Z02.71 Encounter for disability determination

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

Applicable to

• Encounter for issue of medical certificate of incapacity
• Encounter for issue of medical certificate of invalidity

Applies from Z02.7 Encounter for issue of medical certificate

Excludes1 (never code together)

• encounter for general medical examination (Z00-Z01, Z02.0-Z02.6, Z02.8-Z02.9)

MS-DRG index

Defines the logic of DRG(s) 951 in MDC 23.

Approximate ICD-9-CM (GEMs)

• V68.01 Disability examination

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 Z02.71

Back-references to Z02.7

• Type 2 Excludes: Z76.0 Encounter for issue of repeat prescription ("issue of medical certificate (Z02.7)")

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 Z02.71

• Encounter (with health service) (for) › administrative purpose only › examination for › disability determination
• Issue of › medical certificate › for disability determination

Nearby codes

• 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
• Z02.7 Encounter for issue of medical certificate
• Z02.71 Encounter for disability determination (this code)
• Z02.79 Encounter for issue of other medical certificate
• Z02.8 Encounter for other administrative examinations
• Z02.81 Encounter for paternity testing
• Z02.82 Encounter for adoption services
• Z02.83 Encounter for blood-alcohol and blood-drug test