2027 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 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

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 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 951. 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 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.

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

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to Z76.4: its own notes plus those printed at Chapter 21. A note printed at a category, block or chapter applies to every code under it.

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

Notes

General instructions on how these codes are used.

From Chapter 21 (Z00-Z99) Factors influencing health status and contact with health services applies to 1,425 codes
  • 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.

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 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About Z76.4Overview

What is the ICD-10 code for other boarder to healthcare facility?

The ICD-10-CM code for other boarder to healthcare facility is Z76.4 (sometimes written as Z764). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

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, 2026 through September 30, 2027.

What MS-DRG does Z76.4 group to?

When other boarder to healthcare facility 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 Z76.4 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. The code appears in the Persons encountering health services in other circumstances (Z69-Z76) range of the CMS exempt list.

Can Z76.4 be reported with a code from Z59.0?

Not as a rule. The Excludes1 note on Z76.4 lists "homelessness (Z59.0-)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).