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ICD Hub / Factors influencing health status or contact with health services (Z00–Z99) / QA00.0 - General adult medical examination
ICD-11

ICD-11 Codes
for QA00.0 - General adult medical examination
Teodor Jurukovski January 1, 1970
Fact checked by: Teodor Jurukovski
Use Code

Understanding the General Adult Medical Examination

The ICD-11 code QA00.0 represents the General adult medical examination. This classification is used for encounters where an adult patient presents for a routine, periodic, or annual physical examination. It encompasses any associated laboratory and radiologic examinations conducted as part of this general health assessment, provided the individual has no current complaints or a previously diagnosed condition being investigated. This code is fundamental for documenting preventive healthcare services.

Common Terminology for Adult Health Assessments

When referring to the encounter classified under ICD-11 code QA00.0, various terms are commonly used in clinical practice and patient communication. These include: * Adult health checkup * Annual health examination * Periodic adult medical examination * Routine adult medical examination * Health check-up, adult NOS (Not Otherwise Specified) * General adult health examination

Documenting and Coding QA00.0 Encounters

Accurate documentation is crucial for correct medical coding. For an encounter to be coded as QA00.0, the primary reason for the visit must be a general examination of an adult without a reported diagnosis or specific complaint. Documentation should clearly state "Encounter for periodic examination" or "General adult medical examination." This code is specifically for the examination itself, not for the investigation of symptoms or management of existing health issues.

Differentiating Routine Checks from Symptom-Driven Consultations

It is important to distinguish the General adult medical examination (QA00.0) from consultations related to specific health concerns. This ICD-11 code is intended for healthy individuals undergoing routine screening. If a patient presents with symptoms, signs, or a known diagnosis that requires investigation or management, a different ICD-11 code from the relevant chapter (e.g., Chapter 21 for Symptoms, signs or clinical findings) should be used instead. QA00.0 does not cover the diagnosis or treatment of any condition.

Reportability of the General Adult Medical Examination Code

The ICD-11 code QA00.0 is a valid and reportable code used within healthcare systems for billing and statistical purposes. It allows healthcare providers to accurately record and report encounters focused on preventive health and general medical assessments for adults. This ensures that services related to routine health maintenance are properly identified and tracked.

Distinguishing QA00.0 from Similar Encounters

While QA00.0 covers general adult medical examinations, other ICD-11 codes exist for specific types of examinations. For instance, routine child health examinations are coded under QA00.1, and routine newborn health examinations are coded as QA00.2. Additionally, a routine general health check-up for a defined subpopulation falls under QA03. It is essential to select the code that most precisely reflects the patient's age group and the specific nature of the examination.

Frequently asked questions

What is the ICD-11 classification meaning of QA00.0?
QA00.0 represents an encounter for a periodic medical examination, such as an annual or physical examination, for an adult, including any associated laboratory and radiologic examinations.
How is ICD-11 code QA00.0 used in documentation?
This code is used to document encounters for routine general health check-ups for adults, including periodic examinations and associated diagnostic tests.
What conditions are excluded from ICD-11 code QA00.0?
ICD-11 code QA00.0 excludes routine child health examinations (QA00.1), routine general health check-ups of defined subpopulations (QA03), routine newborn health examinations (QA00.2), and symptoms, signs, or clinical findings not elsewhere classified (Chapter 21).
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