Is Z81 a billable ICD-10-CM code?

No. Z81 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does Z81 sit in the tabular list?

Factors influencing health status and contact with health services (Z00-Z99), in the block Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99).

Z81

Z81 — Family history of mental and behavioral disorders

Non-billable headerICD-10-CM

Z81 is a non-billable header ICD-10-CM code for family history of mental and behavioral disorders. It cannot be billed on its own: choose one of the more specific child codes below.

Risk adjustment

Z81 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 Z81

6 child codes. Green means billable.

Z81.0Family history of intellectual disabilities
Z81.1Family history of alcohol abuse and dependence
Z81.2Family history of tobacco abuse and dependence
Z81.3Family history of other psychoactive substance abuse and dependence
Z81.4Family history of other substance abuse and dependence
Z81.8Family history of other mental and behavioral disorders

Questions about Z81

Is Z81 a billable ICD-10-CM code?: No. Z81 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does Z81 sit in the tabular list?: Factors influencing health status and contact with health services (Z00-Z99), in the block Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99).