ICD-10 Guide

Z13.220

Encounter for screening for lipoid disorders

BILLABLE STATUSYes

IMPLEMENTATION DATEOctober 1, 2015

LAST UPDATED09/12/2025

Code Description

ICD-10 Z13.220 is a billable code used to indicate a diagnosis of encounter for screening for lipoid disorders.

Key Diagnostic Point:

Z13.220 is used to indicate an encounter for screening for lipoid disorders, which include conditions such as hyperlipidemia and dyslipidemia. These disorders are significant risk factors for cardiovascular diseases and other health complications. Screening for lipoid disorders is a preventive measure aimed at identifying individuals at risk before symptoms arise. Factors influencing health status, such as diet, physical activity, and family history, play a crucial role in the development of lipoid disorders. Social determinants of health, including socioeconomic status, access to healthcare, and education, can also impact an individual's risk and management of these disorders. Preventive care through regular screenings can lead to early interventions, lifestyle modifications, and medication management, ultimately improving health outcomes. Proper documentation of risk factors and screening results is essential for accurate coding and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

Need for thorough documentation of risk factors and patient history
Variability in payer requirements for preventive screenings
Potential overlap with other Z codes related to screening
Importance of accurate coding to reflect the preventive nature of the encounter

Audit Risk Factors

Inadequate documentation of patient risk factors
Failure to link screening results to the Z code
Incorrect sequencing of codes when co-coding with other conditions
Lack of clarity on the purpose of the encounter in documentation

Specialty Focus

Medical Specialties

Primary Care

Documentation Requirements

Document patient history, risk factors, and screening results. Include lifestyle factors and family history.

Common Clinical Scenarios

Routine checkups where lipid panels are ordered, follow-up visits for abnormal results.

Billing Considerations

Consider social determinants such as access to healthy food and exercise facilities.

Public Health

Documentation Requirements

Collect population-level data on screening rates and outcomes. Document community health initiatives.

Common Clinical Scenarios

Community health fairs offering lipid screenings, epidemiological studies on lipoid disorders.

Billing Considerations

Focus on health disparities and access to preventive services in different populations.

Coding Guidelines

Inclusion Criteria

Use Z13.220 When

Z codes are used when a patient is not currently ill but is seeking preventive care
220 should be sequenced as the primary diagnosis when the encounter is solely for screening
Payer requirements may vary, so it is essential to verify coverage for preventive screenings

Exclusion Criteria

Do NOT use Z13.220 When

No specific exclusions found.

Related CPT Codes

80061CPT Code

Lipid panel

Clinical Scenario

Used during preventive visits to assess lipid levels in patients being screened for lipoid disorders.

Documentation Requirements

Document the reason for the lipid panel and any relevant patient history.

Specialty Considerations

Primary care providers should ensure comprehensive documentation to support the preventive nature of the visit.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding lipoid disorders, improving the ability to track and manage these conditions effectively.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding lipoid disorders, improving the ability to track and manage these conditions effectively.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding lipoid disorders, improving the ability to track and manage these conditions effectively.

Resources

Clinical References

•
National Heart, Lung, and Blood Institute - Lipid Disorders

Coding & Billing References

•
National Heart, Lung, and Blood Institute - Lipid Disorders

Frequently Asked Questions

When should Z13.220 be used?

Z13.220 should be used during encounters specifically for screening for lipoid disorders, particularly when no current diagnosis exists, and preventive care is being provided.

ICD-10 Z13.220 is a billable code used to indicate a diagnosis of encounter for screening for lipoid disorders.