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Z76

Z76Persons encountering health services in other circumstances

Non-billable headerICD-10-CM

Z76 is a non-billable header ICD-10-CM code for persons encountering health services in other circumstances. It cannot be billed on its own: choose one of the more specific child codes below.

Other codes that can never be billed with Z76

These codes carry an Excludes1 note pointing at Z76. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Z76 alone.

  • Z00.12Encounter for routine child health examination
  • Z02.89Encounter for other administrative examinations

Risk adjustment

Z76 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 Z76

7 child codes. Green means billable.

Questions about Z76

Is Z76 a billable ICD-10-CM code?
No. Z76 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does Z76 sit in the tabular list?
Factors influencing health status and contact with health services (Z00-Z99), in the block Persons encountering health services in other circumstances (Z69-Z76).
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.