ICD-10 Z02
Non-Billable HeaderEncounter for administrative examination
About ICD-10-CM Z02
ICD-10-CM code Z02 represents Encounter for administrative examination. This is a non-billable header code in the Factors Influencing Health Status chapter (block Z02). The 2026 edition of ICD-10-CM Z02 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Medicare LCD Coverage for Z02
Local Coverage Determinations (LCDs) from CMS MACs that list Z02 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing Z02.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but Z02 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with Z02
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 99354 Preventive care visit for adults Family Medicine
- 99401 Preventive care visit for infants and children Family Medicine
- 99402 Preventive care visit for adolescents Family Medicine
- 99403 Preventive care visit for adults 40-64 years old Family Medicine
- 99356 Preventive care visit for adults 65 years and older Family Medicine
Codes Adjacent To Z02
Other codes in section Z00-Z13 (Persons encountering health services for examinations).
ICD-10 Z02, Billing FAQ
Is ICD-10 code Z02 billable? +
No, Z02 is a non-billable header code. Use a more specific child code from block Z02 when submitting claims.
What CPT codes are commonly billed with Z02? +
Procedures frequently paired with Z02 include: 99354, 99401, 99402, 99403, 99356.
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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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