Z78.9

Z78.9: Other specified health status

Billable / specific codeICD-10-CMPOA exempt

Z78.9 is a billable, specific ICD-10-CM code for other specified health status. It is valid for submission on a claim.

Check Z78.9 with the rest of the claim: free scrubber

Excludes2 inherited from the categories above Z78.9

Not part of this code, but both may be coded when both are present.

Written on Z78: Other specified health status

asymptomatic human immunodeficiency virus [HIV] infection status (Z21)
postprocedural status (Z93-Z99)
sex reassignment status (Z87.890-)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

Z78.9 is named in 4 Medicare coverage policies: 4 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A53095Billing and Coding: Lab: Bladder/Urothelial Tumor Markers
A55028Billing and Coding: Lab: Bladder/Urothelial Tumor Markers
A56471Billing and Coding: Bladder/Urothelial Tumor Markers
A56779Billing and Coding: Intravenous Immune Globulin

Alphabetic index entries that lead here

Problem›influencing health status NEC

Code history

Unchanged in every release from FY2024 to FY2027.