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ICD-10 Guide
ICD-10 CodesZ13.83

Z13.83

Encounter for screening for respiratory disorder NEC

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

Code Description

ICD-10 Z13.83 is a billable code used to indicate a diagnosis of encounter for screening for respiratory disorder nec.

Key Diagnostic Point:

Z13.83 is utilized during encounters specifically aimed at screening for respiratory disorders not elsewhere classified (NEC). This code is crucial in preventive healthcare, allowing healthcare providers to identify potential respiratory issues before they develop into more serious conditions. Factors influencing health status, such as environmental exposures (e.g., pollution, allergens), socioeconomic status, and access to healthcare services, play a significant role in respiratory health. Screening can include assessments for conditions like asthma, chronic obstructive pulmonary disease (COPD), and other respiratory ailments. The use of this code emphasizes the importance of preventive care in managing respiratory health, particularly in populations at risk due to social determinants such as housing quality, occupational exposures, and access to clean air. Proper documentation of the screening process, including patient history and risk factors, is essential for accurate coding and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of respiratory disorders that may be screened under this code
  • Need for comprehensive patient history and risk factor documentation
  • Potential overlap with other Z codes for respiratory conditions
  • Variability in payer requirements for preventive screenings

Audit Risk Factors

  • Inadequate documentation of screening rationale
  • Failure to document patient history and risk factors
  • Incorrect coding due to misunderstanding of NEC classification
  • Lack of follow-up documentation for identified issues

Specialty Focus

Medical Specialties

Primary Care

Documentation Requirements

Documentation should include patient history, risk factors, and results of the screening tests. It is essential to note any referrals made for further evaluation.

Common Clinical Scenarios

Routine checkups where respiratory health is assessed, screenings for asthma or COPD in high-risk populations, and follow-up visits for previously identified respiratory issues.

Billing Considerations

Consideration of social determinants such as smoking status, occupational exposures, and living conditions that may affect respiratory health.

Public Health

Documentation Requirements

Documentation should focus on population-level data, including demographics, prevalence of respiratory disorders, and outcomes of screening programs.

Common Clinical Scenarios

Community health screenings for respiratory disorders, epidemiological studies assessing the impact of environmental factors on respiratory health.

Billing Considerations

Emphasis on tracking health disparities and the impact of social determinants on respiratory health outcomes.

Coding Guidelines

Inclusion Criteria

Use Z13.83 When
  • Z codes are used to indicate encounters for reasons other than a current illness or injury
  • When using Z13
  • 83, it is important to ensure that the screening is documented as part of a preventive care visit
  • Payer requirements may vary, so it is essential to verify coverage for preventive screenings

Exclusion Criteria

Do NOT use Z13.83 When
No specific exclusions found.

Related CPT Codes

94010CPT Code

Spirometry, including graphic record, interpretation, and report

Clinical Scenario

Used during a preventive visit when screening for respiratory disorders.

Documentation Requirements

Documentation of the spirometry results and interpretation must be included.

Specialty Considerations

Primary care providers should ensure that the spirometry is indicated based on patient history.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding respiratory screenings, enhancing the ability to track and manage respiratory health effectively.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding respiratory screenings, enhancing the ability to track and manage respiratory health effectively.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding respiratory screenings, enhancing the ability to track and manage respiratory health effectively.

Resources

Clinical References

  • •
    CDC Guidelines for Respiratory Health

Coding & Billing References

  • •
    CDC Guidelines for Respiratory Health

Frequently Asked Questions

What documentation is required for Z13.83?

Documentation must include the reason for the screening, patient history, risk factors, and results of the screening tests. Follow-up actions should also be noted.