Z01.30: Encounter for examination of blood pressure without abnormal findings

Z01.30, encounter for examination of blood pressure without abnormal findings, is listed as a covered diagnosis in 7 Medicare billing and coding articles that apply to 31 HCPCS Level II codes, including A9500 (Technetium tc-99m sestamibi, diagnostic, per study dose), A9502 (Technetium tc-99m tetrofosmin, diagnostic, per study dose), A9505 (Thallium tl-201 thallous chloride, diagnostic, per…). The articles come from 3 Medicare contractors. A listed diagnosis supports medical necessity only; coverage still depends on the LCD's criteria and on documentation in the medical record.

HCPCS Level II codes with Z01.30 as a covered diagnosis

Code	Description	Medicare coverage	DMEPOS fee 2026 (state range)	Articles listing it
A9500	Technetium tc-99m sestamibi, diagnostic, per study dose	Carrier judgment	—	2
A9502	Technetium tc-99m tetrofosmin, diagnostic, per study dose	Carrier judgment	—	2
A9505	Thallium tl-201 thallous chloride, diagnostic, per millicurie	Carrier judgment	—	2
A9512	Technetium tc-99m pertechnetate, diagnostic, per millicurie	Carrier judgment	—	2
A9560	Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries	Carrier judgment	—	2
A9538	Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries	Carrier judgment	—	2
A9501	Technetium tc-99m teboroxime, diagnostic, per study dose	Carrier judgment	—	2
J2785	Injection, regadenoson, 0.1 mg	Carrier judgment	—	3
J0153	Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)	Special coverage instructions apply	—	3
J1250	Injection, dobutamine hydrochloride, per 250 mg	Special coverage instructions apply	—	3
J1245	Injection, dipyridamole, per 10 mg	Special coverage instructions apply	—	3
C8925	Transesophageal echocardiography (tee) with contrast, or without contrast followed by with contrast, real time with image documentation (2d) (with or without m-mode recording); including probe placement, image acquisition, interpretation and report	Special coverage instructions apply	—	3
C8926	Transesophageal echocardiography (tee) with contrast, or without contrast followed by with contrast, for congenital cardiac anomalies; including probe placement, image acquisition, interpretation and report	Special coverage instructions apply	—	3
C8927	Transesophageal echocardiography (tee) with contrast, or without contrast followed by with contrast, for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to therapeutic measures on an immediate time basis	Special coverage instructions apply	—	3
J3490	Unclassified drugs	Special coverage instructions apply	—	2
Q9957	Injection, perflutren lipid microspheres, per ml	Carrier judgment	—	3
Q9956	Injection, octafluoropropane microspheres, per ml	Carrier judgment	—	3
Q9955	Injection, perflexane lipid microspheres, per ml	Carrier judgment	—	3
A9520	Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries	Carrier judgment	—	1
C9176	Tc-99m from domestically produced non-heu mo-99, [minimum 50 percent], full cost recovery add-on, per study dose	Special coverage instructions apply	—	1
J0461	Injection, atropine sulfate, 0.01 mg	Special coverage instructions apply	—	2
J0280	Injection, aminophyllin, up to 250 mg	Special coverage instructions apply	—	2
A9700	Supply of injectable contrast material for use in echocardiography, per study	Special coverage instructions apply	—	2
C8921	Transthoracic echocardiography with contrast, or without contrast followed by with contrast, for congenital cardiac anomalies; complete	Special coverage instructions apply	—	2
C8922	Transthoracic echocardiography with contrast, or without contrast followed by with contrast, for congenital cardiac anomalies; follow-up or limited study	Special coverage instructions apply	—	2

6 more codes are listed. See every code with payment by region in Caduvo.

Medicare policy articles listing Z01.30

A56494: Billing and Coding: Cardiovascular Nuclear Medicine (CGS Administrators, LLC (MAC - Part A, MAC - Part B); 12 Level II codes). LCD with the same title: L33560, L33960
A56743: Billing and Coding: Cardiovascular Nuclear Medicine (Wellpoint Federal (MAC - Part A, MAC - Part B); 9 Level II codes). LCD with the same title: L33560, L33960
A56809: Billing and Coding: Transesophageal Echocardiography (TEE) (CGS Administrators, LLC (MAC - Part A, MAC - Part B); 3 Level II codes). LCD with the same title: L33579, L34337, L35016
A56505: Billing and Coding: Transesophageal Echocardiography (TEE) (Novitas Solutions, Inc. (MAC - Part A, MAC - Part B); 6 Level II codes). LCD with the same title: L33579, L34337, L35016
A52868: Billing and Coding: Transesophageal Echocardiography (TEE) (Wellpoint Federal (MAC - Part A, MAC - Part B); 3 Level II codes). LCD with the same title: L33579, L34337, L35016
A57306: Billing and Coding: Transthoracic Echocardiography (TTE) (CGS Administrators, LLC (MAC - Part A, MAC - Part B); 19 Level II codes). LCD with the same title: L33577, L34338
A56781: Billing and Coding: Transthoracic Echocardiography (TTE) (Wellpoint Federal (MAC - Part A, MAC - Part B); 17 Level II codes). LCD with the same title: L33577, L34338

A diagnosis listed as covered in a billing and coding article supports medical necessity for the article's codes; it does not guarantee payment. Coverage depends on the LCD's criteria, the contractor's jurisdiction and documentation in the medical record.

Other Z01 diagnoses (Encounter for other special examination without complaint, suspected or reported diagnosis)

Z01.31 — Encounter for examination of blood pressure with abnormal findings
Z01.810 — Encounter for preprocedural cardiovascular examination
Z01.818 — Encounter for other preprocedural examination
Z01.82 — Encounter for allergy testing
Z01.89 — Encounter for other specified special examinations

Frequently asked questions

Does Medicare cover Z01.30 (Encounter for examination of blood pressure without…)?

Medicare covers items and services, not diagnoses. 7 Medicare billing and coding articles list Z01.30 as a covered diagnosis for 31 HCPCS Level II codes: the diagnosis can support medical necessity for those codes, but payment still depends on the LCD's coverage criteria and the medical record.

Which HCPCS codes can be billed with ICD-10 Z01.30?

The Level II codes from the policies most specific to this diagnosis are A9500 (Technetium tc-99m sestamibi, diagnostic, per study dose, 2 articles); A9502 (Technetium tc-99m tetrofosmin, diagnostic, per study dose, 2 articles); A9505 (Thallium tl-201 thallous chloride, diagnostic, per…, 2 articles); A9512 (Technetium tc-99m pertechnetate, diagnostic, per millicurie, 2 articles); A9560 (Technetium tc-99m labeled red blood cells, diagnostic, per…, 2 articles). Code choice depends on the item supplied; check each code's descriptor.

Which Medicare policy articles list Z01.30?

A56494 (Billing and Coding: Cardiovascular Nuclear Medicine); A56743 (Billing and Coding: Cardiovascular Nuclear Medicine); A56809 (Billing and Coding: Transesophageal Echocardiography (TEE)), and 4 more articles.

What is ICD-10-CM code Z01.30?

Z01.30 is the ICD-10-CM code for encounter for examination of blood pressure without abnormal findings, in category Z01 (Encounter for other special examination without complaint, suspected or reported diagnosis), chapter 22: Factors influencing health status and contact with health services.

Next steps

Sources: CMS Medicare Coverage Database billing and coding articles (covered ICD-10 code lists and HCPCS links); ICD-10-CM FY2026; CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule 2026 (non-rural state fees). Not billing or legal advice.

Chapter 22: Factors influencing health status and contact with health services · All diagnoses · HCPCS lookup