ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesZ13.49

Z13.49

Encounter for screening for other developmental delays

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/12/2025

Code Description

ICD-10 Z13.49 is a billable code used to indicate a diagnosis of encounter for screening for other developmental delays.

Key Diagnostic Point:

Z13.49 is utilized during encounters specifically aimed at screening for developmental delays that do not fall under the more commonly recognized categories such as autism or speech delays. This code is crucial in identifying children who may be at risk for various developmental issues, allowing for early intervention and support. Factors influencing health status include socioeconomic status, access to healthcare, and educational resources, which can significantly impact developmental outcomes. Preventive care through regular screenings can help identify delays early, enabling timely referrals to specialists and tailored interventions. Social determinants of health, such as family dynamics, community resources, and parental education levels, play a vital role in a child's development and should be considered during the screening process. Proper documentation of these factors is essential for accurate coding and to ensure that the patient receives appropriate follow-up care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of developmental delays that may be screened for under this code
  • Need for comprehensive documentation of social determinants of health
  • Potential overlap with other Z codes related to developmental issues
  • Variability in payer requirements for coverage of screening services

Audit Risk Factors

  • Inadequate documentation of the specific developmental delays being screened for
  • Failure to link the Z code to appropriate preventive services or screenings
  • Lack of evidence for the necessity of the screening based on patient history
  • Improper sequencing of Z codes with primary diagnosis codes

Specialty Focus

Medical Specialties

Primary Care

Documentation Requirements

Documentation must include the reason for screening, patient history, and any relevant social determinants of health.

Common Clinical Scenarios

Routine well-child visits where developmental milestones are assessed, and screenings for developmental delays are conducted.

Billing Considerations

Consideration of family history and environmental factors that may influence development.

Public Health

Documentation Requirements

Documentation should include population-level data, screening outcomes, and follow-up plans.

Common Clinical Scenarios

Community health screenings aimed at identifying developmental delays in at-risk populations.

Billing Considerations

Focus on tracking health disparities and ensuring equitable access to screening services.

Coding Guidelines

Inclusion Criteria

Use Z13.49 When
  • Z codes are used when a patient is not currently ill but requires screening or preventive services
  • When coding Z13
  • 49, it should be sequenced appropriately with any primary diagnosis codes that justify the encounter
  • Payer requirements may vary, so it is essential to verify coverage for screening services

Exclusion Criteria

Do NOT use Z13.49 When
No specific exclusions found.

Related CPT Codes

96110CPT Code

Developmental screening, with interpretation and report

Clinical Scenario

Used during well-child visits when developmental screenings are performed.

Documentation Requirements

Documentation must include the specific developmental areas assessed and the results of the screening.

Specialty Considerations

Primary care providers should ensure that screenings are age-appropriate and follow established guidelines.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding developmental delays, enabling better tracking and management of these conditions. Z13.49 provides a clear framework for identifying children at risk and ensuring they receive appropriate interventions.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding developmental delays, enabling better tracking and management of these conditions. Z13.49 provides a clear framework for identifying children at risk and ensuring they receive appropriate interventions.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding developmental delays, enabling better tracking and management of these conditions. Z13.49 provides a clear framework for identifying children at risk and ensuring they receive appropriate interventions.

Resources

Clinical References

  • •
    CDC Developmental Milestones

Coding & Billing References

  • •
    CDC Developmental Milestones

Frequently Asked Questions

When should Z13.49 be used?

Z13.49 should be used during encounters specifically for screening for developmental delays that are not classified under other specific Z codes. It is essential to document the reason for the screening and any relevant social factors that may influence the child's development.