2027 ICD-10-CM Diagnosis Code Z76.2Encounter for health supervision and care of other healthy infant and child
Z76.2 is a billable ICD-10-CM diagnosis code for encounter for health supervision and care of other healthy infant and child. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 795, 951. The code is restricted by the Medicare Code Editor to pediatric patients (age 0 through 17), not accepted as a principal diagnosis, and exempt from POA reporting. Coders also document this condition as at increased risk of impaired infant development. 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 Z76.2.
Present on Admission (POA)Billing
Z76.2 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.
- At increased risk of impaired infant development
- High risk infant
- One of multiple gestation pregnancy
- One of triplets
- One of twins
- Risk factor - been on SCBU
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to Z76.2: 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 medical or nursing care or supervision of healthy infant under circumstances such as adverse socioeconomic conditions at home
- Encounter for medical or nursing care or supervision of healthy infant under circumstances such as awaiting foster or adoptive placement
- Encounter for medical or nursing care or supervision of healthy infant under circumstances such as maternal illness
- Encounter for medical or nursing care or supervision of healthy infant under circumstances such as number of children at home preventing or interfering with normal care
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 Z76.2, its category, or a range that includes it.
Excludes1 2
These codes carry an Excludes1 note naming Z76.2: they are not reported together with it, unless the two conditions are unrelated.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
child (routine) Z76.2
well-baby Z76.2
receiving care Z76.2
infant NEC Z76.2
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Children's Health
Your child's health includes physical, mental and social well-being. Most parents know the basics of keeping children healthy, like offering them healthy foods, making sure they get enough sleep and exercise and ensuring their safety.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert Z76.2 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About Z76.2Overview
Is Z76.2 (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 health supervision and care of other healthy infant and child on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does Z76.2 group to?
On inpatient claims, encounter for health supervision and care of other healthy infant and child maps to MS-DRG 951, 795, with relative weights from 0.2022 to 0.5574 depending on complications. Higher weights mean higher Medicare reimbursement.
Can Z76.2 be a principal diagnosis?
No. The Medicare Code Editor rejects this code as a principal diagnosis because encounter for health supervision and care of other healthy infant and child describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.
Who can Z76.2 be reported for?
The Medicare Code Editor checks encounter for health supervision and care of other healthy infant and child against patient demographics: this code is intended for pediatric patients (age 0 through 17). Claims outside these limits are flagged as inconsistent.
Is Z76.2 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 health supervision and care of other healthy infant and child on inpatient claims. The code appears in the Persons encountering health services in other circumstances (Z69-Z76) range of the CMS exempt list.
