ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 Z00.6

Billable / Specific

Encounter for examination for normal comparison and control in clinical research program

Z00
Block
1
Synonyms
153
LCDs
6
Payer Policies
29
Linked CPTs

About ICD-10-CM Z00.6

ICD-10-CM code Z00.6 represents Encounter for examination for normal comparison and control in clinical research program. This is a billable/specific code in the Factors Influencing Health Status chapter (block Z00). The 2026 edition of ICD-10-CM Z00.6 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under Z00.6. Per CMS ICD-10-CM Tabular 2026.

  • Examination of participant or control in clinical research program

Medicare LCD Coverage for Z00.6

Local Coverage Determinations (LCDs) from CMS MACs that list Z00.6 as a covered diagnosis.

153 LCDs

Showing top 10 of 153 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: MolDX: Category B IDE Studies
Article ID: 59892, Effective: , 1 covered, 0 non-covered
CPT 81479 →
CMS LCD: Billing and Coding: Implantable Automatic Defibrillators
Article ID: 56343, Effective: 2025-04-01 00:00:00, 45 covered, 0 non-covered
CPT 33215 →
CMS LCD: Billing and Coding: Implantable Automatic Defibrillators
Article ID: 56343, Effective: 2025-04-01 00:00:00, 45 covered, 0 non-covered
CPT 33263 →
CMS LCD: Billing and Coding: Implantable Automatic Defibrillators
Article ID: 56343, Effective: 2025-04-01 00:00:00, 45 covered, 0 non-covered
CPT 33241 →
CMS LCD: Billing and Coding: Implantable Automatic Defibrillators
Article ID: 56343, Effective: 2025-04-01 00:00:00, 45 covered, 0 non-covered
CPT C7539 →
CMS LCD: Billing and Coding: Implantable Automatic Defibrillators
Article ID: 56343, Effective: 2025-04-01 00:00:00, 45 covered, 0 non-covered
CPT 33271 →
CMS LCD: Billing and Coding: Implantable Automatic Defibrillators
Article ID: 56343, Effective: 2025-04-01 00:00:00, 45 covered, 0 non-covered
CPT 33273 →
CMS LCD: Billing and Coding: Implantable Automatic Defibrillators
Article ID: 56343, Effective: 2025-04-01 00:00:00, 45 covered, 0 non-covered
CPT 33249 →
CMS LCD: Billing and Coding: Implantable Automatic Defibrillators
Article ID: 56343, Effective: 2025-04-01 00:00:00, 45 covered, 0 non-covered
CPT 33216 →
CMS LCD: Billing and Coding: Implantable Automatic Defibrillators
Article ID: 56343, Effective: 2025-04-01 00:00:00, 45 covered, 0 non-covered
CPT 33217 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing Z00.6.

6 policies

5 Medicare

Billing and Coding: Implantable Automatic Defibrillators
Policy ID: ART-56326
Billing and Coding: Implantable Automatic Defibrillators
Policy ID: ART-56340
Billing and Coding: Implantable Automatic Defibrillators
Policy ID: ART-56343
Billing and Coding: Implantable Automatic Defibrillators
Policy ID: ART-56391
Billing and Coding: Implantable Automatic Defibrillators
Policy ID: ART-57994

CPT Codes Commonly Billed with Z00.6

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

29 linkages
  • G0448 CMS LCD: Billing and Coding: Implantable Automatic Defibrillators CMS LCD
  • 33216 CMS LCD: Billing and Coding: Implantable Automatic Defibrillators CMS LCD
  • 33230 CMS LCD: Billing and Coding: Implantable Automatic Defibrillators CMS LCD
  • 33244 CMS LCD: Billing and Coding: Implantable Automatic Defibrillators CMS LCD
  • 33264 CMS LCD: Billing and Coding: Implantable Automatic Defibrillators CMS LCD
  • 33263 CMS LCD: Billing and Coding: Implantable Automatic Defibrillators CMS LCD
  • 33220 CMS LCD: Billing and Coding: Implantable Automatic Defibrillators CMS LCD
  • 33224 CMS LCD: Billing and Coding: Implantable Automatic Defibrillators CMS LCD
  • 33270 CMS LCD: Billing and Coding: Implantable Automatic Defibrillators CMS LCD
  • 33272 CMS LCD: Billing and Coding: Implantable Automatic Defibrillators CMS LCD

Convert Z00.6 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
Z00.6 V707 00000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

Codes Adjacent To Z00.6

Other codes in section Z00-Z13 (Persons encountering health services for examinations).

Z00 Encounter for general examination without complaint, suspected or reported diagnosis (non-billable) Z00.0 Encounter for general adult medical examination (non-billable) Z00.00 Encounter for general adult medical examination without abnormal findings Z00.01 Encounter for general adult medical examination with abnormal findings Z00.1 Encounter for newborn, infant and child health examinations (non-billable) Z00.11 Newborn health examination (non-billable) Z00.110 Health examination for newborn under 8 days old Z00.111 Health examination for newborn 8 to 28 days old Z00.12 Encounter for routine child health examination (non-billable) Z00.121 Encounter for routine child health examination with abnormal findings Z00.129 Encounter for routine child health examination without abnormal findings Z00.2 Encounter for examination for period of rapid growth in childhood Z00.3 Encounter for examination for adolescent development state Z00.5 Encounter for examination of potential donor of organ and tissue Z00.7 Encounter for examination for period of delayed growth in childhood (non-billable) Z00.70 Encounter for examination for period of delayed growth in childhood without abnormal findings Z00.71 Encounter for examination for period of delayed growth in childhood with abnormal findings Z00.8 Encounter for other general examination Z01 Encounter for other special examination without complaint, suspected or reported diagnosis (non-billable) Z01.0 Encounter for examination of eyes and vision (non-billable)

ICD-10 Z00.6, Billing FAQ

Is ICD-10 code Z00.6 billable? +

Yes, Z00.6 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to Z00.6? +

ICD-10 Z00.6 includes: Examination of participant or control in clinical research program.

What CPT codes are commonly billed with Z00.6? +

Procedures frequently paired with Z00.6 include: G0448, 33216, 33230, 33244, 33264.

What ICD-9 codes does Z00.6 map to? +

Per CMS GEMs, Z00.6 maps to ICD-9 codes: V707. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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