Z76
Z76 — Persons 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.
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.
- Z76.0Encounter for issue of repeat prescription
- Z76.1Encounter for health supervision and care of foundling
- Z76.2Encounter for health supervision and care of other healthy infant and child
- Z76.3Healthy person accompanying sick person
- Z76.4Other boarder to healthcare facility
- Z76.5Malingerer [conscious simulation]
- Z76.8Persons encountering health services in other specified circumstances
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).