Z11.52

Encounter for screening for COVID-19

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

BillableComplete code, valid to report

Z11.52 (also written Z1152) is a billable ICD-10-CM diagnosis code for encounter for screening for COVID-19. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 12 codes in category Z11 (Encounter for screening for infectious and parasitic diseases). The Alphabetic Index lists it under 9 entries. Its coding notes include 1 Excludes1 entry and 2 Excludes2 entries.

Guidelines tip

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

Testing to confirm or rule out a suspected diagnosis because of a sign or symptom is diagnostic, not screening. A screening code can be first-listed when the visit is for the screening.

Guidelines I.C.21.c.5Screening Z codesRead the official text

Excludes1

Not coded here. The listed conditions generally should not be reported together.

Inherited from Z11 Encounter for screening for infectious and parasitic diseases
  • encounter for diagnostic examination-code to sign or symptom

Excludes2

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

Inherited from Z11.5 Encounter for screening for other viral diseases
  • encounter for screening for viral intestinal disease (Z11.0)
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.-)

Care settings

How CMS programs treat this code. These are CMS claim edits and list entries, not coverage or eligibility rules.

Home Health Primary

Accepted as the primary (principal) diagnosis on a home health claim. The Home Health Grouper assigns it to the MMTA - Other clinical group.

Source: CMS Home Health Grouper Software v07.2.26, effective October 1, 2026

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. 9 entries