2027 ICD-10-CM Diagnosis Code Z78.0Asymptomatic menopausal state
Z78.0 is a billable ICD-10-CM diagnosis code for asymptomatic menopausal state. 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 restricted by the Medicare Code Editor to adult patients (age 15 through 124), not accepted as a principal diagnosis, and exempt from POA reporting. Coders also document this condition as history of normal menopause. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified status.
Code Identity
Code Classification
Code EditsBilling
Medicare Code Editor checks that affect claim validity for Z78.0.
Present on Admission (POA)Billing
Z78.0 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99).
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- History of normal menopause
- Menopause present
- Normal menopause
- Perimenopausal state
- Postmenopausal state
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to Z78.0: its own notes plus those printed at Z78, block Z77-Z99, and 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.
- Menopausal state NOS
- Postmenopausal status NOS
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
- symptomatic menopausal state (N95.1)
Code Also
A second code may be needed to fully describe the condition; the note gives no sequencing direction.
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.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name Z78.0, its category, or a range that includes it.
Excludes1 1
These codes carry an Excludes1 note naming Z78.0: they are not reported together with it, unless the two conditions are unrelated.
- N95.1 Menopausal and female climacteric statesasymptomatic menopausal state (Z78.0)
Use Additional Code 1
These codes say to use an additional code from the note, and Z78.0 is one of the codes named.
- Z79.81 Long term (current) use of agents affecting estrogen receptors and estrogen levelspostmenopausal status (Z78.0)
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
climacteric, female Z78.0
menopausal Z78.0
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Menopause
Menopause is the time in your life when you stop having your period and can no longer get pregnant. You have reached menopause when you have not had a period for 12 months.
The full article covers:
- What is menopause?
- What is early and premature menopause?
- What are the symptoms of menopause?
- What are the treatments for the symptoms of menopause?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert Z78.0 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About Z78.0Overview
What is the ICD-10 code for asymptomatic menopausal state?
The ICD-10-CM code for asymptomatic menopausal state is Z78.0 (sometimes written as Z780). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is Z78.0 (Other specified health status) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report asymptomatic menopausal state on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does Z78.0 group to?
On inpatient claims, asymptomatic menopausal state 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 Z78.0 be a principal diagnosis?
No. The Medicare Code Editor rejects this code as a principal diagnosis because asymptomatic menopausal state describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.
Who can Z78.0 be reported for?
The Medicare Code Editor checks asymptomatic menopausal state against patient demographics: this code is intended for adult patients (age 15 through 124). Claims outside these limits are flagged as inconsistent.
