2026 ICD-10-CM Diagnosis Code Z76.4Other boarder to healthcare facility

ICD-10-CM Codes›Z00–Z99›Z69-Z76›Z76

ICD-10-CM Z76.4
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

Z76.4 is a billable ICD-10-CM diagnosis code for other boarder to healthcare facility. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). The code is exempt from POA reporting. Coders also document this condition as lives in home for intellectually disabled people. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified status.

Code Identity

ICD-10-CM Code
Z76.4
Billable Status
Yes — Valid for Submission
Code Describes
Other boarder to healthcare facility
Short Description
Other boarder to healthcare facility
Same as the full description in the CMS dataset.
Parent Code
Z76
Persons encountering health services in other circumstances

Code Classification

ChapterZ00–Z99Factors influencing health status and contact with health services
SectionZ69-Z76Persons encountering health services in other circumstances
CategoryZ76Persons encountering health services in other circumstances
This CodeZ76.4Other boarder to healthcare facility

Present on Admission (POA)Billing

Z76.4 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.

  • Lives in home for intellectually disabled people
  • Lives in hospital
  • Lives in mother and baby unit
  • Lives in staffed home
  • Lives in supported home

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Type 1 Excludes

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Boarder, hospital NEC

Clinical ClassificationClinical

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

CCSR FAC025
Other specified status
Default principal diagnosis: inpatient Yes · outpatient Yes

Convert Z76.4 to ICD-9-CMHistory

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

ICD-9-CM
V65.0 Healthy person w sick
Approximate The match is approximate rather than exact.

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 Z76.4Overview

Is Z76.4 (Persons encountering health services in other circumstances) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report other boarder to healthcare facility on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

Is Z76.4 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 other boarder to healthcare facility on inpatient claims.

What is the ICD-9 equivalent of Z76.4?

Under the General Equivalence Mappings, other boarder to healthcare facility converts to ICD-9-CM V65.0 (healthy person w sick). The mapping is approximate, so confirm the match fits the documentation.