Documentation & Coding Risks
Avoid these common issues when documenting Annual Exam.
Frequently Asked Questions
The ICD-10 code for an annual exam with abnormal findings is Z00.01. This code is used when any abnormal condition is identified during the exam.
For a routine annual exam without any abnormal findings, use ICD-10 code Z00.00. This indicates a general adult medical examination with no abnormalities.
Related condition guides
Documentation requirements, coding pitfalls and FAQs for conditions coded with Z00.01.