2025 ICD-10-CM Diagnosis Code Z02.71
Encounter for disability determination
- ICD-10-CM Code:
- Z02.71
- ICD-10 Code for:
- Encounter for disability determination
- Is Billable?
- Yes - Valid for Submission
- Code Navigator:
Z02.71 is a billable diagnosis code used to specify a medical diagnosis of encounter for disability determination. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2024 through September 30, 2025. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
This code describes a circumstance which influences the patient's health status but not a current illness or injury. The code is unacceptable as a principal diagnosis.
Approximate Synonyms
The following list of clinical terms are approximate synonyms, alternative descriptions, or common phrases that might be used by patients, healthcare providers, or medical coders to describe the same condition. These synonyms and related diagnosis terms are often used when searching for an ICD-10 code, especially when the exact medical terminology is unclear. Whether you're looking for lay terms, similar diagnosis names, or common language alternatives, this list can help guide you to the correct ICD-10 classification.
- Application status
- Disability evaluation disability 1 percent
- Disability evaluation disability 10 percent
- Disability evaluation disability 100 percent
- Disability evaluation disability 12 percent
- Disability evaluation disability 15 percent
- Disability evaluation disability 18 percent
- Disability evaluation disability 2 percent
- Disability evaluation disability 20 percent
- Disability evaluation disability 25 percent
- Disability evaluation disability 3 percent
- Disability evaluation disability 30 percent
- Disability evaluation disability 35 percent
- Disability evaluation disability 4 percent
- Disability evaluation disability 40 percent
- Disability evaluation disability 45 percent
- Disability evaluation disability 5 percent
- Disability evaluation disability 50 percent
- Disability evaluation disability 55 percent
- Disability evaluation disability 6 percent
- Disability evaluation disability 60 percent
- Disability evaluation disability 65 percent
- Disability evaluation disability 7 percent
- Disability evaluation disability 70 percent
- Disability evaluation disability 75 percent
- Disability evaluation disability 8 percent
- Disability evaluation disability 80 percent
- Disability evaluation disability 85 percent
- Disability evaluation disability 9 percent
- Disability evaluation disability 90 percent
- Disability evaluation disability 95 percent
- Disability evaluation disability 98 percent
- Disability evaluation disability 99 percent
- Disability evaluation, impairment, class 1
- Disability evaluation, impairment, class 2
- Disability evaluation, impairment, class 3
- Disability evaluation, impairment, class 4
- Disability evaluation, impairment, class 5
- Disability evaluation, impairment, class 6
- Disability evaluation, impairment, class 7
- Disability evaluation, impairment, class 8
- Disability evaluation, impairment, class 9
- Disabled driver examination status
- Disabled registration application - examined
- Disabled registration application status
- Gross motor disability
- Impairment
- Impairment
- Impairment
- Impairment
- Impairment
- Impairment
- Impairment
- Impairment
- Impairment
- Impairment class
- Impairment class
- Impairment class
- Impairment class
- Impairment class
- Impairment class
- Impairment class
- Impairment class
- Impairment class
Clinical Classification
Clinical Classifications group individual ICD-10-CM diagnosis codes into broader, clinically meaningful categories. These categories help simplify complex data by organizing related conditions under common clinical themes.
They are especially useful for data analysis, reporting, and clinical decision-making. Even when diagnosis codes differ, similar conditions can be grouped together based on their clinical relevance. Each category is assigned a unique CCSR code that represents a specific clinical concept, often tied to a body system or medical specialty.
Encounter for administrative purposes
CCSR Code: FAC001
Inpatient Default: X - Not applicable.
Outpatient Default: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.
Tabular List of Diseases and Injuries
The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.
Inclusion Terms
Inclusion TermsThese 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 issue of medical certificate of incapacity
- Encounter for issue of medical certificate of invalidity
Index to Diseases and Injuries References
The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).
- - Encounter (with health service) (for) - Z76.89
- - administrative purpose only - Z02.9
- - examination for
- - disability determination - Z02.71
- - examination for
- - administrative purpose only - Z02.9
- - Issue of
- - medical certificate - Z02.79
- - for disability determination - Z02.71
- - medical certificate - Z02.79
Code Edits
The Medicare Code Editor (MCE) detects errors and inconsistencies in ICD-10-CM diagnosis coding that can affect Medicare claim validity. These Medicare code edits help medical coders and billing professionals determine when a diagnosis code is not appropriate as a principal diagnosis, does not meet coverage criteria. Use this list to verify whether a code is valid for Medicare billing and to avoid claim rejections or denials due to diagnosis coding issues.
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.
Present on Admission (POA)
Z02.71 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. Review other POA exempt codes here.
CMS POA Indicator Options and Definitions
POA Indicator: Y
Reason: Diagnosis was present at time of inpatient admission.
CMS Pays CC/MCC DRG? YES
POA Indicator: N
Reason: Diagnosis was not present at time of inpatient admission.
CMS Pays CC/MCC DRG? NO
POA Indicator: U
Reason: Documentation insufficient to determine if the condition was present at the time of inpatient admission.
CMS Pays CC/MCC DRG? NO
POA Indicator: W
Reason: Clinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.
CMS Pays CC/MCC DRG? YES
POA Indicator: 1
Reason: Unreported/Not used - Exempt from POA reporting.
CMS Pays CC/MCC DRG? NO
Convert Z02.71 to ICD-9-CM
Below are the ICD-9 codes that most closely match this ICD-10 code, based on the General Equivalence Mappings (GEMs). This ICD-10 to ICD-9 crosswalk tool is helpful for coders who need to reference legacy diagnosis codes for audits, historical claims, or approximate code comparisons.
Disability examination
ICD-9-CM: V68.01
This is a direct match with no additional mapping qualifiers. The absence of a flag generally means the mapping is considered exact or precise. In other words, the ICD-10 code maps cleanly to the ICD-9 code without qualification, approximation, or needing multiple codes.
Patient Education
Disabilities
What are disabilities?
A disability is any condition of your body or mind that makes it more difficult for you to do one or more major life activities and interact with the world around you.
There are many types of disabilities, such as those that can affect your:
- Vision
- Hearing
- Movement
- Thinking
- Remembering
- Learning
- Communicating
- Development
- Mental health
- Social relationships
More than 1 in 4 adults in the United States have some type of disability. Even though they all have disabilities, they can have a wide range of needs. For example, even people who have same type of disability can be affected in very different ways. Also, some disabilities are "visible" (easy to see), for example when someone is in a wheelchair. But other disabilities are "invisible" (hidden or not easy to see), such as problems with hearing, thinking, or learning.
What causes disabilities?
Disabilities can have different causes. Some disabilities are present at birth, while others may happen later in life.
Causes of disabilities that are present at birth can include:
- Disorders in single genes, such as Duchenne muscular dystrophy
- Disorders of chromosomes, such as Down syndrome
- Exposures (before birth) to infections or substances, such as drugs, alcohol, or cigarettes
Causes of disabilities that happen later in life can include:
- Injuries, such as spinal cord injuries, traumatic brain injuries (TBIs), and back injuries
- Chronic (long-lasting) diseases, such as diabetes, heart disease, kidney disease, COPD, and arthritis
- Cancer
- Mental health problems
- Stroke
- Alzheimer's disease and other causes of dementia
How can disabilities affect your health?
Having a disability does not mean a person cannot be healthy. In fact, many people with disabilities report that their health as good or better. But they may have or be at risk of health problems related to their disability, called "secondary conditions." These conditions may include:
- Bowel or bladder problems
- Chronic pain
- Diabetes
- Fatigue
- Heart disease
- Injuries
- Mental health problems, including depression and substance use disorders
- Overweight and obesity
- Pressure sores or ulcers
Many of these conditions can be prevented, and there are treatments for them. It's also important for people with disabilities to get health care that meets their needs as a whole person, not just as a person with a disability.
How can people with disabilities get and stay healthy?
Just like for people who don't have a disability, having a healthy lifestyle is important for people who do have a disability. A healthy lifestyle includes:
- Getting regular physical activity
- Eating healthy foods in healthy portions
- Limiting sun exposure and using sunscreen to prevent skin cancer
- Not smoking, and if needed, getting help to quit smoking
- Using medicines wisely
- Not drinking alcohol or drinking in moderation
- Getting help for any substance use or mental health problems
- Staying in touch with family and friends
What kinds of resources are there for people with disabilities?
Managing a disability can sometimes be challenging. There are resources that can help:
- Assistive devices and mobility aids can make daily tasks easier.
- Schools can develop plans around the specific needs of a child with a disability. The goal of the plans is to give the child an opportunity to perform at the same level as other children their age.
- Support networks, such as disability organizations, can help you learn more about resources for you and your family. Support groups can help you connect with other people who have the same disability. They can provide emotional and social support. They are also a place where people can share tips about how to deal with day-to-day challenges.
- Government programs may provide benefits, job training, employment resources, and protection against discrimination.
Centers for Disease Control and Prevention
[Learn More in MedlinePlus]
Code History
- FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
- FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
- FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
- 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
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.