ICD-10 Code Z13.6

Encounter for screening for cardiovascular disorders

Version 2019 Billable Code Unacceptable Principal Diagnosis POA Exempt
ICD-10: Z13.6
Short Description:Encounter for screening for cardiovascular disorders
Long Description:Encounter for screening for cardiovascular disorders

Valid for Submission

ICD-10 Z13.6 is a billable code used to specify a medical diagnosis of encounter for screening for cardiovascular disorders. The code is valid for the year 2019 for the submission of HIPAA-covered transactions.

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)

Information for Medical Professionals

Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:

  • Unacceptable principal diagnosis - 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.

Convert Z13.6 to ICD-9

The following crosswalk between ICD-10 to ICD-9 is based based on the General Equivalence Mappings (GEMS) information:

  • V81.1 - Screen for hypertension (Approximate Flag)
  • V81.2 - Screen-cardiovasc NEC (Approximate Flag)

Present on Admission (POA)

Z13.6 is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement.

CMS POA Indicator Options and Definitions
POA Indicator CodePOA Reason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO

Synonyms

The following clinical terms are approximate synonyms:

  • Abdominal aortic aneurysm screening done
  • Hypertension screening status
  • Possible thrombus
  • Risk factors present at hypertension screening
  • Suspected deep vein thrombosis
  • Suspected heart disease
  • Suspected hypertension
  • Temporal finding

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code Z13.6 are found in the index:


Information for Patients


Health Screening

Also called: Screening tests

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


[Learn More]

Heart Diseases

Also called: Cardiac diseases

If you're like most people, you think that heart disease is a problem for others. But heart disease is the number one killer in the U.S. It is also a major cause of disability. There are many different forms of heart disease. The most common cause of heart disease is narrowing or blockage of the coronary arteries, the blood vessels that supply blood to the heart itself. This is called coronary artery disease and happens slowly over time. It's the major reason people have heart attacks.

Other kinds of heart problems may happen to the valves in the heart, or the heart may not pump well and cause heart failure. Some people are born with heart disease.

You can help reduce your risk of heart disease by taking steps to control factors that put you at greater risk:

  • Control your blood pressure
  • Lower your cholesterol
  • Don't smoke
  • Get enough exercise

NIH: National Heart, Lung, and Blood Institute

  • Aspirin and heart disease (Medical Encyclopedia)
  • Being active when you have heart disease (Medical Encyclopedia)
  • Electrocardiogram (Medical Encyclopedia)
  • Exercise stress test (Medical Encyclopedia)
  • Heart disease - risk factors (Medical Encyclopedia)
  • Heart disease and depression (Medical Encyclopedia)
  • Understanding cardiovascular disease (Medical Encyclopedia)
  • Warning signs and symptoms of heart disease (Medical Encyclopedia)

[Learn More]

Vascular Diseases

The vascular system is the body's network of blood vessels. It includes the arteries, veins and capillaries that carry blood to and from the heart. Problems of the vascular system are common and can be serious. Arteries can become thick and stiff, a problem called atherosclerosis. Blood clots can clog vessels and block blood flow to the heart or brain. Weakened blood vessels can burst, causing bleeding inside the body.

You are more likely to have vascular disease as you get older. Other factors that make vascular disease more likely include

  • Family history of vascular or heart diseases
  • Pregnancy
  • Illness or injury
  • Long periods of sitting or standing still
  • Any condition that affects the heart and blood vessels, such as diabetes or high cholesterol
  • Smoking
  • Obesity

Losing weight, eating healthy foods, being active and not smoking can help vascular disease. Other treatments include medicines and surgery.

  • Aortic arch syndrome (Medical Encyclopedia)
  • Arterial embolism (Medical Encyclopedia)
  • Arteriogram (Medical Encyclopedia)
  • Cerebral angiography (Medical Encyclopedia)
  • Duplex ultrasound (Medical Encyclopedia)
  • Venous insufficiency (Medical Encyclopedia)
  • Venous ulcers -- self-care (Medical Encyclopedia)

[Learn More]

ICD-10 Footnotes

General Equivalence Map Definitions
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

  • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.