Encounter for examination for insurance purposes

This code signifies a patient's visit specifically for a medical evaluation required by an insurance company. The purpose of the encounter is to assess the individual's health status for underwriting or policy renewal, not for diagnosing or treating a current illness.

Apply this code when a patient presents for a physical examination or medical assessment mandated by a life insurance carrier, disability insurance provider, or other similar entity. This includes examinations for new policy applications or periodic reviews for existing policies.

• Do not use this code if the examination is for employment purposes; use Z02.1 instead.
• This code is typically a primary diagnosis as it describes the reason for the encounter.
• Do not append additional diagnosis codes unless a specific condition is identified and treated during the same encounter.