2026 ICD-10-CM Diagnosis Code Z01.812Encounter for preprocedural laboratory examination

ICD-10-CM CodesZ00–Z99Z00-Z13Z01

ICD-10-CM Z01.812
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

Z01.812 is a billable ICD-10-CM diagnosis code for encounter for preprocedural laboratory examination. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). The code is not accepted as a principal diagnosis by the Medicare Code Editor and exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Medical examination/evaluation.

Code Identity

ICD-10-CM Code
Z01.812
Billable Status
Yes — Valid for Submission
Code Describes
Encounter for preprocedural laboratory examination
Short Description
Encounter for preprocedural laboratory examination
Same as the full description in the CMS dataset.
Parent Code
Encounter for preprocedural examinations

Code Classification

ChapterZ00–Z99Factors influencing health status and contact with health services
SectionZ00-Z13Persons encountering health services for examinations
CategoryZ01Encounter for other special examination without complaint, suspected or reported diagnosis
This CodeZ01.812Encounter for preprocedural laboratory examination

Code EditsBilling

Medicare Code Editor checks that affect claim validity for Z01.812.

There are selected codes that describe a circumstance which influences an individual's health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.

Present on Admission (POA)Billing

Z01.812 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

  • Blood and urine tests prior to treatment or procedure

Index to Diseases and InjuriesGuidance

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Examination(for) (following) (general) (of) (routine)
      • laboratory (as part of a general medical examination)
        • preprocedural
    • Examination(for) (following) (general) (of) (routine)
      • pre-procedural (pre-operative)
        • laboratory

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR FAC014
Medical examination/evaluation
Default principal diagnosis: inpatient No · outpatient Yes

Convert Z01.812 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
V72.63 Pre-procedure lab exam
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About Z01.812Overview

Is Z01.812 (Encounter for preprocedural examinations) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report encounter for preprocedural laboratory examination on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

Can Z01.812 be a principal diagnosis?

No. The Medicare Code Editor rejects this code as a principal diagnosis because encounter for preprocedural laboratory examination describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.

Is Z01.812 exempt from POA reporting?

Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for encounter for preprocedural laboratory examination on inpatient claims.

What is the ICD-9 equivalent of Z01.812?

Under the General Equivalence Mappings, encounter for preprocedural laboratory examination converts to ICD-9-CM V72.63 (pre-procedure lab exam). The mapping is a direct match.