October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

See what changed

ICD-10 · PDGM grouping

Z77 Other contact with and (suspected) exposures hazardous to health

All 31 codes in the Z77 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.

ICD-10-CM FY2027 · CMS grouper v07.2.26

Codes in family

31

Can lead a claim

0

Cannot lead a claim

31

What CMS assigns to Z77

None of the 31 codes is assigned a clinical group. None of the 31 is assigned a comorbidity subgroup. None can lead a claim.

Every code in Z77

Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
Z77.0 Contact with and (suspected) exposure to hazardous, chiefly nonmedicinal, chemicals
Z77.01 Contact with and (suspected) exposure to hazardous metals
Z77.010Contact with and (suspected) exposure to arsenicCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z77.011Contact with and (suspected) exposure to leadCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z77.012Contact with and (suspected) exposure to uraniumCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z77.013Contact with and (suspected) exposure to gadoliniumCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z77.018Contact with and (suspected) exposure to other hazardous metalsCMS: Contact w and (suspected) exposure to oth hazardous metalsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z77.02 Contact with and (suspected) exposure to hazardous aromatic compounds
Z77.020Contact with and (suspected) exposure to aromatic aminesCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z77.021Contact with and (suspected) exposure to benzeneCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z77.028Contact with and (suspected) exposure to other hazardous aromatic compoundsCMS: Contact w and exposure to oth hazardous aromatic compoundsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z77.09 Contact with and (suspected) exposure to other hazardous, chiefly nonmedicinal, chemicals
Z77.090Contact with and (suspected) exposure to asbestosCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z77.098Contact with and (suspected) exposure to other hazardous, chiefly nonmedicinal, chemicalsCMS: Contact w and expsr to oth hazard, chiefly nonmed, chemicalsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z77.1 Contact with and (suspected) exposure to environmental pollution and hazards in the physical environment
Z77.11 Contact with and (suspected) exposure to environmental pollution
Z77.110Contact with and (suspected) exposure to air pollutionCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z77.111Contact with and (suspected) exposure to water pollutionCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z77.112Contact with and (suspected) exposure to soil pollutionCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z77.118Contact with and (suspected) exposure to other environmental pollutionCMS: Contact w and (suspected) exposure to oth environ pollutionCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z77.12 Contact with and (suspected) exposure to hazards in the physical environment
Z77.120Contact with and (suspected) exposure to mold (toxic)Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z77.121Contact with and (suspected) exposure to harmful algae and algae toxinsCMS: Contact w and exposure to harmful algae and algae toxinsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z77.122Contact with and (suspected) exposure to noiseCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z77.123Contact with and (suspected) exposure to radon and other naturally occurring radiationCMS: Cntct w & expsr to radon and other naturally occur radiationCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z77.128Contact with and (suspected) exposure to other hazards in the physical environmentCMS: Contact w and expsr to oth hazards in the physcl environmentCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z77.2 Contact with and (suspected) exposure to other hazardous substances
Z77.21Contact with and (suspected) exposure to potentially hazardous body fluidsCMS: Contact w and exposure to potentially hazardous body fluidsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z77.22Contact with and (suspected) exposure to environmental tobacco smoke (acute) (chronic)CMS: Cntct w and expsr to environ tobacco smoke (acute) (chronic)Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z77.29Contact with and (suspected) exposure to other hazardous substancesCMS: Contact with and exposure to other hazardous substancesCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z77.3 Contact with and (suspected) exposure to war theater
Z77.31Contact with and (suspected) exposure to Gulf War theaterCannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
Z77.32Contact with and (suspected) exposure to burn pits in war theaterCMS: Contact with and exposure to burn pits in war theaterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z77.33Contact with and (suspected) exposure to Agent OrangeCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z77.39Contact with and (suspected) exposure to other war theaterCannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
Z77.4 Contact with and (suspected) exposure to blast overpressure
Z77.40Contact with and (suspected) exposure to unspecified blast overpressureCMS: Contact with and exposure to unspecified blast overpressureCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z77.41Contact with and (suspected) exposure to low-level blast overpressureCMS: Contact with and exposure to low-level blast overpressureCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z77.42Contact with and (suspected) exposure to high-level blast overpressureCMS: Contact with and exposure to high-level blast overpressureCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z77.49Contact with and (suspected) exposure to other blast overpressureCMS: Contact with and exposure to other blast overpressureCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z77.9Other contact with and (suspected) exposures hazardous to healthCMS: Oth contact w and (suspected) exposures hazardous to healthCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone

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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