Present on Admission Exempt ICD-10 Codes - Persons encountering health services in other circumstances (Z76)

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.

  • Z76.0 - Encounter for issue of repeat prescription
  • Z76.1 - Encounter for health supervision and care of foundling
  • Z76.2 - Encntr for hlth suprvsn and care of healthy infant and child
  • Z76.3 - Healthy person accompanying sick person
  • Z76.4 - Other boarder to healthcare facility
  • Z76.5 - Malingerer [conscious simulation]
  • Z76.81 - Expectant parent(s) prebirth pediatrician visit
  • Z76.82 - Awaiting organ transplant status
  • Z76.89 - Persons encountering health services in oth circumstances