2026 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 2026 (October 1, 2025 through September 30, 2026). 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 other POA exempt codes.
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
Tabular List NotesGuidance
Coding notes and annotation back-references applicable to this code.
Inclusion Terms
- 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
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
- Boarder, hospital NEC - Z76.4
- healthy infant or child - Z76.2
- child (routine) - Z76.2
- well-baby - Z76.2
- Healthy
- infant
- receiving care - Z76.2
- High
- risk
- infant NEC - Z76.2
- healthy infant or child - Z76.2
External Cause of Injuries IndexGuidance
References for this code in the External Cause of Injuries Index.
- Boarder, hospital NEC
- healthy infant or child
- Care(of) (for) (following)
- child (routine)
- Care(of) (for) (following)
- well-baby
- Healthy
- infant
- receiving care
- High
- risk
- infant NEC
- Supervision(of)
- healthy infant or child
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, 2025 through September 30, 2026.
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.
What is the ICD-9 equivalent of Z76.2?
Under the General Equivalence Mappings, encounter for health supervision and care of other healthy infant and child converts to ICD-9-CM V20.1 (care of healthy chld NEC). The mapping is a direct match.
