2021 ICD-10-CM Code Z05.4

Observation and evaluation of newborn for suspected genetic, metabolic or immunologic condition ruled out

Version 2021

Not Valid for Submission

Z05.4 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of observation and evaluation of newborn for suspected genetic, metabolic or immunologic condition ruled out. The code is not specific and is NOT valid for the year 2021 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

ICD-10:Z05.4
Short Description:Obs & eval of NB for suspected genetic, metab,immun cond R/O
Long Description:Observation and evaluation of newborn for suspected genetic, metabolic or immunologic condition ruled out

Code Classification

Specific Coding for Obs & eval of NB for suspected genetic, metab,immun cond R/O

Non-specific codes like Z05.4 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for obs & eval of nb for suspected genetic, metab,immun cond r/o:

  • BILLABLE CODE - Use Z05.41 for Observation and evaluation of newborn for suspected genetic condition ruled out
  • BILLABLE CODE - Use Z05.42 for Observation and evaluation of newborn for suspected metabolic condition ruled out
  • BILLABLE CODE - Use Z05.43 for Observation and evaluation of newborn for suspected immunologic condition ruled out

Code History

  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018