Z13.220 — Encounter for screening for lipoid disorders
Is Z13.220 billable?
Yes — Z13.220 is billable for FY2027. Z13.220 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. Z13.220 may be submitted for encounters from October 1, 2026 through September 30, 2027.
Z13.220 at a glance
| Code | Z13.220 |
|---|---|
| Description | Encounter for screening for lipoid disorders |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
What Medicare edits apply to Z13.220?
The Medicare Code Editor screens inpatient claims before they are grouped. These edits name Z13.220 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 Z13.220 group to?
Z13.220 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 Z13.220 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to Z13.220. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Cholesterol › elevated › screening for
- Screening › disease or disorder › nutritional › metabolic › lipoid disorders (for)
Inclusion terms
Alternative wording in documentation that is classified to Z13.220.
- Encounter for screening for cholesterol level
- Encounter for screening for hypercholesterolemia
- Encounter for screening for hyperlipidemia
Excludes1 — never code together — inherited from Z13
The conditions below can never be reported together with Z13.220 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- encounter for diagnostic examination-code to sign or symptom
Excludes2 — not included here — inherited from Z00-Z13
The conditions below are not part of Z13.220, but a patient may have both at the same time. When documentation supports it, Z13.220 and the excluded code may both be reported.
How long has Z13.220 existed?
Z13.220 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.