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 v07.1.26.
OASIS-E2 v1.00.0 · ingested 2026-04-26
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.
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 group |
| Z69011 | Encntr for mental health serv for perp of prntl child abuse | None | Cannot group |
| Z69020 | Encntr for mntl hlth serv for vctm of non-prntl child abuse | None | Cannot group |
| Z69021 | Encntr for mntl hlth serv for perp of non-prntl child abuse | None | Cannot group |
| Z6911 | Encntr for mntl hlth serv for victim of spous or prtnr abuse | None | Cannot group |
| Z6912 | Encntr for mental hlth serv for perp of spous or prtnr abuse | None | Cannot group |
| Z6981 | Encounter for mental health services for victim of oth abuse | None | Cannot group |
| Z6982 | Encounter for mental health services for perp of abuse | None | Cannot group |
| Z700 | Counseling related to sexual attitude | None | Cannot group |
| Z701 | Counseling related to patient's sexual behavior and orientn | None | Cannot group |
| Z702 | Cnsl related to sexual behavior and orientn of third party | None | Cannot group |
| Z703 | Cnsl rel to comb concrn rgrd sex attitude, behav and orientn | None | Cannot group |
| Z708 | Other sex counseling | None | Cannot group |
| Z709 | Sex counseling, unspecified | None | Cannot group |
| Z710 | Prsn encntr hlth serv to consult on behalf of another person | None | Cannot group |
| Z711 | Person w feared hlth complaint in whom no diagnosis is made | None | Cannot group |
| Z712 | Person consulting for explanation of exam or test findings | None | Cannot group |
| Z713 | Dietary counseling and surveillance | None | Cannot group |
| Z7141 | Alcohol abuse counseling and surveillance of alcoholic | None | Cannot group |
| Z7142 | Counseling for family member of alcoholic | None | Cannot group |
| Z7151 | Drug abuse counseling and surveillance of drug abuser | None | Cannot group |
| Z7152 | Counseling for family member of drug abuser | None | Cannot group |
| Z716 | Tobacco abuse counseling | None | Cannot group |
| Z717 | Human immunodeficiency virus [HIV] counseling | None | Cannot group |
| Z7181 | Spiritual or religious counseling | None | Cannot group |
| Z7182 | Exercise counseling | None | Cannot group |
| Z7183 | Encounter for nonprocreative genetic counseling | None | Cannot group |
| Z7184 | Encounter for health counseling related to travel | None | Cannot group |
| Z7185 | Encounter for immunization safety counseling | None | Cannot group |
| Z7187 | Encounter for pediatric-to-adult transition counseling | None | Cannot group |
| Z7188 | Encounter for counseling for socioeconomic factors | None | Cannot group |
| Z7189 | Other specified counseling | None | Cannot group |
| Z719 | Counseling, unspecified | None | Cannot group |
| Z720 | Tobacco use | None | Cannot group |
| Z723 | Lack of physical exercise | None | Cannot group |
| Z724 | Inappropriate diet and eating habits | None | Cannot group |
| Z7251 | High risk heterosexual behavior | None | Cannot group |
| Z7252 | High risk homosexual behavior | None | Cannot group |
| Z7253 | High risk bisexual behavior | None | Cannot group |
| Z726 | Gambling and betting | None | Cannot group |
| Z72810 | Child and adolescent antisocial behavior | None | Cannot group |
| Z72811 | Adult antisocial behavior | None | Cannot group |
| Z72820 | Sleep deprivation | None | Cannot group |
| Z72821 | Inadequate sleep hygiene | None | Cannot group |
| Z72823 | Risk of suffocation (smothering) under another wh sleeping | None | Not accepted |
| Z7289 | Other problems related to lifestyle | None | Cannot group |
| Z729 | Problem related to lifestyle, unspecified | None | Cannot group |
| Z730 | Burn-out | None | Cannot group |
| Z731 | Type A behavior pattern | None | Cannot group |
| Z732 | Lack of relaxation and leisure | None | Cannot group |
| Z733 | Stress, not elsewhere classified | None | Cannot group |
| Z734 | Inadequate social skills, not elsewhere classified | None | Cannot group |
| Z735 | Social role conflict, not elsewhere classified | None | Cannot group |
| Z736 | Limitation of activities due to disability | None | Cannot group |
| Z73810 | Behavioral insomnia of childhood, sleep-onset assoc type | None | Cannot group |
| Z73811 | Behavioral insomnia of childhood, limit setting type | None | Cannot group |
| Z73812 | Behavioral insomnia of childhood, combined type | None | Cannot group |
| Z73819 | Behavioral insomnia of childhood, unspecified type | None | Cannot group |
| Z7382 | Dual sensory impairment | None | Cannot group |
| Z7389 | Other problems related to life management difficulty | None | Cannot group |
| Z739 | Problem related to life management difficulty, unspecified | None | Cannot group |
| Z7401 | Bed confinement status | None | Cannot group |
| Z7409 | Other reduced mobility | None | Cannot group |
| Z741 | Need for assistance with personal care | None | Cannot group |
| Z742 | Need for assist at home & no house memb able to render care | None | Cannot group |
| Z743 | Need for continuous supervision | None | Cannot group |
| Z748 | Other problems related to care provider dependency | None | Cannot group |
| Z749 | Problem related to care provider dependency, unspecified | None | Cannot group |
| Z750 | Medical services not available in home | None | Cannot group |
| Z751 | Person awaiting admission to adequate facility elsewhere | None | Cannot group |
| Z752 | Other waiting period for investigation and treatment | None | Cannot group |
| Z753 | Unavailability and inaccessibility of health-care facilities | None | Cannot group |
| Z754 | Unavailability and inaccessibility of other helping agencies | None | Cannot group |
| Z755 | Holiday relief care | None | Cannot group |
| Z758 | Oth prob related to medical facilities and oth health care | None | Cannot group |
| Z759 | Unsp problem related to med facilities and oth health care | None | Cannot group |
| Z760 | Encounter for issue of repeat prescription | None | Cannot group |
| Z761 | Encounter for health supervision and care of foundling | None | Cannot group |
| Z762 | Encntr for hlth suprvsn and care of healthy infant and child | None | Cannot group |
| Z763 | Healthy person accompanying sick person | None | Cannot group |
| Z764 | Other boarder to healthcare facility | None | Cannot group |
| Z765 | Malingerer [conscious simulation] | None | Cannot group |
| Z7681 | Expectant parent(s) prebirth pediatrician visit | None | Cannot group |
| Z7682 | Awaiting organ transplant status | None | Cannot group |
| Z7689 | Persons encountering health services in oth circumstances | None | Cannot group |
Source: CMS HH PPS Grouper Software v07.1.26, effective 2026-04-01. 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.
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