-Z13

The conditions below are not part of Z02.0, but a patient may have both at the same time. When documentation supports it, Z02.0 and the excluded code may both be reported.

  • examinations related to pregnancy and reproduction (Z30-Z36, Z39.-)

How long has Z02.0 existed?

Z02.0 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.

What other codes are in the Z02 family? (9)