2026 ICD-10-CM Diagnosis Code Z13.49Encounter for screening for other developmental delays
Z13.49 is a billable ICD-10-CM diagnosis code for encounter for screening for other developmental delays. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). The code is not accepted as a principal diagnosis by the Medicare Code Editor and exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Screening for neurocognitive or neurodevelopmental condition.
Code Identity
Code Classification
Code EditsBilling
Medicare Code Editor checks that affect claim validity for Z13.49.
Present on Admission (POA)Billing
Z13.49 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
- Screening (for) - Z13.9
- specified NEC - Z13.49
- developmental delays - Z13.40
- specified NEC - Z13.49
External Cause of Injuries IndexGuidance
References for this code in the External Cause of Injuries Index.
- Screening(for)
- developmental
- delays
- specified NEC
- Screening(for)
- disease or disorder
- developmental delays
- specified NEC
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Health Screening
Screenings are tests that look for diseases before you have symptoms. Screening tests can find diseases early, when they're easier to treat. You can get some screenings in your doctor's office. Others need special equipment, so you may need to go to a different office or clinic.
Read the full article at MedlinePlus
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Code History & ChangesHistory
Replacement Z13.49 replaces the following previously assigned code(s):
- Z13.4 - Encntr screen for certain developmental disorders in chldhd
Questions About Z13.49Overview
Is Z13.49 a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report encounter for screening for other developmental delays on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
Can Z13.49 be a principal diagnosis?
No. The Medicare Code Editor rejects this code as a principal diagnosis because encounter for screening for other developmental delays describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.
Is Z13.49 exempt from POA reporting?
Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for encounter for screening for other developmental delays on inpatient claims.
