ICD-10 · PDGM grouping
Z02 Encounter for administrative examination
All 15 codes in the Z02 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.
Codes in family
15
Can lead a claim
0
Cannot lead a claim
15
What CMS assigns to Z02
None of the 15 codes is assigned a clinical group. None of the 15 is assigned a comorbidity subgroup. None can lead a claim.
Every code in Z02
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 |
|---|---|---|---|---|
| Z02.0 | Encounter for examination for admission to educational institutionCMS: Encounter for exam for admission to educational institution | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z02.1 | Encounter for pre-employment examination | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z02.2 | Encounter for examination for admission to residential institutionCMS: Encounter for exam for admission to residential institution | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z02.3 | Encounter for examination for recruitment to armed forces | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z02.4 | Encounter for examination for driving license | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z02.5 | Encounter for examination for participation in sport | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z02.6 | Encounter for examination for insurance purposes | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z02.7 Encounter for issue of medical certificate | ||||
| Z02.71 | Encounter for disability determination | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z02.79 | Encounter for issue of other medical certificate | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z02.8 Encounter for other administrative examinations | ||||
| Z02.81 | Encounter for paternity testing | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z02.82 | Encounter for adoption services | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z02.83 | Encounter for blood-alcohol and blood-drug test | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z02.84 | Encounter for child welfare exam | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z02.89 | Encounter for other administrative examinations | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z02.9 | Encounter for administrative examinations, unspecified | 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.
The monthly home health regs digest
What CMS changed, what's due next, and what to do about it — one email a month, no fluff. Read the first issue