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 CodesZ01.20

Z01.20

Encounter for dental examination and cleaning without abnormal findings

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

Code Description

ICD-10 Z01.20 is a billable code used to indicate a diagnosis of encounter for dental examination and cleaning without abnormal findings.

Key Diagnostic Point:

Z01.20 is used to document encounters for routine dental examinations and cleanings when no abnormalities are found. This preventive care code emphasizes the importance of regular dental check-ups in maintaining oral health and preventing dental diseases. Factors influencing health status include access to dental care, socioeconomic status, and education about oral hygiene. Regular dental visits can lead to early detection of potential issues, promoting better health outcomes. Social determinants such as income, education, and community resources play a crucial role in an individual's ability to seek preventive dental care. This code is essential for tracking preventive services and ensuring that patients receive appropriate aftercare and follow-up as needed.

Code Complexity Analysis

Complexity Rating: Low

Low Complexity

Complexity Factors

  • Simplicity of documentation requirements
  • Clear guidelines for usage
  • Low likelihood of ambiguity in coding
  • Standardized preventive care protocols

Audit Risk Factors

  • Inadequate documentation of the examination findings
  • Failure to specify the preventive nature of the visit
  • Misuse of the code for non-preventive visits
  • Lack of supporting documentation for the encounter

Specialty Focus

Medical Specialties

Primary Care

Documentation Requirements

Documentation should include the date of the last dental visit, findings from the examination, and any recommendations for follow-up care.

Common Clinical Scenarios

Routine checkups, screenings for oral cancer, and aftercare instructions for maintaining oral hygiene.

Billing Considerations

Consideration of social determinants such as access to care and patient education on oral health.

Public Health

Documentation Requirements

Documentation should include population-level data on dental health, access to services, and outcomes of preventive care initiatives.

Common Clinical Scenarios

Epidemiological studies on dental health trends and preventive care outreach programs.

Billing Considerations

Focus on health disparities and access to dental care in underserved populations.

Coding Guidelines

Inclusion Criteria

Use Z01.20 When
  • Z codes are used when a patient encounters a healthcare provider for reasons other than a specific illness or injury
  • 20 should be sequenced as the primary diagnosis when the visit is solely for preventive dental care
  • Payer requirements may vary, so it is essential to verify coverage for preventive services

Exclusion Criteria

Do NOT use Z01.20 When
No specific exclusions found.

Related CPT Codes

D1110CPT Code

Prophylaxis, adult

Clinical Scenario

Used during a routine dental cleaning visit coded with Z01.20.

Documentation Requirements

Documentation must include the procedure performed and the absence of any findings.

Specialty Considerations

Primary care providers should ensure that preventive services are documented appropriately.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding preventive encounters, enhancing the ability to track and analyze dental health trends.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding preventive encounters, enhancing the ability to track and analyze dental health trends.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding preventive encounters, enhancing the ability to track and analyze dental health trends.

Resources

Clinical References

  • •
    CDC Oral Health Resources

Coding & Billing References

  • •
    CDC Oral Health Resources

Frequently Asked Questions

When should Z01.20 be used?

Z01.20 should be used for routine dental examinations and cleanings when no abnormalities are found, emphasizing the importance of preventive care.