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Z11 ICD-10-CM Code: Encounter for screening for infectious and parasitic diseases

ICD-10-CM Code View

HCC Buddy Code Card

Digital ICD-10 code-book layout with official code detail, always-visible risk models, Code Trumping, and Buddy coding guidance.

FY 2026 Apr update / Factors influencing health status and contact with health services (Z00-Z99) / Persons encountering health services for examinations (Z00-Z13)

Z11

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Encounter for screening for infectious and parasitic diseases

Encounter for screening for infectious and parasitic diseases

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
Z1Persons encountering health services for examinations (Z00-Z13)
Z11Encounter for screening for infectious and parasitic diseases

Inclusion Terms

Official
  • Screening is the testing for disease or disease precursors in asymptomatic individuals so that early detection and treatment can be provided for those who test positive for the disease.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for Z11 in this effective period.

Related Child Codes

Official
Z11.0Encounter for screening for intestinal infectious diseases
Z11.1Encounter for screening for respiratory tuberculosis
Z11.2Encounter for screening for other bacterial diseases
Z11.3Encounter for screening for infections with a predominantly sexual mode of transmission
Z11.4Encounter for screening for human immunodeficiency virus [HIV]

Includes

Official

ICD-10-CM does not list Includes notes for Z11 in this effective period.

Excludes 1

Official
  • encounter for diagnostic examination-code to sign or symptom

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for Z11 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for Z11 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for Z11 in this effective period.

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Code
Z11
Description
Encounter for screening for infectious and parasitic diseases
HCC (V28)
No CMS-HCC V28 mapping
RAF
Billable
No
Payment year
2026

Coder workflow notes

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What This Code Means

Z11 is the ICD-10-CM diagnosis code for encounter for screening for infectious and parasitic diseases. Z11 sits in the ICD-10-CM chapter for factors influencing health status and contact with health services (z00-z99), within the section covering persons encountering health services for examinations (z00-z13).

Header codes like Z11 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at Z11's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for Z11 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

  • encounter for diagnostic examination-code to sign or symptom

Child Codes

Code Hierarchy

Z11Encounter for screening for infectious and parasitic diseases
Z11Encounter for screening for infectious and parasitic diseases

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