The following Z codes/categories may only be reported as the principal/first-listed diagnosis, except when there are multiple encounters on the same day and the medical records for the encounters are combined:
- Z00 Encounter for general examination without complaint, suspected or reported diagnosis. Except: Z00.6
- Z01 Encounter for other special examination without complaint, suspected or reported diagnosis
- Z02 Encounter for administrative examination
- Z03 Encounter for medical observation for suspected diseases and conditions ruled out
- Z04 Encounter for examination and observation for other reasons
- Z31.81 Encounter for male factor infertility in female patient
- Z31.83 Encounter for assisted reproductive fertility procedure cycle
- Z31.84 Encounter for fertility preservation procedure
- Z33.2 Encounter for elective termination of pregnancy
- Z34 Encounter for supervision of normal pregnancy
- Z38 Liveborn infants according to place of birth and type of delivery
- Z39 Encounter for maternal postpartum care and examination
- Z42 Encounter for plastic and reconstructive surgery following medical procedure or healed injury
- Z51.0 Encounter for antineoplastic radiation therapy
- Z51.1- Encounter for antineoplastic chemotherapy and immunotherapy
- Z52 Donors of organs and tissues Except: Z52.9, Donor of unspecified organ or tissue
- Z76.1 Encounter for health supervision and care of foundling
- Z76.2 Encounter for health supervision and care of other healthy infant and child
- Z99.12 Encounter for respirator [ventilator] dependence during power failure
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