Encounter for examination and observation following transport accident
Billable / specific
Z04.1 is a billable, specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes in FY2027.
Inclusion terms
Includes (from Z04)
- encounter for examination for medicolegal reasons
- This category is to be used when a person without a diagnosis is suspected of having an abnormal condition, without signs or symptoms, which requires study, but after examination and observation, is ruled-out. This category is also for use for administrative and legal observation status.
- Note: Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
- Note: (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
- Note: (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.
- Note: Nonspecific abnormal findings disclosed at the time of these examinations are classified to categories R70-R94.
Excludes1
Not coded here — never report together with this code.
- encounter for examination and observation following work accident (Z04.2)
Excludes2
Not included here — may be reported together when both conditions exist.
Also known as
- Examination, following accident NEC, transport
- Examination, following motor vehicle accident
- Observation, accident NEC, transport
Parent code
- Z04Encounter for examination and observation for other reasonsHeader
Related codes
- Z04.2Encounter for examination and observation following work accidentBillable
- Z04.3Encounter for examination and observation following other accidentBillable
- Z04.4Encounter for examination and observation following alleged rapeHeader
- Z04.6Encounter for general psychiatric examination, requested by authorityBillable
- Z04.7Encounter for examination and observation following alleged physical abuseHeader
- Z04.8Encounter for examination and observation for other specified reasonsHeader
- Z04.9Encounter for examination and observation for unspecified reasonBillable