ICD-10-CM Code Z13.4

Encounter for screening for certain developmental disorders in childhood

Version 2020 Replaced Code Non-Billable Code

Not Valid for Submission

Z13.4 is a "header" nonspecific and non-billable code code, consider using a code with a higher level of specificity for a diagnosis of encounter for screening for certain developmental disorders in childhood. The code is NOT valid for the year 2020 for the submission of HIPAA-covered transactions.

ICD-10:Z13.4
Short Description:Encntr screen for certain developmental disorders in chldhd
Long Description:Encounter for screening for certain developmental disorders in childhood

Consider the following ICD-10 codes with a higher level of specificity:

  • Z13.40 - Encounter for screening for unspecified developmental delays
  • Z13.41 - Encounter for autism screening
  • Z13.42 - Encounter for screening for global developmental delays (milestones)
  • Z13.49 - Encounter for screening for other developmental delays

Replaced Code

This code was replaced in the 2020 ICD-10 code set with the code(s) listed below. The National Center for Health Statistics (NCHS) has published an update to the ICD-10-CM diagnosis codes which became effective October 1, 2019. This code was replaced for the FY 2020 (October 1, 2019 - September 30, 2020).

  • Z13.40 - Encounter for screening for unspecified developmental delays
  • Z13.41 - Encounter for autism screening
  • Z13.42 - Encntr screen for global developmental delays (milestones)
  • Z13.49 - Encounter for screening for other developmental delays

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code Z13.4:

Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Encounter for development testing of infant or child
  • Encounter for screening for developmental handicaps in early childhood

Type 2 Excludes

Type 2 Excludes
A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
  • encounter for routine child health examination Z00.12

Convert Z13.4 to ICD-9

  • V79.2 - Scrn intellect disabilty (Approximate Flag)
  • V79.3 - Screen-development prob (Approximate Flag)
  • V79.8 - Screen-mental dis NEC (Approximate Flag)

Code Classification

  • Factors influencing health status and contact with health services (Z00–Z99)
    • Persons encountering health services for examinations (Z00-Z13)
      • Encounter for screening for other diseases and disorders (Z13)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - Code Deleted, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


Developmental Disabilities

Developmental disabilities are severe, long-term problems. They may be physical, such as blindness. They may affect mental ability, such as learning disabilities. Or the problem can be both physical and mental, such as Down syndrome. The problems are usually life-long, and can affect everyday living.

There are many causes of developmental disabilities, including

  • Genetic or chromosome abnormalities. These cause conditions such as Down syndrome and Rett syndrome.
  • Prenatal exposure to substances. For example, drinking alcohol when pregnant can cause fetal alcohol spectrum disorders.
  • Certain infections in pregnancy
  • Preterm birth

Often there is no cure, but treatment can help the symptoms. Treatments include physical, speech, and occupational therapy. Special education classes and psychological counseling can also help.

NIH: National Institute of Child Health and Human Development


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Health Screening

Screenings are tests that look for diseases before you have symptoms. Screening tests can find diseases early, when they're easier to treat. You can get some screenings in your doctor's office. Others need special equipment, so you may need to go to a different office or clinic.

Some conditions that doctors commonly screen for include

  • Breast cancer and cervical cancer in women
  • Colorectal cancer
  • Diabetes
  • High blood pressure
  • High cholesterol
  • Osteoporosis
  • Overweight and obesity
  • Prostate cancer in men

Which tests you need depends on your age, your sex, your family history, and whether you have risk factors for certain diseases. After a screening test, ask when you will get the results and whom to talk to about them.

Agency for Healthcare Research and Quality


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