ICD-10-CM/PCS MS-DRG v41.0 Definitions Manual
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DRAFT
ICD-10-CM/PCS MS-DRG v41.0 Definitions Manual |
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| MDC 23 Factors influencing health status and other contacts with health services |
| Other factors influencing health status |
| Page 3 of 4 |
PRINCIPAL DIAGNOSIS (continued)
| Z5731 | Occupational exposure to environmental tobacco smoke |
| Z5739 | Occupational exposure to other air contaminants |
| Z574 | Occupational exposure to toxic agents in agriculture |
| Z575 | Occupational exposure to toxic agents in other industries |
| Z576 | Occupational exposure to extreme temperature |
| Z577 | Occupational exposure to vibration |
| Z578 | Occupational exposure to other risk factors |
| Z579 | Occupational exposure to unspecified risk factor |
| Z586 | Inadequate drinking-water supply |
| Z5881 | Basic services unavailable in physical environment |
| Z5889 | Other problems related to physical environment |
| Z5900 | Homelessness unspecified |
| Z5901 | Sheltered homelessness |
| Z5902 | Unsheltered homelessness |
| Z5910 | Inadequate housing, unspecified |
| Z5911 | Inadequate housing environmental temperature |
| Z5912 | Inadequate housing utilities |
| Z5919 | Other inadequate housing |
| Z592 | Discord with neighbors, lodgers and landlord |
| Z593 | Problems related to living in residential institution |
| Z5941 | Food insecurity |
| Z5948 | Other specified lack of adequate food |
| Z595 | Extreme poverty |
| Z596 | Low income |
| Z597 | Insufficient social insurance and welfare support |
| Z59811 | Housing instability, housed, with risk of homelessness |
| Z59812 | Housing instability, housed, homelessness in past 12 months |
| Z59819 | Housing instability, housed unspecified |
| Z5982 | Transportation insecurity |
| Z5986 | Financial insecurity |
| Z5987 | Material hardship due to limited financial resources, not elsewhere classified |
| Z5989 | Other problems related to housing and economic circumstances |
| Z599 | Problem related to housing and economic circumstances, unspecified |
| Z600 | Problems of adjustment to life-cycle transitions |
| Z602 | Problems related to living alone |
| Z603 | Acculturation difficulty |
| Z604 | Social exclusion and rejection |
| Z605 | Target of (perceived) adverse discrimination and persecution |
| Z608 | Other problems related to social environment |
| Z609 | Problem related to social environment, unspecified |
| Z620 | Inadequate parental supervision and control |
| Z621 | Parental overprotection |
| Z6221 | Child in welfare custody |
| Z6222 | Institutional upbringing |
| Z6223 | Child in custody of non-parental relative |
| Z6224 | Child in custody of non-relative guardian |
| Z6229 | Other upbringing away from parents |
| Z623 | Hostility towards and scapegoating of child |
| Z626 | Inappropriate (excessive) parental pressure |
| Z62810 | Personal history of physical and sexual abuse in childhood |
| Z62811 | Personal history of psychological abuse in childhood |
| Z62812 | Personal history of neglect in childhood |
| Z62813 | Personal history of forced labor or sexual exploitation in childhood |
| Z62814 | Personal history of child financial abuse |
| Z62815 | Personal history of intimate partner abuse in childhood |
| Z62819 | Personal history of unspecified abuse in childhood |
| Z62820 | Parent-biological child conflict |
| Z62821 | Parent-adopted child conflict |
| Z62822 | Parent-foster child conflict |
| Z62823 | Parent-step child conflict |
| Z62831 | Non-parental relative-child conflict |
| Z62832 | Non-relative guardian-child conflict |
| Z62833 | Group home staff-child conflict |
| Z62890 | Parent-child estrangement NEC |
| Z62891 | Sibling rivalry |
| Z62892 | Runaway [from current living environment] |
| Z62898 | Other specified problems related to upbringing |
| Z629 | Problem related to upbringing, unspecified |
| Z630 | Problems in relationship with spouse or partner |
| Z631 | Problems in relationship with in-laws |
| Z6331 | Absence of family member due to military deployment |
| Z6332 | Other absence of family member |
| Z634 | Disappearance and death of family member |
| Z635 | Disruption of family by separation and divorce |
| Z636 | Dependent relative needing care at home |
| Z6371 | Stress on family due to return of family member from military deployment |
| Z6372 | Alcoholism and drug addiction in family |
| Z6379 | Other stressful life events affecting family and household |
| Z638 | Other specified problems related to primary support group |
| Z639 | Problem related to primary support group, unspecified |
| Z644 | Discord with counselors |
| Z650 | Conviction in civil and criminal proceedings without imprisonment |
| Z651 | Imprisonment and other incarceration |
| Z652 | Problems related to release from prison |
| Z653 | Problems related to other legal circumstances |
| Z654 | Victim of crime and terrorism |
| Z655 | Exposure to disaster, war and other hostilities |
| Z658 | Other specified problems related to psychosocial circumstances |
| Z659 | Problem related to unspecified psychosocial circumstances |
| Z66 | Do not resuscitate |
| Z6710 | Type A blood, Rh positive |
| Z6711 | Type A blood, Rh negative |
| Z6720 | Type B blood, Rh positive |
| Z6721 | Type B blood, Rh negative |
| Z6730 | Type AB blood, Rh positive |
| Z6731 | Type AB blood, Rh negative |
| Z6740 | Type O blood, Rh positive |
| Z6741 | Type O blood, Rh negative |
| Z6790 | Unspecified blood type, Rh positive |
| Z6791 | Unspecified blood type, Rh negative |
| Z681 | Body mass index [BMI] 19.9 or less, adult |
| Z6820 | Body mass index [BMI] 20.0-20.9, adult |
| Z6821 | Body mass index [BMI] 21.0-21.9, adult |
| Z6822 | Body mass index [BMI] 22.0-22.9, adult |
| Z6823 | Body mass index [BMI] 23.0-23.9, adult |
| Z6824 | Body mass index [BMI] 24.0-24.9, adult |
| Z6825 | Body mass index [BMI] 25.0-25.9, adult |
| Z6826 | Body mass index [BMI] 26.0-26.9, adult |
| Z6827 | Body mass index [BMI] 27.0-27.9, adult |
| Z6828 | Body mass index [BMI] 28.0-28.9, adult |
| Z6829 | Body mass index [BMI] 29.0-29.9, adult |
| Z6830 | Body mass index [BMI] 30.0-30.9, adult |
| Z6831 | Body mass index [BMI] 31.0-31.9, adult |
| Z6832 | Body mass index [BMI] 32.0-32.9, adult |
| Z6833 | Body mass index [BMI] 33.0-33.9, adult |
| Z6834 | Body mass index [BMI] 34.0-34.9, adult |
| Z6835 | Body mass index [BMI] 35.0-35.9, adult |
| Z6836 | Body mass index [BMI] 36.0-36.9, adult |
| Z6837 | Body mass index [BMI] 37.0-37.9, adult |
| Z6838 | Body mass index [BMI] 38.0-38.9, adult |
| Z6839 | Body mass index [BMI] 39.0-39.9, adult |
| Z6851 | Body mass index [BMI] pediatric, less than 5th percentile for age |
| Z6852 | Body mass index [BMI] pediatric, 5th percentile to less than 85th percentile for age |
| Z6853 | Body mass index [BMI] pediatric, 85th percentile to less than 95th percentile for age |
| Z6854 | Body mass index [BMI] pediatric, greater than or equal to 95th percentile for age |
| Z69010 | Encounter for mental health services for victim of parental child abuse |
| Z69011 | Encounter for mental health services for perpetrator of parental child abuse |
| Z69020 | Encounter for mental health services for victim of non-parental child abuse |
| Z69021 | Encounter for mental health services for perpetrator of non-parental child abuse |
| Z6911 | Encounter for mental health services for victim of spousal or partner abuse |
| Z6912 | Encounter for mental health services for perpetrator of spousal or partner abuse |
| Z6981 | Encounter for mental health services for victim of other abuse |
| Z6982 | Encounter for mental health services for perpetrator of other abuse |
| Z700 | Counseling related to sexual attitude |
| Z701 | Counseling related to patient's sexual behavior and orientation |
| Z702 | Counseling related to sexual behavior and orientation of third party |
| Z703 | Counseling related to combined concerns regarding sexual attitude, behavior and orientation |
| Z708 | Other sex counseling |
| Z709 | Sex counseling, unspecified |
| Z710 | Person encountering health services to consult on behalf of another person |
| Z711 | Person with feared health complaint in whom no diagnosis is made |
| Z712 | Person consulting for explanation of examination or test findings |
| Z713 | Dietary counseling and surveillance |
| Z7141 | Alcohol abuse counseling and surveillance of alcoholic |
| Z7142 | Counseling for family member of alcoholic |
| Z7151 | Drug abuse counseling and surveillance of drug abuser |
| Z7152 | Counseling for family member of drug abuser |
| Z716 | Tobacco abuse counseling |
| Z717 | Human immunodeficiency virus [HIV] counseling |
| Z7181 | Spiritual or religious counseling |
| Z7182 | Exercise counseling |
| Z7183 | Encounter for nonprocreative genetic counseling |
| Z7184 | Encounter for health counseling related to travel |
| Z7185 | Encounter for immunization safety counseling |
| Z7187 | Encounter for pediatric-to-adult transition counseling |
| Z7188 | Encounter for counseling for socioeconomic factors |
| Z7189 | Other specified counseling |
| Z719 | Counseling, unspecified |
| Z720 | Tobacco use |
| Z723 | Lack of physical exercise |
| Z724 | Inappropriate diet and eating habits |
| Z7251 | High risk heterosexual behavior |
| Z7252 | High risk homosexual behavior |
| Z7253 | High risk bisexual behavior |
| Z726 | Gambling and betting |
| Z72820 | Sleep deprivation |
| Z72821 | Inadequate sleep hygiene |
| Z72823 | Risk of suffocation (smothering) under another while sleeping |
| Z7289 | Other problems related to lifestyle |
| Z729 | Problem related to lifestyle, unspecified |
| Z730 | Burn-out |
| Z731 | Type A behavior pattern |
| Z732 | Lack of relaxation and leisure |
| Z733 | Stress, not elsewhere classified |
| Z734 | Inadequate social skills, not elsewhere classified |
| Z735 | Social role conflict, not elsewhere classified |
| Z736 | Limitation of activities due to disability |
| Z73810 | Behavioral insomnia of childhood, sleep-onset association type |
| Z73811 | Behavioral insomnia of childhood, limit setting type |
| Z73812 | Behavioral insomnia of childhood, combined type |
| Z73819 | Behavioral insomnia of childhood, unspecified type |
| Z7382 | Dual sensory impairment |
| Z7389 | Other problems related to life management difficulty |
| Z739 | Problem related to life management difficulty, unspecified |
| Z7401 | Bed confinement status |
| Z7409 | Other reduced mobility |
| Z741 | Need for assistance with personal care |
| Z742 | Need for assistance at home and no other household member able to render care |
| Z743 | Need for continuous supervision |
| Z748 | Other problems related to care provider dependency |
| Z749 | Problem related to care provider dependency, unspecified |
| Z750 | Medical services not available in home |
| Z751 | Person awaiting admission to adequate facility elsewhere |
| Z752 | Other waiting period for investigation and treatment |
| Z753 | Unavailability and inaccessibility of health-care facilities |
| Z754 | Unavailability and inaccessibility of other helping agencies |
| Z755 | Holiday relief care |
| Z758 | Other problems related to medical facilities and other health care |
| Z759 | Unspecified problem related to medical facilities and other health care |
| Z760 | Encounter for issue of repeat prescription |
| Z761 | Encounter for health supervision and care of foundling |
| Z762 | Encounter for health supervision and care of other healthy infant and child |
| Z763 | Healthy person accompanying sick person |
| Z764 | Other boarder to healthcare facility |
| Z765 | Malingerer [conscious simulation] |
| Z7681 | Expectant parent(s) prebirth pediatrician visit |
| Z7682 | Awaiting organ transplant status |
| Z7689 | Persons encountering health services in other specified circumstances |
| Z77010 | Contact with and (suspected) exposure to arsenic |
| Z77011 | Contact with and (suspected) exposure to lead |
| Z77012 | Contact with and (suspected) exposure to uranium |
| Z77018 | Contact with and (suspected) exposure to other hazardous metals |
| Z77020 | Contact with and (suspected) exposure to aromatic amines |
| Z77021 | Contact with and (suspected) exposure to benzene |
| Z77028 | Contact with and (suspected) exposure to other hazardous aromatic compounds |
| Z77090 | Contact with and (suspected) exposure to asbestos |
| Z77098 | Contact with and (suspected) exposure to other hazardous, chiefly nonmedicinal, chemicals |
| Z77110 | Contact with and (suspected) exposure to air pollution |
| Z77111 | Contact with and (suspected) exposure to water pollution |
| Z77112 | Contact with and (suspected) exposure to soil pollution |
| Z77118 | Contact with and (suspected) exposure to other environmental pollution |
| Z77120 | Contact with and (suspected) exposure to mold (toxic) |
| Z77121 | Contact with and (suspected) exposure to harmful algae and algae toxins |
| Z77122 | Contact with and (suspected) exposure to noise |
| Z77123 | Contact with and (suspected) exposure to radon and other naturally occurring radiation |
| Z77128 | Contact with and (suspected) exposure to other hazards in the physical environment |
| Z7721 | Contact with and (suspected) exposure to potentially hazardous body fluids |
| Z7722 | Contact with and (suspected) exposure to environmental tobacco smoke (acute) (chronic) |
| Z7729 | Contact with and (suspected) exposure to other hazardous substances |
| Z779 | Other contact with and (suspected) exposures hazardous to health |
| Z780 | Asymptomatic menopausal state |
| Z781 | Physical restraint status |
| Z789 | Other specified health status |
| Z79810 | Long term (current) use of selective estrogen receptor modulators (SERMs) |
| Z79811 | Long term (current) use of aromatase inhibitors |
| Z79818 | Long term (current) use of other agents affecting estrogen receptors and estrogen levels |
| Z79890 | Hormone replacement therapy |
| Z800 | Family history of malignant neoplasm of digestive organs |
| Z801 | Family history of malignant neoplasm of trachea, bronchus and lung |
| Z802 | Family history of malignant neoplasm of other respiratory and intrathoracic organs |
| Z803 | Family history of malignant neoplasm of breast |
| Z8041 | Family history of malignant neoplasm of ovary |
| Z8042 | Family history of malignant neoplasm of prostate |
| Z8043 | Family history of malignant neoplasm of testis |
| Z8049 | Family history of malignant neoplasm of other genital organs |
| Z8051 | Family history of malignant neoplasm of kidney |
| Z8052 | Family history of malignant neoplasm of bladder |
| Z8059 | Family history of malignant neoplasm of other urinary tract organ |
| Z806 | Family history of leukemia |
| Z807 | Family history of other malignant neoplasms of lymphoid, hematopoietic and related tissues |
| Z808 | Family history of malignant neoplasm of other organs or systems |
| Z809 | Family history of malignant neoplasm, unspecified |
| Z810 | Family history of intellectual disabilities |
| Z811 | Family history of alcohol abuse and dependence |
| Z812 | Family history of tobacco abuse and dependence |
| Z813 | Family history of other psychoactive substance abuse and dependence |
| Z814 | Family history of other substance abuse and dependence |
| Z818 | Family history of other mental and behavioral disorders |
| Z820 | Family history of epilepsy and other diseases of the nervous system |
| Z821 | Family history of blindness and visual loss |
| Z822 | Family history of deafness and hearing loss |
| Z823 | Family history of stroke |
| Z8241 | Family history of sudden cardiac death |
| Z8249 | Family history of ischemic heart disease and other diseases of the circulatory system |
| Z825 | Family history of asthma and other chronic lower respiratory diseases |
| Z8261 | Family history of arthritis |
| Z8262 | Family history of osteoporosis |
| Z8269 | Family history of other diseases of the musculoskeletal system and connective tissue |
| Z8271 | Family history of polycystic kidney |
| Z8279 | Family history of other congenital malformations, deformations and chromosomal abnormalities |
| Z828 | Family history of other disabilities and chronic diseases leading to disablement, not elsewhere classified |
| Z830 | Family history of human immunodeficiency virus [HIV] disease |
| Z831 | Family history of other infectious and parasitic diseases |
| Z832 | Family history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism |
| Z833 | Family history of diabetes mellitus |
| Z8341 | Family history of multiple endocrine neoplasia [MEN] syndrome |
| Z8342 | Family history of familial hypercholesterolemia |
| Z83430 | Family history of elevated lipoprotein(a) |
| Z83438 | Family history of other disorder of lipoprotein metabolism and other lipidemia |
| Z8349 | Family history of other endocrine, nutritional and metabolic diseases |
| Z83511 | Family history of glaucoma |
| Z83518 | Family history of other specified eye disorder |
| Z8352 | Family history of ear disorders |
| Z836 | Family history of other diseases of the respiratory system |
| Z83710 | Family history of adenomatous and serrated polyps |
| Z83711 | Family history of hyperplastic colon polyps |
| Z83718 | Other family history of colon polyps |
| Z83719 | Family history of colon polyps, unspecified |
| Z8379 | Family history of other diseases of the digestive system |
| Z840 | Family history of diseases of the skin and subcutaneous tissue |
| Z841 | Family history of disorders of kidney and ureter |
| Z842 | Family history of other diseases of the genitourinary system |
| Z843 | Family history of consanguinity |
| Z8481 | Family history of carrier of genetic disease |
| Z8482 | Family history of sudden infant death syndrome |
| Z8489 | Family history of other specified conditions |
| Z86000 | Personal history of in-situ neoplasm of breast |
| Z86001 | Personal history of in-situ neoplasm of cervix uteri |
| Z86002 | Personal history of in-situ neoplasm of other and unspecified genital organs |
| Z86003 | Personal history of in-situ neoplasm of oral cavity, esophagus and stomach |
| Z86004 | Personal history of in-situ neoplasm of other and unspecified digestive organs |
| Z86005 | Personal history of in-situ neoplasm of middle ear and respiratory system |
| Z86006 | Personal history of melanoma in-situ |
| Z86007 | Personal history of in-situ neoplasm of skin |
| Z86008 | Personal history of in-situ neoplasm of other site |
| Z86010 | Personal history of colonic polyps |
| Z86011 | Personal history of benign neoplasm of the brain |
| Z86012 | Personal history of benign carcinoid tumor |
| Z86018 | Personal history of other benign neoplasm |
| Z8603 | Personal history of neoplasm of uncertain behavior |
| Z8611 | Personal history of tuberculosis |
| Z8612 | Personal history of poliomyelitis |
| Z8613 | Personal history of malaria |
| Z8614 | Personal history of Methicillin resistant Staphylococcus aureus infection |
| Z8615 | Personal history of latent tuberculosis infection |
| Z8616 | Personal history of COVID-19 |
| Z8619 | Personal history of other infectious and parasitic diseases |
| Z862 | Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism |
| Z8631 | Personal history of diabetic foot ulcer |
| Z8632 | Personal history of gestational diabetes |
| Z8639 | Personal history of other endocrine, nutritional and metabolic disease |
| Z8651 | Personal history of combat and operational stress reaction |
| Z8659 | Personal history of other mental and behavioral disorders |
| Z8661 | Personal history of infections of the central nervous system |
| Z8669 | Personal history of other diseases of the nervous system and sense organs |
| Z86711 | Personal history of pulmonary embolism |
| Z86718 | Personal history of other venous thrombosis and embolism |
| Z8672 | Personal history of thrombophlebitis |
| Z8673 | Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits |
| Z8674 | Personal history of sudden cardiac arrest |
| Z8679 | Personal history of other diseases of the circulatory system |
| Z8701 | Personal history of pneumonia (recurrent) |
| Z8709 | Personal history of other diseases of the respiratory system |
| Z8711 | Personal history of peptic ulcer disease |
| Z8719 | Personal history of other diseases of the digestive system |
| Z872 | Personal history of diseases of the skin and subcutaneous tissue |
| Z87310 | Personal history of (healed) osteoporosis fracture |
| Z87311 | Personal history of (healed) other pathological fracture |
| Z87312 | Personal history of (healed) stress fracture |
| Z8739 | Personal history of other diseases of the musculoskeletal system and connective tissue |
| Z87411 | Personal history of vaginal dysplasia |
| Z87412 | Personal history of vulvar dysplasia |
| Z8742 | Personal history of other diseases of the female genital tract |
| Z87430 | Personal history of prostatic dysplasia |
| Z87438 | Personal history of other diseases of male genital organs |
| Z87440 | Personal history of urinary (tract) infections |
| Z87441 | Personal history of nephrotic syndrome |
| Z87442 | Personal history of urinary calculi |
| Z87448 | Personal history of other diseases of urinary system |
| Z8751 | Personal history of pre-term labor |
| Z8759 | Personal history of other complications of pregnancy, childbirth and the puerperium |
| Z8761 | Personal history of (corrected) necrotizing enterocolitis of newborn |
| Z8768 | Personal history of other (corrected) conditions arising in the perinatal period |
| Z87710 | Personal history of (corrected) hypospadias |
| Z87718 | Personal history of other specified (corrected) congenital malformations of genitourinary system |
| Z87720 | Personal history of (corrected) congenital malformations of eye |
| Z87721 | Personal history of (corrected) congenital malformations of ear |
| Z87728 | Personal history of other specified (corrected) congenital malformations of nervous system and sense organs |
| Z87730 | Personal history of (corrected) cleft lip and palate |
| Z87731 | Personal history of (corrected) tracheoesophageal fistula or atresia |
| Z87732 | Personal history of (corrected) persistent cloaca or cloacal malformations |
| Z87738 | Personal history of other specified (corrected) congenital malformations of digestive system |
| Z8774 | Personal history of (corrected) congenital malformations of heart and circulatory system |
| Z8775 | Personal history of (corrected) congenital malformations of respiratory system |
| Z87760 | Personal history of (corrected) congenital diaphragmatic hernia or other congenital diaphragm malformations |
| Z87761 | Personal history of (corrected) gastroschisis |
| Z87762 | Personal history of (corrected) prune belly malformation |
| Z87763 | Personal history of other (corrected) congenital abdominal wall malformations |
| Z87768 | Personal history of other specified (corrected) congenital malformations of integument, limbs and musculoskeletal system |
| Z87790 | Personal history of (corrected) congenital malformations of face and neck |
| Z87798 | Personal history of other (corrected) congenital malformations |
| Z8781 | Personal history of (healed) traumatic fracture |
| Z87820 | Personal history of traumatic brain injury |
| Z87821 | Personal history of retained foreign body fully removed |
| Z87828 | Personal history of other (healed) physical injury and trauma |
| Z87891 | Personal history of nicotine dependence |
| Z87892 | Personal history of anaphylaxis |
| Z87898 | Personal history of other specified conditions |
| Z880 | Allergy status to penicillin |
| Z881 | Allergy status to other antibiotic agents |
| Z882 | Allergy status to sulfonamides |
| Z883 | Allergy status to other anti-infective agents |
| Z884 | Allergy status to anesthetic agent |
| Z885 | Allergy status to narcotic agent |
| Z886 | Allergy status to analgesic agent |
| Z887 | Allergy status to serum and vaccine |
| Z888 | Allergy status to other drugs, medicaments and biological substances |
| Z889 | Allergy status to unspecified drugs, medicaments and biological substances |
| Z89011 | Acquired absence of right thumb |
| Z89012 | Acquired absence of left thumb |
| Z89019 | Acquired absence of unspecified thumb |
| Z89021 | Acquired absence of right finger(s) |
| Z89022 | Acquired absence of left finger(s) |
| Z89029 | Acquired absence of unspecified finger(s) |
| Z89111 | Acquired absence of right hand |
| Z89112 | Acquired absence of left hand |
| Z89119 | Acquired absence of unspecified hand |
| Z89121 | Acquired absence of right wrist |
| Z89122 | Acquired absence of left wrist |
| Z89129 | Acquired absence of unspecified wrist |
| Z89201 | Acquired absence of right upper limb, unspecified level |
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Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 01 Mar 2023 06:12:40 CMS, code-revision=344, description-revision=1357 |