ICD-10-CM/PCS MS-DRG v34.0 Definitions Manual
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MDC 23 Factors Influencing Health Status & Other Contacts with Health Services
Other Factors Influencing Health Status
Page 2 of 3

PRINCIPAL DIAGNOSIS (continued)

F17200 Z31441 Z813

Z31441Encounter for testing of male partner of patient with recurrent pregnancy loss
Z31448Encounter for other genetic testing of male for procreative management
Z3149Encounter for other procreative investigation and testing
Z315Encounter for genetic counseling
Z3161Procreative counseling and advice using natural family planning
Z3162Encounter for fertility preservation counseling
Z3169Encounter for other general counseling and advice on procreation
Z317Encounter for procreative management and counseling for gestational carrier
Z3181Encounter for male factor infertility in female patient
Z3182Encounter for Rh incompatibility status
Z3183Encounter for assisted reproductive fertility procedure cycle
Z3184Encounter for fertility preservation procedure
Z3189Encounter for other procreative management
Z319Encounter for procreative management, unspecified
Z3200Encounter for pregnancy test, result unknown
Z3201Encounter for pregnancy test, result positive
Z3202Encounter for pregnancy test, result negative
Z322Encounter for childbirth instruction
Z323Encounter for childcare instruction
Z331Pregnant state, incidental
Z333Pregnant state, gestational carrier
Z3400Encounter for supervision of normal first pregnancy, unspecified trimester
Z3401Encounter for supervision of normal first pregnancy, first trimester
Z3402Encounter for supervision of normal first pregnancy, second trimester
Z3403Encounter for supervision of normal first pregnancy, third trimester
Z3480Encounter for supervision of other normal pregnancy, unspecified trimester
Z3481Encounter for supervision of other normal pregnancy, first trimester
Z3482Encounter for supervision of other normal pregnancy, second trimester
Z3483Encounter for supervision of other normal pregnancy, third trimester
Z3490Encounter for supervision of normal pregnancy, unspecified, unspecified trimester
Z3491Encounter for supervision of normal pregnancy, unspecified, first trimester
Z3492Encounter for supervision of normal pregnancy, unspecified, second trimester
Z3493Encounter for supervision of normal pregnancy, unspecified, third trimester
Z36Encounter for antenatal screening of mother
Z370Single live birth
Z371Single stillbirth
Z372Twins, both liveborn
Z373Twins, one liveborn and one stillborn
Z374Twins, both stillborn
Z3750Multiple births, unspecified, all liveborn
Z3751Triplets, all liveborn
Z3752Quadruplets, all liveborn
Z3753Quintuplets, all liveborn
Z3754Sextuplets, all liveborn
Z3759Other multiple births, all liveborn
Z3760Multiple births, unspecified, some liveborn
Z3761Triplets, some liveborn
Z3762Quadruplets, some liveborn
Z3763Quintuplets, some liveborn
Z3764Sextuplets, some liveborn
Z3769Other multiple births, some liveborn
Z377Other multiple births, all stillborn
Z379Outcome of delivery, unspecified
Z391Encounter for care and examination of lactating mother
Z392Encounter for routine postpartum follow-up
Z3A00Weeks of gestation of pregnancy not specified
Z3A01Less than 8 weeks gestation of pregnancy
Z3A088 weeks gestation of pregnancy
Z3A099 weeks gestation of pregnancy
Z3A1010 weeks gestation of pregnancy
Z3A1111 weeks gestation of pregnancy
Z3A1212 weeks gestation of pregnancy
Z3A1313 weeks gestation of pregnancy
Z3A1414 weeks gestation of pregnancy
Z3A1515 weeks gestation of pregnancy
Z3A1616 weeks gestation of pregnancy
Z3A1717 weeks gestation of pregnancy
Z3A1818 weeks gestation of pregnancy
Z3A1919 weeks gestation of pregnancy
Z3A2020 weeks gestation of pregnancy
Z3A2121 weeks gestation of pregnancy
Z3A2222 weeks gestation of pregnancy
Z3A2323 weeks gestation of pregnancy
Z3A2424 weeks gestation of pregnancy
Z3A2525 weeks gestation of pregnancy
Z3A2626 weeks gestation of pregnancy
Z3A2727 weeks gestation of pregnancy
Z3A2828 weeks gestation of pregnancy
Z3A2929 weeks gestation of pregnancy
Z3A3030 weeks gestation of pregnancy
Z3A3131 weeks gestation of pregnancy
Z3A3232 weeks gestation of pregnancy
Z3A3333 weeks gestation of pregnancy
Z3A3434 weeks gestation of pregnancy
Z3A3535 weeks gestation of pregnancy
Z3A3636 weeks gestation of pregnancy
Z3A3737 weeks gestation of pregnancy
Z3A3838 weeks gestation of pregnancy
Z3A3939 weeks gestation of pregnancy
Z3A4040 weeks gestation of pregnancy
Z3A4141 weeks gestation of pregnancy
Z3A4242 weeks gestation of pregnancy
Z3A49Greater than 42 weeks gestation of pregnancy
Z4000Encounter for prophylactic removal of unspecified organ
Z4009Encounter for prophylactic removal of other organ
Z408Encounter for other prophylactic surgery
Z409Encounter for prophylactic surgery, unspecified
Z413Encounter for ear piercing
Z418Encounter for other procedures for purposes other than remedying health state
Z419Encounter for procedure for purposes other than remedying health state, unspecified
Z438Encounter for attention to other artificial openings
Z439Encounter for attention to unspecified artificial opening
Z4420Encounter for fitting and adjustment of artificial eye, unspecified
Z4421Encounter for fitting and adjustment of artificial right eye
Z4422Encounter for fitting and adjustment of artificial left eye
Z4430Encounter for fitting and adjustment of external breast prosthesis, unspecified breast
Z4431Encounter for fitting and adjustment of external right breast prosthesis
Z4432Encounter for fitting and adjustment of external left breast prosthesis
Z45811Encounter for adjustment or removal of right breast implant
Z45812Encounter for adjustment or removal of left breast implant
Z45819Encounter for adjustment or removal of unspecified breast implant
Z4582Encounter for adjustment or removal of myringotomy device (stent) (tube)
Z4589Encounter for adjustment and management of other implanted devices
Z459Encounter for adjustment and management of unspecified implanted device
Z460Encounter for fitting and adjustment of spectacles and contact lenses
Z461Encounter for fitting and adjustment of hearing aid
Z463Encounter for fitting and adjustment of dental prosthetic device
Z464Encounter for fitting and adjustment of orthodontic device
Z4681Encounter for fitting and adjustment of insulin pump
Z4689Encounter for fitting and adjustment of other specified devices
Z469Encounter for fitting and adjustment of unspecified device
Z4800Encounter for change or removal of nonsurgical wound dressing
Z4801Encounter for change or removal of surgical wound dressing
Z4802Encounter for removal of sutures
Z515Encounter for palliative care
Z516Encounter for desensitization to allergens
Z52000Unspecified donor, whole blood
Z52001Unspecified donor, stem cells
Z52008Unspecified donor, other blood
Z52010Autologous donor, whole blood
Z52011Autologous donor, stem cells
Z52018Autologous donor, other blood
Z52090Other blood donor, whole blood
Z52091Other blood donor, stem cells
Z52098Other blood donor, other blood
Z523Bone marrow donor
Z525Cornea donor
Z52810Egg (Oocyte) donor under age 35, anonymous recipient
Z52811Egg (Oocyte) donor under age 35, designated recipient
Z52812Egg (Oocyte) donor age 35 and over, anonymous recipient
Z52813Egg (Oocyte) donor age 35 and over, designated recipient
Z52819Egg (Oocyte) donor, unspecified
Z5289Donor of other specified organs or tissues
Z529Donor of unspecified organ or tissue
Z5301Procedure and treatment not carried out due to patient smoking
Z5309Procedure and treatment not carried out because of other contraindication
Z531Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure
Z5320Procedure and treatment not carried out because of patient's decision for unspecified reasons
Z5321Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider
Z5329Procedure and treatment not carried out because of patient's decision for other reasons
Z5331Laparoscopic surgical procedure converted to open procedure
Z5332Thoracoscopic surgical procedure converted to open procedure
Z5333Arthroscopic surgical procedure converted to open procedure
Z5339Other specified procedure converted to open procedure
Z538Procedure and treatment not carried out for other reasons
Z539Procedure and treatment not carried out, unspecified reason
Z550Illiteracy and low-level literacy
Z551Schooling unavailable and unattainable
Z552Failed school examinations
Z553Underachievement in school
Z554Educational maladjustment and discord with teachers and classmates
Z558Other problems related to education and literacy
Z559Problems related to education and literacy, unspecified
Z560Unemployment, unspecified
Z561Change of job
Z562Threat of job loss
Z563Stressful work schedule
Z564Discord with boss and workmates
Z565Uncongenial work environment
Z566Other physical and mental strain related to work
Z5681Sexual harassment on the job
Z5682Military deployment status
Z5689Other problems related to employment
Z569Unspecified problems related to employment
Z570Occupational exposure to noise
Z571Occupational exposure to radiation
Z572Occupational exposure to dust
Z5731Occupational exposure to environmental tobacco smoke
Z5739Occupational exposure to other air contaminants
Z574Occupational exposure to toxic agents in agriculture
Z575Occupational exposure to toxic agents in other industries
Z576Occupational exposure to extreme temperature
Z577Occupational exposure to vibration
Z578Occupational exposure to other risk factors
Z579Occupational exposure to unspecified risk factor
Z590Homelessness
Z591Inadequate housing
Z592Discord with neighbors, lodgers and landlord
Z593Problems related to living in residential institution
Z594Lack of adequate food and safe drinking water
Z595Extreme poverty
Z596Low income
Z597Insufficient social insurance and welfare support
Z598Other problems related to housing and economic circumstances
Z599Problem related to housing and economic circumstances, unspecified
Z600Problems of adjustment to life-cycle transitions
Z602Problems related to living alone
Z603Acculturation difficulty
Z604Social exclusion and rejection
Z605Target of (perceived) adverse discrimination and persecution
Z608Other problems related to social environment
Z609Problem related to social environment, unspecified
Z620Inadequate parental supervision and control
Z621Parental overprotection
Z6221Child in welfare custody
Z6222Institutional upbringing
Z6229Other upbringing away from parents
Z623Hostility towards and scapegoating of child
Z626Inappropriate (excessive) parental pressure
Z62810Personal history of physical and sexual abuse in childhood
Z62811Personal history of psychological abuse in childhood
Z62812Personal history of neglect in childhood
Z62819Personal history of unspecified abuse in childhood
Z62820Parent-biological child conflict
Z62821Parent-adopted child conflict
Z62822Parent-foster child conflict
Z62890Parent-child estrangement NEC
Z62891Sibling rivalry
Z62898Other specified problems related to upbringing
Z629Problem related to upbringing, unspecified
Z630Problems in relationship with spouse or partner
Z631Problems in relationship with in-laws
Z6331Absence of family member due to military deployment
Z6332Other absence of family member
Z634Disappearance and death of family member
Z635Disruption of family by separation and divorce
Z636Dependent relative needing care at home
Z6371Stress on family due to return of family member from military deployment
Z6372Alcoholism and drug addiction in family
Z6379Other stressful life events affecting family and household
Z638Other specified problems related to primary support group
Z639Problem related to primary support group, unspecified
Z644Discord with counselors
Z650Conviction in civil and criminal proceedings without imprisonment
Z651Imprisonment and other incarceration
Z652Problems related to release from prison
Z653Problems related to other legal circumstances
Z654Victim of crime and terrorism
Z655Exposure to disaster, war and other hostilities
Z658Other specified problems related to psychosocial circumstances
Z659Problem related to unspecified psychosocial circumstances
Z66Do not resuscitate
Z6710Type A blood, Rh positive
Z6711Type A blood, Rh negative
Z6720Type B blood, Rh positive
Z6721Type B blood, Rh negative
Z6730Type AB blood, Rh positive
Z6731Type AB blood, Rh negative
Z6740Type O blood, Rh positive
Z6741Type O blood, Rh negative
Z6790Unspecified blood type, Rh positive
Z6791Unspecified blood type, Rh negative
Z681Body mass index (BMI) 19 or less, adult
Z6820Body mass index (BMI) 20.0-20.9, adult
Z6821Body mass index (BMI) 21.0-21.9, adult
Z6822Body mass index (BMI) 22.0-22.9, adult
Z6823Body mass index (BMI) 23.0-23.9, adult
Z6824Body mass index (BMI) 24.0-24.9, adult
Z6825Body mass index (BMI) 25.0-25.9, adult
Z6826Body mass index (BMI) 26.0-26.9, adult
Z6827Body mass index (BMI) 27.0-27.9, adult
Z6828Body mass index (BMI) 28.0-28.9, adult
Z6829Body mass index (BMI) 29.0-29.9, adult
Z6830Body mass index (BMI) 30.0-30.9, adult
Z6831Body mass index (BMI) 31.0-31.9, adult
Z6832Body mass index (BMI) 32.0-32.9, adult
Z6833Body mass index (BMI) 33.0-33.9, adult
Z6834Body mass index (BMI) 34.0-34.9, adult
Z6835Body mass index (BMI) 35.0-35.9, adult
Z6836Body mass index (BMI) 36.0-36.9, adult
Z6837Body mass index (BMI) 37.0-37.9, adult
Z6838Body mass index (BMI) 38.0-38.9, adult
Z6839Body mass index (BMI) 39.0-39.9, adult
Z6851Body mass index (BMI) pediatric, less than 5th percentile for age
Z6852Body mass index (BMI) pediatric, 5th percentile to less than 85th percentile for age
Z6853Body mass index (BMI) pediatric, 85th percentile to less than 95th percentile for age
Z6854Body mass index (BMI) pediatric, greater than or equal to 95th percentile for age
Z69010Encounter for mental health services for victim of parental child abuse
Z69011Encounter for mental health services for perpetrator of parental child abuse
Z69020Encounter for mental health services for victim of non-parental child abuse
Z69021Encounter for mental health services for perpetrator of non-parental child abuse
Z6911Encounter for mental health services for victim of spousal or partner abuse
Z6912Encounter for mental health services for perpetrator of spousal or partner abuse
Z6981Encounter for mental health services for victim of other abuse
Z6982Encounter for mental health services for perpetrator of other abuse
Z700Counseling related to sexual attitude
Z701Counseling related to patient's sexual behavior and orientation
Z702Counseling related to sexual behavior and orientation of third party
Z703Counseling related to combined concerns regarding sexual attitude, behavior and orientation
Z708Other sex counseling
Z709Sex counseling, unspecified
Z710Person encountering health services to consult on behalf of another person
Z711Person with feared health complaint in whom no diagnosis is made
Z712Person consulting for explanation of examination or test findings
Z713Dietary counseling and surveillance
Z7141Alcohol abuse counseling and surveillance of alcoholic
Z7142Counseling for family member of alcoholic
Z7151Drug abuse counseling and surveillance of drug abuser
Z7152Counseling for family member of drug abuser
Z716Tobacco abuse counseling
Z717Human immunodeficiency virus [HIV] counseling
Z7181Spiritual or religious counseling
Z7189Other specified counseling
Z719Counseling, unspecified
Z720Tobacco use
Z723Lack of physical exercise
Z724Inappropriate diet and eating habits
Z7251High risk heterosexual behavior
Z7252High risk homosexual behavior
Z7253High risk bisexual behavior
Z726Gambling and betting
Z72820Sleep deprivation
Z72821Inadequate sleep hygiene
Z7289Other problems related to lifestyle
Z729Problem related to lifestyle, unspecified
Z730Burn-out
Z731Type A behavior pattern
Z732Lack of relaxation and leisure
Z733Stress, not elsewhere classified
Z734Inadequate social skills, not elsewhere classified
Z735Social role conflict, not elsewhere classified
Z736Limitation of activities due to disability
Z73810Behavioral insomnia of childhood, sleep-onset association type
Z73811Behavioral insomnia of childhood, limit setting type
Z73812Behavioral insomnia of childhood, combined type
Z73819Behavioral insomnia of childhood, unspecified type
Z7382Dual sensory impairment
Z7389Other problems related to life management difficulty
Z739Problem related to life management difficulty, unspecified
Z7401Bed confinement status
Z7409Other reduced mobility
Z741Need for assistance with personal care
Z742Need for assistance at home and no other household member able to render care
Z743Need for continuous supervision
Z748Other problems related to care provider dependency
Z749Problem related to care provider dependency, unspecified
Z750Medical services not available in home
Z751Person awaiting admission to adequate facility elsewhere
Z752Other waiting period for investigation and treatment
Z753Unavailability and inaccessibility of health-care facilities
Z754Unavailability and inaccessibility of other helping agencies
Z755Holiday relief care
Z758Other problems related to medical facilities and other health care
Z759Unspecified problem related to medical facilities and other health care
Z760Encounter for issue of repeat prescription
Z761Encounter for health supervision and care of foundling
Z762Encounter for health supervision and care of other healthy infant and child
Z763Healthy person accompanying sick person
Z764Other boarder to healthcare facility
Z765Malingerer [conscious simulation]
Z7681Expectant parent(s) prebirth pediatrician visit
Z7682Awaiting organ transplant status
Z7689Persons encountering health services in other specified circumstances
Z77010Contact with and (suspected) exposure to arsenic
Z77011Contact with and (suspected) exposure to lead
Z77012Contact with and (suspected) exposure to uranium
Z77018Contact with and (suspected) exposure to other hazardous metals
Z77020Contact with and (suspected) exposure to aromatic amines
Z77021Contact with and (suspected) exposure to benzene
Z77028Contact with and (suspected) exposure to other hazardous aromatic compounds
Z77090Contact with and (suspected) exposure to asbestos
Z77098Contact with and (suspected) exposure to other hazardous, chiefly nonmedicinal, chemicals
Z77110Contact with and (suspected) exposure to air pollution
Z77111Contact with and (suspected) exposure to water pollution
Z77112Contact with and (suspected) exposure to soil pollution
Z77118Contact with and (suspected) exposure to other environmental pollution
Z77120Contact with and (suspected) exposure to mold (toxic)
Z77121Contact with and (suspected) exposure to harmful algae and algae toxins
Z77122Contact with and (suspected) exposure to noise
Z77123Contact with and (suspected) exposure to radon and other naturally occuring radiation
Z77128Contact with and (suspected) exposure to other hazards in the physical environment
Z7721Contact with and (suspected) exposure to potentially hazardous body fluids
Z7722Contact with and (suspected) exposure to environmental tobacco smoke (acute) (chronic)
Z7729Contact with and (suspected ) exposure to other hazardous substances
Z779Other contact with and (suspected) exposures hazardous to health
Z780Asymptomatic menopausal state
Z781Physical restraint status
Z789Other specified health status
Z79810Long term (current) use of selective estrogen receptor modulators (SERMs)
Z79811Long term (current) use of aromatase inhibitors
Z79818Long term (current) use of other agents affecting estrogen receptors and estrogen levels
Z79890Hormone replacement therapy (postmenopausal)
Z800Family history of malignant neoplasm of digestive organs
Z801Family history of malignant neoplasm of trachea, bronchus and lung
Z802Family history of malignant neoplasm of other respiratory and intrathoracic organs
Z803Family history of malignant neoplasm of breast
Z8041Family history of malignant neoplasm of ovary
Z8042Family history of malignant neoplasm of prostate
Z8043Family history of malignant neoplasm of testis
Z8049Family history of malignant neoplasm of other genital organs
Z8051Family history of malignant neoplasm of kidney
Z8052Family history of malignant neoplasm of bladder
Z8059Family history of malignant neoplasm of other urinary tract organ
Z806Family history of leukemia
Z807Family history of other malignant neoplasms of lymphoid, hematopoietic and related tissues
Z808Family history of malignant neoplasm of other organs or systems
Z809Family history of malignant neoplasm, unspecified
Z810Family history of intellectual disabilities
Z811Family history of alcohol abuse and dependence
Z812Family history of tobacco abuse and dependence



Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
02 Nov 2016 09:53:07
PROD, CMS, code-revision=31, description-revision=86