2027 ICD-10-CM Diagnosis Code Z76.0Encounter for issue of repeat prescription
Z76.0 is a billable ICD-10-CM diagnosis code for encounter for issue of repeat prescription. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) 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. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified encounters and counseling.
Code Identity
Code Classification
Code EditsBilling
Medicare Code Editor checks that affect claim validity for Z76.0.
Present on Admission (POA)Billing
Z76.0 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.
- Previous treatment continue
- Previous treatment repeat
- Repeat prescription card duplicate issue
- Repeat prescription card issued
- Repeat prescription card status
- Repeat prescription drug side effect
- Repeat prescription for symptom change
- Repeat prescription monitoring status
- Repeat prescription reviewed by hospital
- Repeat prescription reviewed by pharmacist
- Repeat prescription treatment changed
- Repeat prescription treatment started
- Repeated prescription
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to Z76.0: its own notes plus those printed at Chapter 21. A note printed at a category, block or chapter applies to every code under it.
Applicable To
Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.
- Encounter for issue of repeat prescription for appliance
- Encounter for issue of repeat prescription for medicaments
- Encounter for issue of repeat prescription for spectacles
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
Notes
General instructions on how these codes are used.
- Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
- (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
- (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name Z76.0, its category, or a range that includes it.
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.
Convert Z76.0 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About Z76.0Overview
What is the ICD-10 code for encounter for issue of repeat prescription?
The ICD-10-CM code for encounter for issue of repeat prescription is Z76.0 (sometimes written as Z760). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is Z76.0 (Persons encountering health services in other circumstances) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report encounter for issue of repeat prescription on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does Z76.0 group to?
On inpatient claims, encounter for issue of repeat prescription maps to MS-DRG 951 (other Factors Influencing Health Status), which carries a relative weight of 0.5574. Higher weights mean higher Medicare reimbursement.
Can Z76.0 be a principal diagnosis?
No. The Medicare Code Editor rejects this code as a principal diagnosis because encounter for issue of repeat prescription describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.
Is Z76.0 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 issue of repeat prescription on inpatient claims. The code appears in the Persons encountering health services in other circumstances (Z69-Z76) range of the CMS exempt list.
