Chapter XXI
Factors influencing health status and contact with health services
(Z00-Z99)

Rules Conventions GCS

Persons encountering health services for examination and investigation
(Z00-Z13)

Note:

Nonspecific abnormal findings disclosed at the time of these examinations are classified to categories R70-R94.

Excl.:
examinations related to pregnancy and reproduction ( Z30-Z36, Z39.-)

Z00 General examination and investigation of persons without complaint and reported diagnosis
DCS.XXI.1

Excl.:
examination for administrative purposes ( Z02.-)
special screening examinations ( Z11-Z13)
Z00.0 General medical examination
Incl.:
Health check-up NOS
Periodic examination (annual)(physical)
Excl.:
general health check-up of:
  • defined subpopulations (Z10.-)
  • infant or child (Z00.1)
Z00.1 Routine child health examination
Incl.:
Development testing of infant or child
Excl.:
health supervision of foundling or other healthy infant or child ( Z76.1-Z76.2)
Z00.2 Examination for period of rapid growth in childhood
Z00.3 Examination for adolescent development state
Incl.:
Puberty development state
Z00.4 General psychiatric examination, not elsewhere classified
Excl.:
examination requested for medicolegal reasons ( Z04.6)
Z00.5 Examination of potential donor of organ and tissue
Z00.6 Examination for normal comparison and control in clinical research programme
Z00.8 Other general examinations
Incl.:
Health examination in population surveys

Z01 Other special examinations and investigations of persons without complaint or reported diagnosis
DCS.XXI.1

Incl.:
routine examination of specific system
Excl.:
examination for:
  • administrative purposes (Z02.-)
  • suspected conditions, not proven (Z03.-)
special screening examinations ( Z11-Z13)
Z01.0 Examination of eyes and vision
Excl.:
examination for driving licence ( Z02.4)
Z01.1 Examination of ears and hearing
Z01.2 Dental examination
Z01.3 Examination of blood pressure
Z01.4 Gynaecological examination (general)(routine)
Incl.:
Papanicolaou smear of cervix
Pelvic examination (annual)(periodic)
Excl.:
pregnancy examination or test ( Z32.-)
routine examination for contraceptive maintenance ( Z30.4-Z30.5)
Z01.5 Diagnostic skin and sensitization tests
Incl.:
Allergy tests
Skin tests for:
  • bacterial disease
  • hypersensitivity
Z01.6 Radiological examination, not elsewhere classified
Incl.:
Routine:
  • chest X-ray
  • mammogram
Z01.7 Laboratory examination
Z01.8 Other specified special examinations
Z01.9 Special examination, unspecified

Z02 Examination and encounter for administrative purposes
DCS.XXI.1

Z02.0 Examination for admission to educational institution
Incl.:
Examination for admission to preschool (education)
Z02.1 Pre-employment examination
Excl.:
occupational health examination ( Z10.0)
Z02.2 Examination for admission to residential institutions
Excl.:
examination for admission to prison ( Z02.8)
general health check-up of inhabitants of institutions ( Z10.1)
Z02.3 Examination for recruitment to armed forces
Excl.:
general health check-up of armed forces ( Z10.2)
Z02.4 Examination for driving licence
Z02.5 Examination for participation in sport
Excl.:
blood-alcohol and blood-drug test ( Z04.0)
general health check-up of sports teams ( Z10.3)
Z02.6 Examination for insurance purposes
Z02.7 Issue of medical certificate
Incl.:
Issue of medical certificate of:
  • cause of death
  • fitness
  • incapacity
  • invalidity
Excl.:
encounter for general medical examination ( Z00-Z01, Z02.0-Z02.6, Z02.8-Z02.9, Z10.-)
Z02.8 Other examinations for administrative purposes
Incl.:
Examination (for):
  • admission to:
    • —  prison
    • —  summer camp
  • adoption
  • immigration
  • naturalization
  • premarital
Excl.:
health supervision of foundling or other healthy infant or child ( Z76.1-Z76.2)
Z02.9 Examination for administrative purposes, unspecified

Z03 Medical observation and evaluation for suspected diseases and conditions
DCS.XXI.1 DCS.XXI.11

Incl.:
persons who present some symptoms or evidence of an abnormal condition which requires study, but who, after examination and observation, show no need for further treatment or medical care
Excl.:
person with feared complaint in whom no diagnosis is made ( Z71.1)
Z03.0 Observation for suspected tuberculosis
Z03.1 Observation for suspected malignant neoplasm
Z03.2 Observation for suspected mental and behavioural disorders
Incl.:
  • Observation for:
    • dissocial behaviour
    • fire-setting
    • gang activity
    • shop lifting
  • without manifest psychiatric disorder
Z03.3 Observation for suspected nervous system disorder
Z03.4 Observation for suspected myocardial infarction
Z03.5 Observation for other suspected cardiovascular diseases
Z03.6 Observation for suspected toxic effect from ingested substance
Incl.:
Observation for suspected:
  • adverse effect from drug
  • poisoning
Z03.8 Observation for other suspected diseases and conditions
DCS.XXII.7
Z03.9 Observation for suspected disease or condition, unspecified

Z04 Examination and observation for other reasons
DCS.XXI.1 DCS.XXI.11

Incl.:
examination for medicolegal reasons
Z04.0 Blood-alcohol and blood-drug test
Excl.:
presence of:
Z04.1 Examination and observation following transport accident
Excl.:
following work accident ( Z04.2)
Z04.2 Examination and observation following work accident
Z04.3 Examination and observation following other accident
Z04.4 Examination and observation following alleged rape and seduction
Incl.:
Examination of victim or culprit following alleged rape or seduction
Z04.5 Examination and observation following other inflicted injury
Incl.:
Examination of victim or culprit following other inflicted injury
Z04.6 General psychiatric examination, requested by authority
Z04.8 Examination and observation for other specified reasons
Incl.:
Request for expert evidence
Z04.9 Examination and observation for unspecified reason
Incl.:
Observation NOS

Z08 Follow-up examination after treatment for malignant neoplasms
DCS.XXI.1 DCS.XXI.2

Incl.:
medical surveillance following treatment
Excl.:
follow-up medical care and convalescence ( Z42-Z51, Z54.-)
Z08.0 Follow-up examination after surgery for malignant neoplasm
Z08.1 Follow-up examination after radiotherapy for malignant neoplasm
Excl.:
radiotherapy session ( Z51.0)
Z08.2 Follow-up examination after chemotherapy for malignant neoplasm
Excl.:
chemotherapy session ( Z51.1)
Z08.7 Follow-up examination after combined treatment for malignant neoplasm
Z08.8 Follow-up examination after other treatment for malignant neoplasm
Z08.9 Follow-up examination after unspecified treatment for malignant neoplasm

Z09 Follow-up examination after treatment for conditions other than malignant neoplasms
DCS.XXI.1 DCS.XXI.2

Incl.:
medical surveillance following treatment
Excl.:
follow-up medical care and convalescence ( Z42-Z51, Z54.-)
medical surveillance following treatment for malignant neoplasms ( Z08.-)
surveillance of:
Z09.0 Follow-up examination after surgery for other conditions
Z09.1 Follow-up examination after radiotherapy for other conditions
Excl.:
radiotherapy session ( Z51.0)
Z09.2 Follow-up examination after chemotherapy for other conditions
Excl.:
maintenance chemotherapy ( Z51.1-Z51.2)
Z09.3 Follow-up examination after psychotherapy
Z09.4 Follow-up examination after treatment of fracture
Z09.7 Follow-up examination after combined treatment for other conditions
Z09.8 Follow-up examination after other treatment for other conditions
Z09.9 Follow-up examination after unspecified treatment for other conditions

Z10 Routine general health check-up of defined subpopulation
DCS.XXI.1

Excl.:
medical examination for administrative purposes ( Z02.-)
Z10.0 Occupational health examination
Excl.:
pre-employment examination ( Z02.1)
Z10.1 Routine general health check-up of inhabitants of institutions
Excl.:
admission examination ( Z02.2)
Z10.2 Routine general health check-up of armed forces
Excl.:
recruitment examination ( Z02.3)
Z10.3 Routine general health check-up of sports teams
Excl.:
blood-alcohol and blood-drug test ( Z04.0)
examination for participation in sport ( Z02.5)
Z10.8 Routine general health check-up of other defined subpopulations
Incl.:
Schoolchildren
Students

Z11 Special screening examination for infectious and parasitic diseases
DCS.XXI.1

Z11.0 Special screening examination for intestinal infectious diseases
Z11.1 Special screening examination for respiratory tuberculosis
Z11.2 Special screening examination for other bacterial diseases
Z11.3 Special screening examination for infections with a predominantly sexual mode of transmission
Z11.4 Special screening examination for human immunodeficiency virus [HIV]
Z11.5 Special screening examination for other viral diseases
Excl.:
viral intestinal disease ( Z11.0)
Z11.6 Special screening examination for other protozoal diseases and helminthiases
Excl.:
protozoal intestinal disease ( Z11.0)
Z11.8 Special screening examination for other infectious and parasitic diseases
Incl.:
  • Chlamydial
  • Rickettsial
  • Spirochaetal
  • diseases
Mycoses
Z11.9 Special screening examination for infectious and parasitic diseases, unspecified

Z12 Special screening examination for neoplasms
DCS.XXI.1

Z12.0 Special screening examination for neoplasm of stomach
Z12.1 Special screening examination for neoplasm of intestinal tract
Z12.2 Special screening examination for neoplasm of respiratory organs
Z12.3 Special screening examination for neoplasm of breast
Excl.:
routine mammogram ( Z01.6)
Z12.4 Special screening examination for neoplasm of cervix
Excl.:
when routine test or as part of general gynaecological examination ( Z01.4)
Z12.5 Special screening examination for neoplasm of prostate
Z12.6 Special screening examination for neoplasm of bladder
Z12.8 Special screening examination for neoplasms of other sites
Z12.9 Special screening examination for neoplasm, unspecified

Z13 Special screening examination for other diseases and disorders
DCS.XXI.1

Z13.0 Special screening examination for diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
Z13.1 Special screening examination for diabetes mellitus
Z13.2 Special screening examination for nutritional disorders
Z13.3 Special screening examination for mental and behavioural disorders
Incl.:
Alcoholism
Depression
Mental retardation
Z13.4 Special screening examination for certain developmental disorders in childhood
Excl.:
routine development testing of infant or child ( Z00.1)
Z13.5 Special screening examination for eye and ear disorders
Z13.6 Special screening examination for cardiovascular disorders
Z13.7 Special screening examination for congenital malformations, deformations and chromosomal abnormalities
Z13.8 Special screening examination for other specified diseases and disorders
Incl.:
Dental disorder
Endocrine and metabolic disorders
Excl.:
diabetes mellitus ( Z13.1)
Z13.9 Special screening examination, unspecified