Z02.6 Encounter for examination for insurance purposes

Billable ICD-10-CM code, FY2026. Exempt from present-on-admission (POA) reporting.

MS-DRG index

Defines the logic of DRG(s) 795 in MDC 15.

Approximate ICD-9-CM (GEMs)

• V70.3 Other general medical examination for administrative purposes (approximate)

Medicare Code Edits (MCE v43.1 (April 2026))

• Unacceptable principal diagnosis: These codes describe a circumstance which influences care but is not a current illness or injury, or capture only an underlying condition, and are unacceptable as principal diagnosis.

Code annotations containing back-references to Z02.6

Back-references to Z02.6

• Type 1 Excludes: Z02.7 Encounter for issue of medical certificate ("encounter for general medical examination (Z00-Z01, Z02.0-Z02.6, Z02.8-Z02.9)")

Back-references to Z02

• Type 1 Excludes: Z00 Encounter for general examination without complaint, suspected or reported diagnosis ("encounter for examination for administrative purposes (Z02.-)")
• Type 1 Excludes: Z01 Encounter for other special examination without complaint, suspected or reported diagnosis ("encounter for examination for administrative purposes (Z02.-)")
• Type 2 Excludes: Z71.84 Encounter for health counseling related to travel ("encounter for administrative examination (Z02.-)")

Diagnosis Index entries for Z02.6

• Encounter (with health service) (for) › administrative purpose only › examination for › insurance
• Examination (for) (following) (general) (of) (routine) › medical (adult) (for) (of) › insurance purposes

Nearby codes

• Z02.1 Encounter for pre-employment examination
• Z02.2 Encounter for examination for admission to residential institution
• Z02.3 Encounter for examination for recruitment to armed forces
• Z02.4 Encounter for examination for driving license
• Z02.5 Encounter for examination for participation in sport
• Z02.6 Encounter for examination for insurance purposes (this code)
• Z02.7 Encounter for issue of medical certificate
• Z02.71 Encounter for disability determination
• Z02.79 Encounter for issue of other medical certificate
• Z02.8 Encounter for other administrative examinations
• Z02.81 Encounter for paternity testing