Present on Admission Exempt ICD-10 Codes - Enctr for Obs & eval of NB for susp diseases and cond R/O (Z05)

The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific ICD-10 diagnosis codes that are exempt from the POA reporting requirement.

  • Z05.0 - Obs & eval of NB for suspected cardiac condition ruled out
  • Z05.1 - Obs & eval of NB for suspected infect condition ruled out
  • Z05.2 - Obs & eval of NB for suspected neuro condition ruled out
  • Z05.3 - Obs & eval of NB for suspected resp condition ruled out
  • Z05.41 - Obs & eval of NB for suspected genetic condition ruled out
  • Z05.42 - Obs & eval of NB for suspected metabolic condition ruled out
  • Z05.43 - Obs & eval of NB for suspected immunologic cond ruled out
  • Z05.5 - Obs & eval of NB for suspected GI condition ruled out
  • Z05.6 - Obs & eval of NB for suspected GU condition ruled out
  • Z05.71 - Obs & eval of NB for suspected skin, subcu cond ruled out
  • Z05.72 - Obs & eval of NB for suspected ms condition ruled out
  • Z05.73 - Obs & eval of NB for suspected conn tiss condition ruled out
  • Z05.8 - Obs & eval of NB for oth suspected condition ruled out
  • Z05.9 - Obs & eval of NB for unsp suspected condition ruled out