Z02.71 — Encounter for disability determination
Is Z02.71 billable?
Yes — Z02.71 is billable for FY2027. Z02.71 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. Z02.71 may be submitted for encounters from October 1, 2026 through September 30, 2027.
Z02.71 at a glance
| Code | Z02.71 |
|---|---|
| Description | Encounter for disability determination |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
What Medicare edits apply to Z02.71?
The Medicare Code Editor screens inpatient claims before they are grouped. These edits name Z02.71 directly.
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 Z02.71 group to?
Z02.71 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 Z02.71 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to Z02.71. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Issue of › medical certificate › for disability determination
- Encounter › administrative purpose only › examination for › disability determination (with health service) (for)
Inclusion terms
Alternative wording in documentation that is classified to Z02.71.
- Encounter for issue of medical certificate of incapacity
- Encounter for issue of medical certificate of invalidity
Excludes1 — never code together — inherited from Z02.7
The conditions below can never be reported together with Z02.71 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Excludes2 — not included here — inherited from Z00-Z13
The conditions below are not part of Z02.71, but a patient may have both at the same time. When documentation supports it, Z02.71 and the excluded code may both be reported.
How long has Z02.71 existed?
Z02.71 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.