ICD-10 · PDGM grouping
Z76 Persons encountering health services in other circumstances
All 9 codes in the Z76 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
Codes in family
9
Can lead a claim
0
Cannot lead a claim
9
What CMS assigns to Z76
None of the 9 codes is assigned a clinical group. None of the 9 is assigned a comorbidity subgroup. None can lead a claim.
Every code in Z76
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| Z76.0 | Encounter for issue of repeat prescription | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z76.1 | Encounter for health supervision and care of foundling | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z76.2 | Encounter for health supervision and care of other healthy infant and childCMS: Encntr for hlth suprvsn and care of healthy infant and child | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z76.3 | Healthy person accompanying sick person | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z76.4 | Other boarder to healthcare facility | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z76.5 | Malingerer [conscious simulation] | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z76.8 Persons encountering health services in other specified circumstances | ||||
| Z76.81 | Expectant parent(s) prebirth pediatrician visit | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z76.82 | Awaiting organ transplant status | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z76.89 | Persons encountering health services in other specified circumstancesCMS: Persons encountering health services in oth circumstances | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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