ICD-10 · PDGM grouping
Z01 Encounter for other special examination without complaint, suspected or reported diagnosis
All 23 codes in the Z01 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
ICD-10-CM FY2027 · CMS grouper v07.2.26
Codes in family
23
Can lead a claim
0
Cannot lead a claim
23
What CMS assigns to Z01
None of the 23 codes is assigned a clinical group. None of the 23 is assigned a comorbidity subgroup. None can lead a claim.
Every code in Z01
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| Z01.0 Encounter for examination of eyes and vision | ||||
| Z01.00 | Encounter for examination of eyes and vision without abnormal findingsCMS: Encounter for exam of eyes and vision w/o abnormal findings | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z01.01 | Encounter for examination of eyes and vision with abnormal findingsCMS: Encounter for exam of eyes and vision w abnormal findings | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z01.02 Encounter for examination of eyes and vision following failed vision screening | ||||
| Z01.020 | Encounter for examination of eyes and vision following failed vision screening without abnormal findingsCMS: Enctr for ex of eyes and vis fol fail vis scrn w/o abn find | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z01.021 | Encounter for examination of eyes and vision following failed vision screening with abnormal findingsCMS: Enctr for exam of eyes and vis fol fail vis scrn wbn find | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z01.1 Encounter for examination of ears and hearing | ||||
| Z01.10 | Encounter for examination of ears and hearing without abnormal findingsCMS: Encounter for exam of ears and hearing w/o abnormal findings | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z01.11 Encounter for examination of ears and hearing with abnormal findings | ||||
| Z01.110 | Encounter for hearing examination following failed hearing screeningCMS: Encounter for hearing exam following failed hear screening | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z01.118 | Encounter for examination of ears and hearing with other abnormal findingsCMS: Encntr for exam of ears and hearing w oth abnormal findings | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z01.12 | Encounter for hearing conservation and treatment | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z01.2 Encounter for dental examination and cleaning | ||||
| Z01.20 | Encounter for dental examination and cleaning without abnormal findingsCMS: Encounter for dental exam and cleaning w/o abnormal findings | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z01.21 | Encounter for dental examination and cleaning with abnormal findingsCMS: Encounter for dental exam and cleaning w abnormal findings | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z01.3 Encounter for examination of blood pressure | ||||
| Z01.30 | Encounter for examination of blood pressure without abnormal findingsCMS: Encounter for exam of blood pressure w/o abnormal findings | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z01.31 | Encounter for examination of blood pressure with abnormal findingsCMS: Encounter for exam of blood pressure w abnormal findings | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z01.4 Encounter for gynecological examination | ||||
| Z01.41 Encounter for routine gynecological examination | ||||
| Z01.411 | Encounter for gynecological examination (general) (routine) with abnormal findingsCMS: Encntr for gyn exam (general) (routine) w abnormal findings | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z01.419 | Encounter for gynecological examination (general) (routine) without abnormal findingsCMS: Encntr for gyn exam (general) (routine) w/o abn findings | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z01.42 | Encounter for cervical smear to confirm findings of recent normal smear following initial abnormal smearCMS: Encntr for cerv smear to cnfrm norm smr fol init abn smear | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z01.8 Encounter for other specified special examinations | ||||
| Z01.81 Encounter for preprocedural examinations | ||||
| Z01.810 | Encounter for preprocedural cardiovascular examination | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z01.811 | Encounter for preprocedural respiratory examination | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z01.812 | Encounter for preprocedural laboratory examination | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z01.818 | Encounter for other preprocedural examination | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z01.82 | Encounter for allergy testing | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z01.83 | Encounter for blood typing | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z01.84 | Encounter for antibody response examination | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z01.89 | Encounter for other specified special examinations | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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