2026 ICD-10-CM Diagnosis Code Z38.7Other multiple liveborn infant, born outside hospital
Z38.7 is a billable ICD-10-CM diagnosis code for other multiple liveborn infant, born outside hospital. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). The code is restricted by the Medicare Code Editor to newborn patients (age 0) and exempt from POA reporting. Coders also document this condition as multiple liveborn other than twins born outside hospital. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Liveborn.
Code Identity
Code Classification
Code EditsBilling
Medicare Code Editor checks that affect claim validity for Z38.7.
Present on Admission (POA)Billing
Z38.7 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Multiple liveborn other than twins born outside hospital
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
- Infant (s) - See Also: Infancy;
- liveborn (singleton) - Z38.2
- multiple NEC - Z38.8
- born outside hospital - Z38.7
- quadruplet - Z38.8
- born outside hospital - Z38.7
- quintuplet - Z38.8
- born outside hospital - Z38.7
- born outside hospital - Z38.7
- Newborn (infant) (liveborn) (singleton) - Z38.2
- born outside hospital - Z38.7
- quadruplet - Z38.8
- born outside hospital - Z38.7
- quintuplet - Z38.8
- born outside hospital - Z38.7
- born outside hospital - Z38.7
External Cause of Injuries IndexGuidance
References for this code in the External Cause of Injuries Index.
- Infant(s)
- liveborn (singleton)
- multiple NEC
- born outside hospital
- Infant(s)
- liveborn (singleton)
- quadruplet
- born outside hospital
- Infant(s)
- liveborn (singleton)
- quintuplet
- born outside hospital
- Infant(s)
- liveborn (singleton)
- triplet
- born outside hospital
- Newborn(infant) (liveborn) (singleton)
- multiple born NEC
- born outside hospital
- Newborn(infant) (liveborn) (singleton)
- quadruplet
- born outside hospital
- Newborn(infant) (liveborn) (singleton)
- quintuplet
- born outside hospital
- Newborn(infant) (liveborn) (singleton)
- triplet
- born outside hospital
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Twins, Triplets, Multiple Births
If you are pregnant with more than one baby, you are far from alone. Multiple births are up in the United States. More women are having babies after age 30 and more are taking fertility drugs. Both boost the chance of carrying more than one baby. A family history of twins also makes multiples more likely.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert Z38.7 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About Z38.7Overview
Is Z38.7 a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report other multiple liveborn infant, born outside hospital on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
Who can Z38.7 be reported for?
The Medicare Code Editor checks other multiple liveborn infant, born outside hospital against patient demographics: this code is intended for newborn patients (age 0). Claims outside these limits are flagged as inconsistent.
Is Z38.7 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 other multiple liveborn infant, born outside hospital on inpatient claims.
What is the ICD-9 equivalent of Z38.7?
Under the General Equivalence Mappings, other multiple liveborn infant, born outside hospital converts to ICD-9-CM V34.1 (oth mult nb-before adm), V34.2 (oth multiple nb-nonhosp), and V35.1 (oth mult sb-before adm). The mapping is approximate, so confirm the match fits the documentation.
