Chapter XXI


Factors influencing health status and contact with health services
(Z00-Z99)

Persons encountering health services for examination and investigation
(Z00-Z13)

Note: Nonspecific abnormal findings disclosed at the time of these examinations are classified to categories R70-R94.
Excludes: examinations related to pregnancy and reproduction ( Z30-Z36 , Z39.- )

Z00 General examination and investigation of persons without complaint and reported diagnosis
Excludes: examination for administrative purposes ( Z02.- )
special screening examinations ( Z11-Z13 )
Z00.0 General medical examination
Health check-up NOS
Periodic examination (annual)(physical)
Excludes: general health check-up of:
· defined subpopulations ( Z10.- )
· infant or child ( Z00.1 )
Z00.1 Routine child health examination
Development testing of infant or child
Excludes: health supervision of foundling or other healthy infant or child ( Z76.1-Z76.2 )
Z00.2 Examination for period of rapid growth in childhood
Z00.3 Examination for adolescent development state
Puberty development state
Z00.4 General psychiatric examination, not elsewhere classified
Excludes: examination requested for medicolegal reasons ( Z04.6 )
Z00.5 Examination of potential donor of organ and tissue
Z00.6 Examination for normal comparison and control in clinical research programme
Z00.8 Other general examinations
Health examination in population surveys

Z01 Other special examinations and investigations of persons without complaint or reported diagnosis
Includes: routine examination of specific system
Excludes: examination for:
· administrative purposes ( Z02.- )
· suspected conditions, not proven ( Z03.- )
special screening examinations ( Z11-Z13 )
Z01.0 Examination of eyes and vision
Excludes: examination for driving licence ( Z02.4 )
Z01.1 Examination of ears and hearing
Z01.2 Dental examination
Z01.3 Examination of blood pressure
Z01.4 Gynaecological examination (general)(routine)
Papanicolaou smear of cervix
Pelvic examination (annual)(periodic)
Excludes: pregnancy examination or test ( Z32.- )
routine examination for contraceptive maintenance ( Z30.4-Z30.5 )
Z01.5 Diagnostic skin and sensitization tests
Allergy tests
Skin tests for:
· bacterial disease
· hypersensitivity
Z01.6 Radiological examination, not elsewhere classified
Routine:
· chest X-ray
· mammogram
Z01.7 Laboratory examination
Z01.8 Other specified special examinations
Z01.9 Special examination, unspecified

Z02 Examination and encounter for administrative purposes
Z02.0 Examination for admission to educational institution
Examination for admission to preschool (education)
Z02.1 Pre-employment examination
Excludes: occupational health examination ( Z10.0 )
Z02.2 Examination for admission to residential institutions
Excludes: examination for admission to prison ( Z02.8 )
general health check-up of inhabitants of institutions ( Z10.1 )
Z02.3 Examination for recruitment to armed forces
Excludes: general health check-up of armed forces ( Z10.2 )
Z02.4 Examination for driving licence
Z02.5 Examination for participation in sport
Excludes: blood-alcohol and blood-drug test ( Z04.0 )
general health check-up of sports teams ( Z10.3 )
Z02.6 Examination for insurance purposes
Z02.7 Issue of medical certificate
Issue of medical certificate of:
· cause of death
· fitness
· incapacity
· invalidity
Excludes: encounter for general medical examination ( Z00-Z01 , Z02.0-Z02.6 , Z02.8-Z02.9 , Z10.- )
Z02.8 Other examinations for administrative purposes
Examination (for):
· admission to:
  · prison
  · summer camp
· adoption
· immigration
· naturalization
· premarital
Excludes: health supervision of foundling or other healthy infant or child ( Z76.1-Z76.2 )
Z02.9 Examination for administrative purposes, unspecified

Z03 Medical observation and evaluation for suspected diseases and conditions
Includes: persons who present some symptoms or evidence of an abnormal condition which requires study, but who, after examination and observation, show no need for further treatment or medical care
Excludes: person with feared complaint in whom no diagnosis is made ( Z71.1 )
Z03.0 Observation for suspected tuberculosis
Z03.1 Observation for suspected malignant neoplasm
Z03.2 Observation for suspected mental and behavioural disorders
Observation for:
· dissocial behaviour
· fire-setting
· gang activity
· shop lifting
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without manifest psychiatric disorder
Z03.3 Observation for suspected nervous system disorder
Z03.4 Observation for suspected myocardial infarction
Z03.5 Observation for other suspected cardiovascular diseases
Z03.6 Observation for suspected toxic effect from ingested substance
Observation for suspected:
· adverse effect from drug
· poisoning
Z03.8 Observation for other suspected diseases and conditions
Z03.9 Observation for suspected disease or condition, unspecified

Z04 Examination and observation for other reasons
Includes: examination for medicolegal reasons
Z04.0 Blood-alcohol and blood-drug test
Excludes: presence of:
· alcohol in blood ( R78.0 )
· drugs in blood ( R78.- )
Z04.1 Examination and observation following transport accident
Excludes: following work accident ( Z04.2 )
Z04.2 Examination and observation following work accident
Z04.3 Examination and observation following other accident
Z04.4 Examination and observation following alleged rape and seduction
Examination of victim or culprit following alleged rape or seduction
Z04.5 Examination and observation following other inflicted injury
Examination of victim or culprit following other inflicted injury
Z04.6 General psychiatric examination, requested by authority
Z04.8 Examination and observation for other specified reasons
Request for expert evidence
Z04.9 Examination and observation for unspecified reason
Observation NOS

Z08 Follow-up examination after treatment for malignant neoplasms
Includes: medical surveillance following treatment
Excludes: follow-up medical care and convalescence ( Z42-Z51 , Z54.- )
Z08.0 Follow-up examination after surgery for malignant neoplasm
Z08.1 Follow-up examination after radiotherapy for malignant neoplasm
Excludes: radiotherapy session ( Z51.0 )
Z08.2 Follow-up examination after chemotherapy for malignant neoplasm
Excludes: chemotherapy session ( Z51.1 )
Z08.7 Follow-up examination after combined treatment for malignant neoplasm
Z08.8 Follow-up examination after other treatment for malignant neoplasm
Z08.9 Follow-up examination after unspecified treatment for malignant neoplasm

Z09 Follow-up examination after treatment for conditions other than malignant neoplasms
Includes: medical surveillance following treatment
Excludes: follow-up medical care and convalescence ( Z42-Z51 , Z54.- )
medical surveillance following treatment for malignant neoplasms ( Z08.- )
surveillance of:
· contraception ( Z30.4-Z30.5 )
· prosthetic and other medical devices ( Z44-Z46 )
Z09.0 Follow-up examination after surgery for other conditions
Z09.1 Follow-up examination after radiotherapy for other conditions
Excludes: radiotherapy session ( Z51.0 )
Z09.2 Follow-up examination after chemotherapy for other conditions
Excludes: maintenance chemotherapy ( Z51.1-Z51.2 )
Z09.3 Follow-up examination after psychotherapy
Z09.4 Follow-up examination after treatment of fracture
Z09.7 Follow-up examination after combined treatment for other conditions
Z09.8 Follow-up examination after other treatment for other conditions
Z09.9 Follow-up examination after unspecified treatment for other conditions

Z10 Routine general health check-up of defined subpopulation
Excludes: medical examination for administrative purposes ( Z02.- )
Z10.0 Occupational health examination
Excludes: pre-employment examination ( Z02.1 )
Z10.1 Routine general health check-up of inhabitants of institutions
Excludes: admission examination ( Z02.2 )
Z10.2 Routine general health check-up of armed forces
Excludes: recruitment examination ( Z02.3 )
Z10.3 Routine general health check-up of sports teams
Excludes: blood-alcohol and blood-drug test ( Z04.0 )
examination for participation in sport ( Z02.5 )
Z10.8 Routine general health check-up of other defined subpopulations
Schoolchildren
Students

Z11 Special screening examination for infectious and parasitic diseases
Z11.0 Special screening examination for intestinal infectious diseases
Z11.1 Special screening examination for respiratory tuberculosis
Z11.2 Special screening examination for other bacterial diseases
Z11.3 Special screening examination for infections with a predominantly sexual mode of transmission
Z11.4 Special screening examination for human immunodeficiency virus [HIV]
Z11.5 Special screening examination for other viral diseases
Excludes: viral intestinal disease ( Z11.0 )
Z11.6 Special screening examination for other protozoal diseases and helminthiases
Excludes: protozoal intestinal disease ( Z11.0 )
Z11.8 Special screening examination for other infectious and parasitic diseases
Chlamydial
Rickettsial
Spirochaetal
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diseases
Mycoses
Z11.9 Special screening examination for infectious and parasitic diseases, unspecified

Z12 Special screening examination for neoplasms
Z12.0 Special screening examination for neoplasm of stomach
Z12.1 Special screening examination for neoplasm of intestinal tract
Z12.2 Special screening examination for neoplasm of respiratory organs
Z12.3 Special screening examination for neoplasm of breast
Excludes: routine mammogram ( Z01.6 )
Z12.4 Special screening examination for neoplasm of cervix
Excludes: when routine test or as part of general gynaecological examination ( Z01.4 )
Z12.5 Special screening examination for neoplasm of prostate
Z12.6 Special screening examination for neoplasm of bladder
Z12.8 Special screening examination for neoplasms of other sites
Z12.9 Special screening examination for neoplasm, unspecified

Z13 Special screening examination for other diseases and disorders
Z13.0 Special screening examination for diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
Z13.1 Special screening examination for diabetes mellitus
Z13.2 Special screening examination for nutritional disorders
Z13.3 Special screening examination for mental and behavioural disorders
Alcoholism
Depression
Mental retardation
Z13.4 Special screening examination for certain developmental disorders in childhood
Excludes: routine development testing of infant or child ( Z00.1 )
Z13.5 Special screening examination for eye and ear disorders
Z13.6 Special screening examination for cardiovascular disorders
Z13.7 Special screening examination for congenital malformations, deformations and chromosomal abnormalities
Z13.8 Special screening examination for other specified diseases and disorders
Dental disorder
Endocrine and metabolic disorders
Excludes: diabetes mellitus ( Z13.1 )
Z13.9 Special screening examination, unspecified