Z13.84
BillableEncounter for screening for dental disorders
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is Z13.84 an HCC code?
No. Z13.84 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
Z13.84 is the ICD-10-CM diagnosis code for encounter for screening for dental disorders. A preventive dental visit to screen for tooth decay, gum disease, or other oral health problems. Z13.84 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).
Z13.84 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.
This code is typically used for routine dental checkups and cleanings without identified problems.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for Z13.84 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •This code is typically used for routine dental checkups and cleanings without identified problems
- •If specific dental pathology is found, use appropriate dental diagnostic codes in addition to or instead of this code