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v1.0.0
ICD-10 Guide
ICD-10 CodesZ13.29

Z13.29

Encounter for screening for other suspected endocrine disorder

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

Code Description

ICD-10 Z13.29 is a billable code used to indicate a diagnosis of encounter for screening for other suspected endocrine disorder.

Key Diagnostic Point:

Z13.29 is utilized during encounters where patients are screened for suspected endocrine disorders that do not fall under more specific categories. This code is crucial in preventive healthcare, as it allows healthcare providers to identify potential endocrine issues early, which can significantly impact patient health outcomes. Social determinants of health, such as socioeconomic status, access to healthcare, and education, play a vital role in the prevalence and management of endocrine disorders. Preventive care through screening can help mitigate risks associated with conditions like diabetes, thyroid disorders, and hormonal imbalances. Proper documentation of the patient's health status, risk factors, and any relevant social determinants is essential for accurate coding and reimbursement. This code is often used in conjunction with other diagnostic codes to provide a comprehensive view of the patient's health status and needs.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for comprehensive documentation of risk factors and symptoms
  • Potential overlap with other endocrine disorder codes
  • Variability in payer requirements for preventive screenings
  • Importance of capturing social determinants of health

Audit Risk Factors

  • Inadequate documentation of the clinical rationale for screening
  • Failure to link Z13.29 with appropriate diagnostic codes
  • Lack of evidence for social determinants impacting health status
  • Incorrect sequencing of codes in relation to primary diagnosis

Specialty Focus

Medical Specialties

Primary Care

Documentation Requirements

Document patient history, risk factors, and any relevant symptoms. Include details on social determinants affecting health.

Common Clinical Scenarios

Routine checkups where endocrine disorders are suspected based on family history or presenting symptoms.

Billing Considerations

Consideration of lifestyle factors, access to care, and patient education on endocrine health.

Public Health

Documentation Requirements

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

Common Clinical Scenarios

Community screenings for thyroid disorders or diabetes in at-risk populations.

Billing Considerations

Focus on health disparities and access to preventive services.

Coding Guidelines

Inclusion Criteria

Use Z13.29 When
  • Z codes are used when a patient is not currently ill but is seeking preventive care or screening
  • 29 should be sequenced appropriately, often as a secondary code following a primary diagnosis
  • Payer requirements may vary, so it's essential to verify coverage for preventive screenings

Exclusion Criteria

Do NOT use Z13.29 When
No specific exclusions found.

Related CPT Codes

83036CPT Code

Hemoglobin A1c test

Clinical Scenario

Used during screening for diabetes in conjunction with Z13.29.

Documentation Requirements

Document the reason for the test and any relevant patient history.

Specialty Considerations

Primary care providers should ensure comprehensive documentation of risk factors.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding, enabling better tracking of endocrine disorders and their risk factors.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding, enabling better tracking of endocrine disorders and their risk factors.

Reimbursement & Billing Impact

impact the patient's endocrine status.

Resources

Clinical References

  • •
    Preventive Services Task Force Recommendations

Coding & Billing References

  • •
    Preventive Services Task Force Recommendations

Frequently Asked Questions

When should Z13.29 be used?

Z13.29 should be used during encounters where a patient is being screened for suspected endocrine disorders, particularly when there are risk factors or symptoms present.