Routine general medical examination at a health care facility

This code signifies a comprehensive health assessment performed on an asymptomatic individual to screen for potential health issues or provide preventive care. It typically involves a physical examination, review of medical history, and potentially basic laboratory tests, without a specific chief complaint or suspected illness driving the visit.

Apply this code for annual physicals, routine check-ups, or general health screenings conducted in a clinic or office setting. It is appropriate when the patient presents for a general health evaluation and no specific disease or condition is being investigated or treated during that encounter.

• Always sequence this as the primary diagnosis when no specific medical condition is identified or treated.
• Do not use this code if the patient presents with a specific complaint or symptom, even if a general exam is also performed.
• Consider adding a secondary diagnosis for any chronic conditions managed during the visit, but ensure the primary reason for the encounter remains the routine exam.