2026 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 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

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 2026 (October 1, 2025 through September 30, 2026). 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 other POA exempt codes.

Tabular List NotesGuidance

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

Inclusion Terms

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

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.

    • Encounter(with health service) (for)
      • expectant parent (s) (adoptive) pre-birth pediatrician visit
    • Encounter(with health service) (for)
      • pediatrician visit, by expectant parent (s) (adoptive)

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 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About Z76.81Overview

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, 2025 through September 30, 2026.

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.

What is the ICD-9 equivalent of Z76.81?

Under the General Equivalence Mappings, expectant parent(s) prebirth pediatrician visit converts to ICD-9-CM V65.11 (ped pre-brth vst-parent). The mapping is a direct match.