2027 ICD-10-CM Diagnosis Code Z76.81Expectant parent(s) prebirth pediatrician visit

ICD-10-CM Codes›Z00–Z99›Z69-Z76›Z76

ICD-10-CM Z76.81
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

Z76.81 is a billable ICD-10-CM diagnosis code for expectant parent(s) prebirth pediatrician visit. 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 not accepted as a principal diagnosis by the Medicare Code Editor and exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified status.

Code Identity

ICD-10-CM Code
Z76.81
Billable Status
Yes — Valid for Submission
Code Describes
Expectant parent(s) prebirth pediatrician visit
Short Description
Expectant parent(s) prebirth pediatrician visit
Same as the full description in the CMS dataset.
Parent Code
Z76.8
Persons encountering health services in other specified 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 CodeZ76.81Expectant parent(s) prebirth pediatrician visit

Code EditsBilling

Medicare Code Editor checks that affect claim validity for Z76.81.

Unacceptable principal diagnosis
There are selected codes that describe a circumstance which influences an individual's health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.

Present on Admission (POA)Billing

Z76.81 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 Z76.81: 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.

  • Pre-adoption pediatrician visit for adoptive parent(s)

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.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name Z76.81, its category, or a range that includes it.

Excludes2 1

These codes carry an Excludes2 note naming Z76.81: its condition is not part of those codes, and both may be reported when the patient has both.

  • Z71.0 Person encountering health services to consult on behalf of another person
    expectant (adoptive) parent(s) pre-birth pediatrician visit (Z76.81)

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 No · outpatient Yes

Convert Z76.81 to ICD-9-CMHistory

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

ICD-9-CM
V65.11 Ped pre-brth vst-parent
Exact Match The mapping is direct, with no qualifiers.

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 Z76.81Overview

What is the ICD-10 code for expectant parent(s) prebirth pediatrician visit?

The ICD-10-CM code for expectant parent(s) prebirth pediatrician visit is Z76.81 (sometimes written as Z7681). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is Z76.81 a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report expectant parent(s) prebirth pediatrician visit on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does Z76.81 group to?

On inpatient claims, expectant parent(s) prebirth pediatrician visit maps to MS-DRG 951 (other Factors Influencing Health Status), which carries a relative weight of 0.5574. Higher weights mean higher Medicare reimbursement.

Can Z76.81 be a principal diagnosis?

No. The Medicare Code Editor rejects this code as a principal diagnosis because expectant parent(s) prebirth pediatrician visit describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.

Is Z76.81 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 expectant parent(s) prebirth pediatrician visit on inpatient claims. The code appears in the Persons encountering health services in other circumstances (Z69-Z76) range of the CMS exempt list.