ICD-10 · PDGM grouping
Z20-Z29 — Persons with potential health hazards related to communicable diseases
Every ICD-10-CM code in this range and the PDGM clinical group CMS assigns to it, read from the CMS grouper crosswalk v07.2.26.
Codes in range
65
No clinical group
64
A period cannot be grouped from these.
Barred as primary
3
CMS rejects these in the primary position.
Where these codes group
1 of the 65 codes in Z20-Z29 group to MMTA - Infectious Disease, Neoplasms, and Blood-Forming Diseases. A further 64 are assigned no clinical group at all, which means a 30-day period cannot be grouped from them.
Code families in Z20-Z29
One page per three-character family: every code in it, whether it can lead a claim, its clinical group and comorbidity subgroup.
- Z20Contact with and (suspected) exposure to communicable diseases18 codes
- Z21Asymptomatic human immunodeficiency virus [HIV] infection status1 code
- Z22Carrier of infectious disease20 codes
- Z23Encounter for immunization1 code
- Z28Immunization not carried out and underimmunization status17 codes
- Z29Encounter for other prophylactic measures8 codes
Every code in Z20-Z29
Descriptions are CMS’s own, abbreviated as CMS abbreviates them.
| Code | Description | Clinical group | Primary position |
|---|---|---|---|
| Z2001 | Cntct w and expsr to intestnl infct dis d/t E coli (E. coli) | None | Cannot lead a claim |
| Z2009 | Contact w and exposure to oth intestinal infectious diseases | None | Cannot lead a claim |
| Z201 | Contact with and (suspected) exposure to tuberculosis | None | Cannot lead a claim |
| Z202 | Contact w and exposure to infect w a sexl mode of transmiss | None | Cannot lead a claim |
| Z203 | Contact with and (suspected) exposure to rabies | None | Cannot lead a claim |
| Z204 | Contact with and (suspected) exposure to rubella | None | Cannot lead a claim |
| Z205 | Contact with and (suspected) exposure to viral hepatitis | None | Cannot lead a claim |
| Z206 | Contact w and (suspected) exposure to human immunodef virus | None | Cannot lead a claim |
| Z207 | Cntct w & expsr to pediculosis, acariasis & oth infestations | None | Cannot lead a claim |
| Z20810 | Contact with and (suspected) exposure to anthrax | None | Cannot lead a claim |
| Z20811 | Contact with and (suspected) exposure to meningococcus | None | Cannot lead a claim |
| Z20818 | Contact w and exposure to oth bact communicable diseases | None | Cannot lead a claim |
| Z20820 | Contact with and (suspected) exposure to varicella | None | Cannot lead a claim |
| Z20821 | Contact with and (suspected) exposure to Zika virus | None | Cannot lead a claim |
| Z20822 | Contact with and (suspected) exposure to COVID-19 | K | Can lead a claim |
| Z20828 | Contact w and exposure to oth viral communicable diseases | None | Cannot lead a claim |
| Z2089 | Contact w and exposure to oth communicable diseases | None | Cannot lead a claim |
| Z209 | Contact w and exposure to unsp communicable disease | None | Cannot lead a claim |
| Z21 | Asymptomatic human immunodeficiency virus infection status | None | Cannot lead a claim |
| Z220 | Carrier of typhoid | None | Cannot lead a claim |
| Z221 | Carrier of other intestinal infectious diseases | None | Cannot lead a claim |
| Z222 | Carrier of diphtheria | None | Cannot lead a claim |
| Z2231 | Carrier of bacterial disease due to meningococci | None | Cannot lead a claim |
| Z22321 | Carrier or suspected carrier of methicillin suscep staph | None | Cannot lead a claim |
| Z22322 | Carrier or suspected carrier of methicillin resis staph | None | Cannot lead a claim |
| Z22330 | Carrier of Group B streptococcus | None | Cannot lead a claim |
| Z22338 | Carrier of other streptococcus | None | Cannot lead a claim |
| Z22340 | Carrier of carbapenem-resistant Acinetobacter baumannii | None | Cannot lead a claim |
| Z22341 | Carrier of carbapenem-sensitive Acinetobacter baumannii | None | Cannot lead a claim |
| Z22349 | Carrier of Acinetobacter baumannii, unspecified | None | Cannot lead a claim |
| Z22350 | Carrier of carbapenem-resistant Enterobacterales | None | Cannot lead a claim |
| Z22358 | Carrier of other Enterobacterales | None | Cannot lead a claim |
| Z22359 | Carrier of Enterobacterales, unspecified | None | Cannot lead a claim |
| Z2239 | Carrier of other specified bacterial diseases | None | Cannot lead a claim |
| Z224 | Carrier of infections w sexl mode of transmiss | None | Cannot lead a claim |
| Z226 | Carrier of human T-lymphotropic virus type-1 infection | None | Cannot lead a claim |
| Z227 | Latent tuberculosis | None | Cannot lead a claim |
| Z228 | Carrier of other infectious diseases | None | Cannot lead a claim |
| Z229 | Carrier of infectious disease, unspecified | None | Cannot lead a claim |
| Z23 | Encounter for immunization | None | Cannot lead a claim |
| Z2801 | Immunization not crd out because of acute illness of patient | None | Cannot lead a claim |
| Z2802 | Immuniz not crd out bec chronic illness or cond of patient | None | Cannot lead a claim |
| Z2803 | Immuniz not crd out bec immune compromised state of patient | None | Cannot lead a claim |
| Z2804 | Immuniz not crd out bec patient allergy to vaccine or cmpnt | None | Cannot lead a claim |
| Z2809 | Immunization not carried out because of oth contraindication | None | Cannot lead a claim |
| Z281 | Immuniz not crd out because of patient belief/grp pressr | None | Cannot lead a claim |
| Z2820 | Immuniz not crd out bec patient decision for unsp reason | None | Cannot lead a claim |
| Z2821 | Immunization not carried out because of patient refusal | None | Cannot lead a claim |
| Z2829 | Immuniz not crd out bec patient decision for oth reason | None | Cannot lead a claim |
| Z28310 | Unvaccinated for COVID-19 | None | Cannot lead a claim |
| Z28311 | Partially vaccinated for COVID-19 | None | Cannot lead a claim |
| Z2839 | Other underimmunization status | None | Cannot lead a claim |
| Z2881 | Immuniz not crd out due to patient having had the disease | None | Cannot lead a claim |
| Z2882 | Immunization not carried out because of caregiver refusal | None | Cannot lead a claim |
| Z2883 | Immunization not crd out due to unavailability of vaccine | None | Cannot lead a claim |
| Z2889 | Immunization not carried out for other reason | None | Cannot lead a claim |
| Z289 | Immunization not carried out for unspecified reason | None | Cannot lead a claim |
| Z2911 | Enctr for prphylc immther for resp syncytial virus (RSV) | None | Cannot lead a claim |
| Z2912 | Encounter for prophylactic antivenin | None | Cannot lead a claim |
| Z2913 | Encounter for prophylactic Rho(D) immune globulin | None | Cannot lead a claim |
| Z2914 | Encounter for prophylactic rabies immune globulin | None | Cannot lead a claim |
| Z293 | Encounter for prophylactic fluoride administration | None | Cannot lead a claim |
| Z2981 | Encounter for HIV pre-exposure prophylaxis | None | Cannot lead a claim |
| Z2989 | Encounter for other specified prophylactic measures | None | Cannot lead a claim |
| Z299 | Encounter for prophylactic measures, unspecified | None | Cannot lead a claim |
Source: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01. 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.
The monthly home health regs digest
What CMS changed, what's due next, and what to do about it — one email a month, no fluff. Read the first issue