ICD Code Z03.89
ICD code Z03.89 is used for encounters where a medical condition is suspected but not confirmed after evaluation.
Boost patient experience and your bottom line by automating patient cost estimates, payer underpayment detection, and contract optimization in one place.
What is ICD diagnosis code Z03.89
ICD code Z03.89 is used for encounters where a patient is observed for a suspected condition or disease that is ultimately not found to be present.
When to use ICD code Z03.89
1. Patient presents with symptoms, signs, or abnormal findings that suggest a possible disease or condition.
2. After examination and diagnostic workup, no definitive diagnosis is established.
3. The encounter is for observation and evaluation to rule out a suspected condition.
4. The patient does not meet the full clinical criteria for any specific disease or disorder at the time of the visit.
5. The visit is not for a routine health examination or follow-up of a previously established diagnosis.
Billable CPT codes for ICD code Z03.89
Relevant CPT codes that may be used to treat ICD code Z03.89 include:
99202–99205 (New patient office or other outpatient visit)
99212–99215 (Established patient office or other outpatient visit)
99441–99443 (Telephone evaluation and management service)
99421–99423 (Online digital evaluation and management service)
99281–99285 (Emergency department visit)
99341–99350 (Home visit evaluation and management)
99499 (Unlisted evaluation and management service)
Are you being underpaid for encounters with Z03.89
Schedule a demo to see how MD Clarity’s RevFind software can read your contracts and automatically detect underpayments for CPT codes related to ICD code Z03.89. Discover how easy it is to identify missed revenue opportunities and ensure you’re paid accurately for every service.
Get paid in full by bringing clarity to your revenue cycle
Related ICD Codes
Subscribe to the

Healthcare Clarified newsletter
Get the latest insights on RCM and healthcare policy in your inbox
