2027 ICD-10-CM Diagnosis Code Z76.3Healthy person accompanying sick person
Z76.3 is a billable ICD-10-CM diagnosis code for healthy person accompanying sick person. 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 exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified status.
Code Identity
Code Classification
Present on Admission (POA)Billing
Z76.3 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).
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to Z76.3: its own notes plus those printed at Chapter 21. A note printed at a category, block or chapter applies to every code under it.
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.
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 Z76.3 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About Z76.3Overview
What is the ICD-10 code for healthy person accompanying sick person?
The ICD-10-CM code for healthy person accompanying sick person is Z76.3 (sometimes written as Z763). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is Z76.3 (Persons encountering health services in other circumstances) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report healthy person accompanying sick person on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does Z76.3 group to?
When healthy person accompanying sick person is the principal diagnosis on an inpatient stay, it groups to MS-DRG 951 (other Factors Influencing Health Status), which carries a relative weight of 0.5574. Higher weights mean higher Medicare reimbursement.
Is Z76.3 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 healthy person accompanying sick person on inpatient claims. The code appears in the Persons encountering health services in other circumstances (Z69-Z76) range of the CMS exempt list.
What is the ICD-9 equivalent of Z76.3?
Under the General Equivalence Mappings, healthy person accompanying sick person converts to ICD-9-CM V65.0 (healthy person w sick). The mapping is approximate, so confirm the match fits the documentation.
