MCMCB Pro
Z18.0

Z18.0Retained radioactive fragments

Non-billable headerICD-10-CM

Z18.0 is a non-billable header ICD-10-CM code for retained radioactive fragments. It cannot be billed on its own: choose one of the more specific child codes below.

Other codes that can never be billed with Z18.0

These codes carry an Excludes1 note pointing at Z18.0. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Z18.0 alone.

  • Z77.012Contact with and (suspected) exposure to uranium
  • Z18.1Retained metal fragments

Risk adjustment

Z18.0 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead Z18.0

2 child codes. Green means billable.

Related codes at this level

Codes that share Z18. If Z18.0 is not quite right, the correct code is usually one of these.

Questions about Z18.0

Is Z18.0 a billable ICD-10-CM code?
No. Z18.0 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does Z18.0 sit in the tabular list?
Factors influencing health status and contact with health services (Z00-Z99), in the block Retained foreign body fragments (Z18).
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.