ICD-10 Z13.811
Billable / SpecificEncounter for screening for lower gastrointestinal disorder
About ICD-10-CM Z13.811
ICD-10-CM code Z13.811 represents Encounter for screening for lower gastrointestinal disorder. This is a billable/specific code in the Factors Influencing Health Status chapter (block Z13). The 2026 edition of ICD-10-CM Z13.811 became effective on October 1, 2025.
Type 1 Excludes
Pure excludes, these codes can never be coded together with Z13.811. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- encounter for screening for intestinal infectious disease (Z11.0)
Medicare LCD Coverage for Z13.811
Local Coverage Determinations (LCDs) from CMS MACs that list Z13.811 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 Z13.811.
1 Cigna
CPT Codes Commonly Billed with Z13.811
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
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.
Convert Z13.811 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| Z13.811 | V8289 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To Z13.811
Other codes in section Z00-Z13 (Persons encountering health services for examinations).
ICD-10 Z13.811, Billing FAQ
Is ICD-10 code Z13.811 billable? +
Yes, Z13.811 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What codes are Type 1 Excludes for Z13.811? +
Type 1 Excludes (never code together with Z13.811): encounter for screening for intestinal infectious disease (Z11.0)
What ICD-9 codes does Z13.811 map to? +
Per CMS GEMs, Z13.811 maps to ICD-9 codes: V8289. 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 June 1, 2026.
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