Z02.6

Encounter for examination for insurance purposes

FY2027Chapter 21: Factors influencing health status and contact with health services/Z00–Z13 Persons encountering health services for examinations

BillableComplete code, valid to report

Z02.6 (also written Z026) is a billable ICD-10-CM diagnosis code for encounter for examination for insurance purposes. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 15 codes in category Z02 (Encounter for administrative examination). The Alphabetic Index lists it under 2 entries. Its coding notes include 1 Excludes2 entry.

Guidelines tip

From the FY2027 Official Guidelines. ICD10Ref adds no rules of its own.

These codes are not used when the examination is for diagnosing a suspected condition or for treatment. Conditions discovered are coded as additional codes, and an exam with abnormal findings needs a code for each finding.

Guidelines I.C.21.c.12Routine and administrative examinations (Z00-Z02)Read the official text

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

Also from chapter/block level (1 note)
Inherited from Z00–Z13 Persons encountering health services for examinations
  • examinations related to pregnancy and reproduction (Z30-Z36, Z39.-)

Notes

Also from chapter/block level (4 notes)
Inherited from Z00–Z13 Persons encountering health services for examinations
  • Nonspecific abnormal findings disclosed at the time of these examinations are classified to categories R70-R94.
Inherited from Chapter 21 Factors influencing health status and contact with health services
  • Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
    • (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
    • (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.

Alphabetic Index terms

Terms the official Alphabetic Index lists for this code. 2 entries