ICD-10 · PDGM grouping
Z69-Z76 — Persons encountering health services in other circumstances
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.
ICD-10-CM FY2027 · CMS grouper v07.2.26
Codes in range
85
No clinical group
85
A period cannot be grouped from these.
Barred as primary
1
CMS rejects these in the primary position.
Where these codes group
None of the 85 codes in Z69-Z76 is assigned a PDGM clinical group. A 30-day period cannot be grouped from any of them, so none can hold the primary position on a home health claim.
Code families in Z69-Z76
One page per three-character family: every code in it, whether it can lead a claim, its clinical group and comorbidity subgroup.
- Z69Encounter for mental health services for victim and perpetrator of abuse8 codes
- Z70Counseling related to sexual attitude, behavior and orientation6 codes
- Z71Persons encountering health services for other counseling and medical advice, not elsewhere classified19 codes
- Z72Problems related to lifestyle14 codes
- Z73Problems related to life management difficulty14 codes
- Z74Problems related to care provider dependency7 codes
- Z75Problems related to medical facilities and other health care8 codes
- Z76Persons encountering health services in other circumstances9 codes
Every code in Z69-Z76
Descriptions are CMS’s own, abbreviated as CMS abbreviates them.
| Code | Description | Clinical group | Primary position |
|---|---|---|---|
| Z69010 | Encntr for mental hlth serv for victim of prntl child abuse | None | Cannot lead a claim |
| Z69011 | Encntr for mental health serv for perp of prntl child abuse | None | Cannot lead a claim |
| Z69020 | Encntr for mntl hlth serv for vctm of non-prntl child abuse | None | Cannot lead a claim |
| Z69021 | Encntr for mntl hlth serv for perp of non-prntl child abuse | None | Cannot lead a claim |
| Z6911 | Encntr for mntl hlth serv for victim of spous or prtnr abuse | None | Cannot lead a claim |
| Z6912 | Encntr for mental hlth serv for perp of spous or prtnr abuse | None | Cannot lead a claim |
| Z6981 | Encounter for mental health services for victim of oth abuse | None | Cannot lead a claim |
| Z6982 | Encounter for mental health services for perp of abuse | None | Cannot lead a claim |
| Z700 | Counseling related to sexual attitude | None | Cannot lead a claim |
| Z701 | Counseling related to patient's sexual behavior and orientn | None | Cannot lead a claim |
| Z702 | Cnsl related to sexual behavior and orientn of third party | None | Cannot lead a claim |
| Z703 | Cnsl rel to comb concrn rgrd sex attitude, behav and orientn | None | Cannot lead a claim |
| Z708 | Other sex counseling | None | Cannot lead a claim |
| Z709 | Sex counseling, unspecified | None | Cannot lead a claim |
| Z710 | Prsn encntr hlth serv to consult on behalf of another person | None | Cannot lead a claim |
| Z711 | Person w feared hlth complaint in whom no diagnosis is made | None | Cannot lead a claim |
| Z712 | Person consulting for explanation of exam or test findings | None | Cannot lead a claim |
| Z713 | Dietary counseling and surveillance | None | Cannot lead a claim |
| Z7141 | Alcohol abuse counseling and surveillance of alcoholic | None | Cannot lead a claim |
| Z7142 | Counseling for family member of alcoholic | None | Cannot lead a claim |
| Z7151 | Drug abuse counseling and surveillance of drug abuser | None | Cannot lead a claim |
| Z7152 | Counseling for family member of drug abuser | None | Cannot lead a claim |
| Z716 | Tobacco abuse counseling | None | Cannot lead a claim |
| Z717 | Human immunodeficiency virus [HIV] counseling | None | Cannot lead a claim |
| Z7181 | Spiritual or religious counseling | None | Cannot lead a claim |
| Z7182 | Exercise counseling | None | Cannot lead a claim |
| Z7183 | Encounter for nonprocreative genetic counseling | None | Cannot lead a claim |
| Z7184 | Encounter for health counseling related to travel | None | Cannot lead a claim |
| Z7185 | Encounter for immunization safety counseling | None | Cannot lead a claim |
| Z7187 | Encounter for pediatric-to-adult transition counseling | None | Cannot lead a claim |
| Z7188 | Encounter for counseling for socioeconomic factors | None | Cannot lead a claim |
| Z7189 | Other specified counseling | None | Cannot lead a claim |
| Z719 | Counseling, unspecified | None | Cannot lead a claim |
| Z720 | Tobacco use | None | Cannot lead a claim |
| Z723 | Lack of physical exercise | None | Cannot lead a claim |
| Z724 | Inappropriate diet and eating habits | None | Cannot lead a claim |
| Z7251 | High risk heterosexual behavior | None | Cannot lead a claim |
| Z7252 | High risk homosexual behavior | None | Cannot lead a claim |
| Z7253 | High risk bisexual behavior | None | Cannot lead a claim |
| Z726 | Gambling and betting | None | Cannot lead a claim |
| Z72810 | Child and adolescent antisocial behavior | None | Cannot lead a claim |
| Z72811 | Adult antisocial behavior | None | Cannot lead a claim |
| Z72820 | Sleep deprivation | None | Cannot lead a claim |
| Z72821 | Inadequate sleep hygiene | None | Cannot lead a claim |
| Z72823 | Risk of suffocation (smothering) under another wh sleeping | None | Cannot lead a claim |
| Z7289 | Other problems related to lifestyle | None | Cannot lead a claim |
| Z729 | Problem related to lifestyle, unspecified | None | Cannot lead a claim |
| Z730 | Burn-out | None | Cannot lead a claim |
| Z731 | Type A behavior pattern | None | Cannot lead a claim |
| Z732 | Lack of relaxation and leisure | None | Cannot lead a claim |
| Z733 | Stress, not elsewhere classified | None | Cannot lead a claim |
| Z734 | Inadequate social skills, not elsewhere classified | None | Cannot lead a claim |
| Z735 | Social role conflict, not elsewhere classified | None | Cannot lead a claim |
| Z736 | Limitation of activities due to disability | None | Cannot lead a claim |
| Z73810 | Behavioral insomnia of childhood, sleep-onset assoc type | None | Cannot lead a claim |
| Z73811 | Behavioral insomnia of childhood, limit setting type | None | Cannot lead a claim |
| Z73812 | Behavioral insomnia of childhood, combined type | None | Cannot lead a claim |
| Z73819 | Behavioral insomnia of childhood, unspecified type | None | Cannot lead a claim |
| Z7382 | Dual sensory impairment | None | Cannot lead a claim |
| Z7389 | Other problems related to life management difficulty | None | Cannot lead a claim |
| Z739 | Problem related to life management difficulty, unspecified | None | Cannot lead a claim |
| Z7401 | Bed confinement status | None | Cannot lead a claim |
| Z7409 | Other reduced mobility | None | Cannot lead a claim |
| Z741 | Need for assistance with personal care | None | Cannot lead a claim |
| Z742 | Need for assist at home & no house memb able to render care | None | Cannot lead a claim |
| Z743 | Need for continuous supervision | None | Cannot lead a claim |
| Z748 | Other problems related to care provider dependency | None | Cannot lead a claim |
| Z749 | Problem related to care provider dependency, unspecified | None | Cannot lead a claim |
| Z750 | Medical services not available in home | None | Cannot lead a claim |
| Z751 | Person awaiting admission to adequate facility elsewhere | None | Cannot lead a claim |
| Z752 | Other waiting period for investigation and treatment | None | Cannot lead a claim |
| Z753 | Unavailability and inaccessibility of health-care facilities | None | Cannot lead a claim |
| Z754 | Unavailability and inaccessibility of other helping agencies | None | Cannot lead a claim |
| Z755 | Holiday relief care | None | Cannot lead a claim |
| Z758 | Oth prob related to medical facilities and oth health care | None | Cannot lead a claim |
| Z759 | Unsp problem related to med facilities and oth health care | None | Cannot lead a claim |
| Z760 | Encounter for issue of repeat prescription | None | Cannot lead a claim |
| Z761 | Encounter for health supervision and care of foundling | None | Cannot lead a claim |
| Z762 | Encntr for hlth suprvsn and care of healthy infant and child | None | Cannot lead a claim |
| Z763 | Healthy person accompanying sick person | None | Cannot lead a claim |
| Z764 | Other boarder to healthcare facility | None | Cannot lead a claim |
| Z765 | Malingerer [conscious simulation] | None | Cannot lead a claim |
| Z7681 | Expectant parent(s) prebirth pediatrician visit | None | Cannot lead a claim |
| Z7682 | Awaiting organ transplant status | None | Cannot lead a claim |
| Z7689 | Persons encountering health services in oth circumstances | 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