Z13.228 — Encounter for screening for other metabolic disorders
Is Z13.228 billable?
Yes — Z13.228 is billable for FY2027. Z13.228 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. Z13.228 may be submitted for encounters from October 1, 2026 through September 30, 2027.
Z13.228 at a glance
| Code | Z13.228 |
|---|---|
| Description | Encounter for screening for other metabolic disorders |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
What Medicare edits apply to Z13.228?
The Medicare Code Editor screens inpatient claims before they are grouped. These edits name Z13.228 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 Z13.228 group to?
Z13.228 sits in MDC 15 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.
- 795Normal Newbornmedical
How is Z13.228 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to Z13.228. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Screening › cystic fibrosis (for)
- Screening › galactosemia (for)
- Screening › metabolic errors, inborn (for)
- Screening › phenylketonuria (for)
- Screening › disease or disorder › metabolic (for)
- Screening › malnutrition › metabolic (for)
- Screening › disease or disorder › nutritional › metabolic (for)
Excludes1 — never code together — inherited from Z13
The conditions below can never be reported together with Z13.228 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 Z13.228, but a patient may have both at the same time. When documentation supports it, Z13.228 and the excluded code may both be reported.
How long has Z13.228 existed?
Z13.228 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.