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

ICD-10 Z13.41

Billable / Specific

Encounter for autism screening

Z13
Block
0
Synonyms
0
LCDs
4
Payer Policies
0
Linked CPTs

About ICD-10-CM Z13.41

ICD-10-CM code Z13.41 represents Encounter for autism screening. This is a billable/specific code in the Factors Influencing Health Status chapter (block Z13). The 2026 edition of ICD-10-CM Z13.41 became effective on October 1, 2025.

Medicare LCD Coverage for Z13.41

Local Coverage Determinations (LCDs) from CMS MACs that list Z13.41 as a covered diagnosis.

No Medicare LCDs reference Z13.41 as covered

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 Z13.41.

4 policies

3 Cigna

Nucleic Acid Pathogen Testing - (0530)
Policy ID: MM_0530
Preventive Care Services - (A004)
Policy ID: AD_A004
Transvaginal Ultrasound, Non-Obstetrical - (0398)
Policy ID: MM_0398

1 Aetna

Autism Spectrum Disorders
Policy ID: CPB-0648

CPT Codes Commonly Billed with Z13.41

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

No procedure linkages on file for Z13.41

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Codes Adjacent To Z13.41

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 Z00.6 Encounter for examination for normal comparison and control in clinical research program 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)

ICD-10 Z13.41, Billing FAQ

Is ICD-10 code Z13.41 billable? +

Yes, Z13.41 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

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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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