2026 ICD-10-CM Diagnosis Code Z75.1Person awaiting admission to adequate facility elsewhere

ICD-10-CM Codes›Z00–Z99›Z69-Z76›Z75

ICD-10-CM Z75.1
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

Z75.1 is a billable ICD-10-CM diagnosis code for person awaiting admission to adequate facility elsewhere. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 951. The code is not accepted as a principal diagnosis by the Medicare Code Editor and exempt from POA reporting. Coders also document this condition as awaiting admission elsewhere. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified status.

Code Identity

ICD-10-CM Code
Z75.1
Billable Status
Yes — Valid for Submission
Code Describes
Person awaiting admission to adequate facility elsewhere
Short Description
Person awaiting admission to adequate facility elsewhere
Same as the full description in the CMS dataset.
Parent Code
Z75
Problems related to medical facilities and other health care

Code Classification

ChapterZ00–Z99Factors influencing health status and contact with health services
SectionZ69-Z76Persons encountering health services in other circumstances
CategoryZ75Problems related to medical facilities and other health care
This CodeZ75.1Person awaiting admission to adequate facility elsewhere

Code EditsBilling

Medicare Code Editor checks that affect claim validity for Z75.1.

Unacceptable principal diagnosis
There are selected codes that describe a circumstance which influences an individual's health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.

Present on Admission (POA)Billing

Z75.1 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Persons encountering health services in other circumstances (Z69-Z76).

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Awaiting admission elsewhere

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR FAC025
Other specified status
Default principal diagnosis: inpatient No · outpatient Yes

Convert Z75.1 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
V63.2 Wait adm to oth facility
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About Z75.1Overview

What is the ICD-10 code for person awaiting admission to adequate facility elsewhere?

The ICD-10-CM code for person awaiting admission to adequate facility elsewhere is Z75.1 (sometimes written as Z751). It is billable on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

Is Z75.1 (Problems related to medical facilities and other health care) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report person awaiting admission to adequate facility elsewhere on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does Z75.1 group to?

On inpatient claims, person awaiting admission to adequate facility elsewhere maps to MS-DRG 951 (other Factors Influencing Health Status), which carries a relative weight of 0.556. Higher weights mean higher Medicare reimbursement.

Can Z75.1 be a principal diagnosis?

No. The Medicare Code Editor rejects this code as a principal diagnosis because person awaiting admission to adequate facility elsewhere describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.

Is Z75.1 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 person awaiting admission to adequate facility elsewhere on inpatient claims. The code appears in the Persons encountering health services in other circumstances (Z69-Z76) range of the CMS exempt list.