Encounter for exam for admission to residential institution

This code signifies a patient encounter for a medical examination required prior to admission into a residential care facility. This examination assesses the individual's health status to ensure they meet the institution's admission criteria and to identify any immediate medical needs or risks.

Use this code when a patient is undergoing a physical or mental health assessment specifically mandated for entry into a nursing home, assisted living facility, long-term care facility, or other similar residential institution. It applies when the primary purpose of the visit is this pre-admission evaluation, not the treatment of an existing condition.

• Always sequence this code as the primary diagnosis when it is the sole reason for the encounter.
• Do not use this code for examinations for prison admission; refer to the Excludes1 note.
• Code any significant findings or conditions identified during the examination as secondary diagnoses.