Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerBilling CodesPersons encountering health services for examinationsICD-10-CM z02-encounter-for-administrative-examination
    Ask Trek AI about this page

    ICD-10-CM Code For Encounter For Administrative Examination: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group Z02 includes codes for encounters for administrative examinations such as pre-employment physicals, routine administrative clearances, and examinations for school, insurance, or legal purposes. These ICD-10-CM diagnosis codes are used to document non-illness assessment encounters, capturing the reason for the visit and any relevant findings or limitations identified during the examination. Accurate coding within the ICD-10-CM Z02 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

    Customize your policy alerts

    Sign up for ICD-10-CM Code For Encounter For Administrative Examination: Group Overview policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    ICD-10-CM Z02: Encounter For Administrative Examination Overview

    The ICD-10-CM Z02 group represents encounters for administrative examinations such as pre-employment physicals, insurance examinations, and legal or administrative clearance evaluations. These codes target non-illness encounters rather than disease processes and often involve assessment of general health or specific functional capacities. Accurate coding matters for correct claim processing and to differentiate administrative visits from medically necessary diagnostic or treatment encounters.

    Table of contents

    Progress1 / 6

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    When to Use

    Use a code from this group when the documented reason for the encounter is an administrative or clearance examination and no new disease is being treated. These codes apply when the visit is performed to satisfy administrative, occupational, school, insurance, or legal requirements rather than for management of an acute or chronic medical condition.

    ICD-10-CM Codes

    15 rows

    ICD-10-CM CodeDescription
    Z02.0Encounter for examination for admission to educational institution
    Z02.1Encounter for pre-employment examination
    Z02.2Encounter for examination for admission to residential institution
    Z02.3Encounter for examination for recruitment to armed forces
    Z02.4Encounter for examination for driving license
    Z02.5Encounter for examination for participation in sport
    Z02.6Encounter for examination for insurance purposes
    Z02.71Encounter for disability determination
    Z02.79Encounter for issue of other medical certificate
    Z02.81Encounter for paternity testing
    Z02.82Encounter for adoption services
    Z02.83Encounter for blood-alcohol and blood-drug test
    Z02.84Encounter for child welfare exam
    Z02.89Encounter for other administrative examinations
    Z02.9Encounter for administrative examinations, unspecified

    DRG Codes

    2 rows

    DRG CodeDescription
    795Normal Newborn
    951Other Factors Influencing Health Status

    Typical Clinical Scenarios

    • A young adult presents to a clinic for a pre-employment physical required by their new employer; they have no acute complaints but need documentation that routine vitals, vision screening, and immunization status were reviewed to clear them for work. Because the visit is solely for an administrative examination rather than treatment of a disease, a code from this group is assigned to indicate the purpose of the encounter. Typical codes: Z02.0, Z02.1.
    • A pregnant person arrives for mandated prenatal genetic counseling and prenatal screening tests requested by their obstetric provider; there is no current pregnancy complication and the visit is focused on counseling and order placement for testing. The encounter is coded from this group to capture that the patient is being seen for an examination related to prenatal screening rather than for a disease condition. Typical codes: Z02.71, Z02.79.
    • An adult is seen in the emergency department after a minor motor vehicle collision primarily to obtain a medico-legal evaluation and documentation for an insurance claim; there are no significant injuries requiring treatment, and the visit is conducted to produce an administrative report and clearance for legal purposes. A code from this group is used to indicate the administrative/examination purpose of the encounter rather than a diagnostic injury code. Typical codes: Z02.89, Z02.9.

    Related Codes

    Z00-ENCOUNTER-FOR-GENERAL-EXAMINATION

    ICD-10-CM Code For Encounter For General Examination Without Complaint Suspected Or Reported Diagnosis: Group Overview

    Z01-ENCOUNTER-FOR-OTHER-SPECIAL-EXAMINATION

    ICD-10-CM Code For Encounter For Other Special Examination Without Complaint, Suspected Or Reported Diagnosis: Group Overview

    Z03-ENCOUNTER-FOR-MEDICAL-OBSERVATION

    ICD-10-CM Code For Encounter For Medical Observation For Suspected Diseases And Conditions Ruled Out: Group Overview

    Z04-ENCOUNTER-FOR-EXAMINATION-AND-OBSERVATION

    ICD-10-CM Code For Encounter For Examination And Observation For Other Reasons: Group Overview

    Z05-ENCOUNTER-FOR-NEWBORN-OBSERVATION

    ICD-10-CM Code For Encounter For Observation And Evaluation Of Newborn For Suspected Diseases And Conditions Ruled Out: Group Overview

    Z08-ENCOUNTER-FOR-FOLLOW-UP-MALIGNANT-NEOPLASM

    ICD-10-CM Code For Encounter For Follow-Up Examination After Completed Treatment For Malignant Neoplasm: Group Overview

    Z09-ENCOUNTER-FOR-FOLLOW-UP

    ICD-10-CM Code For Encounter For Follow-Up Examination After Completed Treatment For Conditions Other Than Malignant Neoplasm: Group Overview

    Z11-ENCOUNTER-FOR-SCREENING

    ICD-10-CM Code For Encounter For Screening For Infectious And Parasitic Diseases: Group Overview

    Z12-ENCOUNTER-FOR-SCREENING-MALIGNANT-NEOPLASMS

    ICD-10-CM Code For Encounter For Screening For Malignant Neoplasms: Group Overview

    Z13-ENCOUNTER-FOR-SCREENING

    ICD-10-CM Code For Encounter For Screening For Other Diseases And Disorders: Group Overview

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
    Published by

    Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.